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Cytokine storm and use of anakinra in a patient with COVID-19.
Nemchand, Priyanka; Tahir, Hassan; Mediwake, Rapti; Lee, Jeffrey.
  • Nemchand P; Rheumatology and General Medicine, Barnet Hospital, Royal Free London NHS Foundation Trust, Barnet, UK nishta1992@doctors.org.uk.
  • Tahir H; Rheumatology and General Medicine, Barnet Hospital, London, UK.
  • Mediwake R; Rheumatology, Barnet Hospital, Royal Free London NHS Foundation Trust, Barnet, UK.
  • Lee J; Rheumatology and General Medicine, Barnet Hospital, Royal Free London NHS Foundation Trust, Barnet, UK.
BMJ Case Rep ; 13(9)2020 Sep 15.
Article in English | MEDLINE | ID: covidwho-772245
ABSTRACT
We present a case of a 50-year-old man with COVID-19 infection and acute respiratory distress syndrome as a result of a cytokine storm and use of anakinra, an interleukin 1-receptor antagonist that is normally used in the treatment of autoinflammatory disorders in adult patients. We saw a reduction in oxygen requirement and improvements in inflammatory markers and ferritin. Although we cannot determine its clinical efficacy from one case study, it may have a positive effect on the proinflammatory state that is associated with cytokine storm in COVID-19 infection.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Cytokines / Coronavirus Infections / Interleukin 1 Receptor Antagonist Protein Type of study: Case report / Prognostic study Limits: Humans / Male / Middle aged Language: English Year: 2020 Document Type: Article Affiliation country: Bcr-2020-237525

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Cytokines / Coronavirus Infections / Interleukin 1 Receptor Antagonist Protein Type of study: Case report / Prognostic study Limits: Humans / Male / Middle aged Language: English Year: 2020 Document Type: Article Affiliation country: Bcr-2020-237525