Caspian Journal of Internal Medicine، جلد ۱۱، شماره Covid ۱۹ Supplement ۱، صفحات ۵۷۲-۵۷۶

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عنوان انگلیسی Plasmapheresis with corticosteroids and antiviral: a life-saving treatment for severe cases of Covid 19 (A case report)
چکیده انگلیسی مقاله Background: COVID-19 pandemic is a global concern. In this study we suggest using a novel three-dimensional treatment mainly based upon immune system modulation to revolve the virus chaos, regarding to the cytokine storm introduced as the main character of COVID-19 infection scenario. Case Presentation: A young man infected by 2019-nCoVwho suffered from respiratory arrest and loss of consciousness(On March 27,2020), undergoes cardiopulmonary resuscitation and then Endotracheal  intubation and upon ICU administration and confirmed diagnosis of COVID-19, Considering critical condition of the young patient, plasmapheresis was performed once on a daily basis, three doses of interferonbeta(IFN-β-1b) was injected subcutaneously every other day and dexamethasone was given at a dose of 4 mg every 8 hours (TID).After 2 days, the patient was extubated and transferred from the ICU to the ward (March 31,2020) where plasmapheresis was performed 4 times daily for 4 days.Finally ,after 7 days of hospitalization, the patient was discharged with a good general condition. Conclusion: we modulated immune system through plasmapheresis to sweep out the released cytokines and corticosteroid along with interferon andcommon antiviral treatments. Our data suggest this combined method to be effective for critically ill COVID-19 patients.
کلیدواژه‌های انگلیسی مقاله Key words, COVID-19, therapeutic plasma exchange, corticosteroid therapy, interferon.

نویسندگان مقاله | Mohammad Bagherzadeh
Department of Internal Medicine, School of Medicine, Qom University of Medical sciences


| Mahmoud Parham
Department of Internal Medicine, School of Medicine, Qom University of Medical sciences


| Somayeh Zohali
Student research committee, Qom University of Medical Sciences, Qom, Iran,


| Sedighe Molaii
Student research committee, Qom University of Medical Sciences, Qom, Iran,


| Jamshid Vafaeimanesh
Gastroenterology and Hepatology Disease Research Center, Qom University of Medical sciences



نشانی اینترنتی http://caspjim.com/browse.php?a_code=A-10-38-16&slc_lang=en&sid=1
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کد مقاله (doi)
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده Internal
نوع مقاله منتشر شده case report
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