DOI: 10.12890/2022_003502

A Biphasic COVID-19 Clinical Course in Anti-CD20 Treated Patients: Case Series and Review of the Literature

Authors

  • Noa Bigman-Peer Department of Internal Medicine E, Rabin Medical Center, Beilinson Hospital, Petah Tikva, Israel
  • Eyal Peer Oncology Institute, Sheba Medical Center, Ramat Gan, Israel
  • Barak Pertzov Pulmonary Division, Rabin Medical Center, Beilinson Hospital, Petah Tikva, Israel
  • Mordechai Kramer Pulmonary Division, Rabin Medical Center, Beilinson Hospital, Petah Tikva, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
  • Gad Segal Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; Department of Internal Medicine I, Sheba Medical Center, Ramat Gan, Israel
  • Noa Eliakim-Raz Department of Internal Medicine E, Rabin Medical Center, Beilinson Hospital, Petah Tikva, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; Infectious Diseases Unit, Rabin Medical Center, Beilinson Hospital, Petah Tikva, Israel

noabig@gmail.com

Keywords

COVID-19, anti-CD20, rituximab, obinutuzumab, Omicron

Abstract

We describe four cases of COVID-19 infection during the Omicron wave, in patients treated with anti-CD20 monoclonal antibodies. All cases follow a similar biphasic clinical course consisting of respiratory deterioration, which occurred a few weeks after convalescence from initial mild to asymptomatic infection. Possible explanations are discussed.

View the entire article

Downloads

References

  1. Montero-Escribano P, Matías-Guiu J, Gómez-Iglesias P, Porta-Etessam J, Pytel V, Matias-Guiu JA. Anti-CD20 and COVID-19 in multiple sclerosis and related disorders: a case series of 60 patients from Madrid, Spain. Mult Scler Relat Disord 2020;42:102185.
  2. Avouac J, Drumez E, Hachulla E, Seror R, Georgin-Lavialle S, El Mahou S, et al. COVID-19 outcomes in patients with inflammatory rheumatic and musculoskeletal diseases treated with rituximab: a cohort study. Lancet Rheumatol 2021;3(6):e419–26.
  3. Leipe J, Wilke EL, Ebert MP, Teufel A, Reindl W. Long, relapsing, and atypical symptomatic course of COVID-19 in a B-cell-depleted patient after rituximab. Semin Arthritis Rheum 2020;50(5):1087–8.
  4. Burgener S, Rochat P, Dollenmaier G, Benz G, Kistler AD, Fulchini R. Progression of COVID-19 in a patient on anti-CD20 antibody treatment: case report and literature review. Case Rep Infect Dis 2022;2022.
  5. Sette A, Crotty S. Adaptive immunity to SARS-CoV-2 and COVID-19. Cell 2021;184(4):861–80.

Published

2022-08-31

How to Cite

1.
Bigman-Peer N, Peer E, Pertzov B, Kramer M, Segal G, Eliakim-Raz N. A Biphasic COVID-19 Clinical Course in Anti-CD20 Treated Patients: Case Series and Review of the Literature. EJCRIM [Internet]. 2022 Aug. 31 [cited 2026 Nov. 3];9(8). Available from: https://ejcrim.com/index.php/ejcrim/article/view/3502

Most read articles by the same author(s)