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Hospital-at-home care for immunodeficient patients with COVID-19: Approach to persistent COVID-19 infection
Yuki Miyamoto1,2, Yasufumi Matsumura3, Shougen Sumiyoshi4
1Department of Emergency Medicine Kyoto Prefectural University of Medicine Kyoto Japan.
Key Clinical Message:
Patients with COVID-19 who have undergone B-cell depletion therapy could have prolonged SARS-CoV-2 infection; therefore, even in the hospital-at-home setting, primary care physicians should carefully consider the treatment regimen and the timing of ending isolations in such cases, and should not hesitate to consult with infectious disease specialists if necessary.
Abstract:
We presented the first reported case of hospital-at-home care for a patient with persistent COVID-19 who had undergone B-cell depletion therapy. He received hospital-at-home care, including two courses of remdesivir; however, he ultimately failed to recover and was transferred to the hospital.
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