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Late Worsening of COVID-19 Pneumonia: Successful Treatment with Ruxolitinib and Steroid
Mauro Betelli1, Fabio De Stefano1, Alberto Tedeschi1
1Medicina Generale, Bolognini Hospital, ASST Bergamo Est, Seriate, Italy.
Abstract:
We describe the case of a patient hospitalized for the second time in a month due to delayed worsening of lung lesions in COVID-19 infection without bacterial superinfection. He was treated with hydroxychloroquine, IV dexamethasone and ruxolitinib with rapid improvement of respiratory failure; 1 month after the second discharge, maintaining low-dose oral prednisone, lung consolidations were significantly reduced on control CT.
Learning Points:
Modulation of immune over-response in late phases of COVID-19 can influence global outcome.Ruxolitinib and IV steroids can reverse the inflammatory process and lung lesions.
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