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About:
Favorable COVID‐19 course despite significant comorbidities in a ruxolitinib‐treated patient with primary myelofibrosis
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wasabi.inria.fr
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Type:
Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
has title
Favorable COVID‐19 course despite significant comorbidities in a ruxolitinib‐treated patient with primary myelofibrosis
Creator
Marx, Gernot
Dreher, Michael
Kleines, Michael
Bickenbach, Johannes
Brümmendorf, Tim
Cornelissen, Christian
Jost, Edgar
Koschmieder, Steffen
Marx, Nikolaus
Müller, Tobias
Schulze-Hagen, Maximilian
Source
Medline; PMC
abstract
COVID‐19 carries a high risk of severe disease course, particularly in patients with comorbidities. Therapy of severe COVID‐19 infection has relied on supportive intensive care measures. More specific approaches including drugs that limit the detrimental “cytokine storm”, such as Janus‐activated kinase (JAK) inhibitors, are being discussed. Here, we report a compelling case of a 55‐yo patient with proven COVID‐19 pneumonia, who was taking the JAK1/2 inhibitor ruxolitinib in‐label for co‐existing primary myelofibrosis for 15 months prior to coronavirus infection. The patient had significant comorbidities, including chronic kidney disease, arterial hypertension, and obesity, and our previous cohort suggested that he was thus at high risk for acute respiratory distress syndrome (ARDS) and death from COVID‐19. Since abrupt discontinuation of ruxolitinib may cause fatal cytokine storm and ARDS, ruxolitinib treatment was continued and was well tolerated, and the patient´s condition remained stable, without the need for mechanical ventilation or vasopressors. The patient became negative for SARS‐CoV‐2 and was discharged home after 15 days. In conclusion, our report provides clinical evidence that ruxolitinib treatment is feasible and can be beneficial in patients with COVID‐19 pneumonia, preventing cytokine storm and ARDS.
has issue date
2020-06-27
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xsd:dateTime
)
bibo:doi
10.1111/ejh.13480
bibo:pmid
32593209
has license
no-cc
sha1sum (hex)
f928f27514b517bbf5914d949a655c4c629e8880
schema:url
https://doi.org/10.1111/ejh.13480
resource representing a document's title
Favorable COVID‐19 course despite significant comorbidities in a ruxolitinib‐treated patient with primary myelofibrosis
has PubMed Central identifier
PMC7361537
has PubMed identifier
32593209
schema:publication
Eur J Haematol
resource representing a document's body
covid:f928f27514b517bbf5914d949a655c4c629e8880#body_text
is
schema:about
of
named entity 'mild'
named entity 'Case'
named entity 'Report'
named entity 'Title'
named entity 'CLINICAL COURSE'
named entity 'risk factors'
named entity 'word count'
named entity 'cytokine storm'
named entity 'JAK'
named entity 'pneumonia'
named entity 'interleukin-6'
named entity 'tachycardia'
named entity 'pro-inflammatory cytokines'
named entity 'fever'
named entity 'COVID-19'
named entity 'toxicity'
named entity 'hypoxia'
named entity 'polycythemia vera'
named entity 'general practitioner'
named entity 'COVID-19 testing'
named entity 'treatment of patients'
named entity 'tuberculosis'
named entity 'ruxolitinib'
named entity 'COVID'
named entity 'PCR'
named entity 'C-reactive protein'
named entity 'tachycardia'
named entity 'fever'
named entity 'JAK inhibitors'
named entity 'comorbidities'
named entity 'hepatitis'
named entity 'COVID'
named entity 'ruxolitinib'
named entity 'single-blind'
named entity 'ruxolitinib'
named entity 'treatment options'
named entity 'COVID'
named entity 'pneumonia'
named entity 'ruxolitinib'
named entity 'ruxolitinib'
named entity 'obesity'
named entity 'pro-inflammatory cytokines'
named entity 'splenomegaly'
named entity 'Computed tomography'
named entity 'cytokine storm'
named entity 'liver toxicity'
named entity 'Manuscript'
named entity 'ruxolitinib'
named entity 'COVID-19 infection'
named entity 'COVID'
named entity 'comorbidities'
named entity 'pneumonia'
named entity 'cytokine storm'
named entity 'Case Report'
named entity 'COVID-19'
named entity 'ruxolitinib'
named entity 'ruxolitinib'
named entity 'inflammation'
named entity 'COVID'
named entity 'macrophage activation syndrome'
named entity 'macrophage'
named entity 'infection'
named entity 'CALR'
named entity 'ruxolitinib'
named entity 'Janus kinase 1'
named entity 'physical exam'
named entity 'IL-6R'
named entity 'CKD'
named entity 'intensive care unit'
named entity 'MPN'
named entity 'SARS-CoV-2'
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