The course of COVID-19 in a multiple sclerosis: a case report
 
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1
Department of the Heart and Great Vessels Pathology Diagnostics, Heart Institute of the Ministry of Health of Ukraine , Ukraine, Ukraine
 
2
Department of functional diagnostics, Shupyk National Healthcare University of Ukraine, Ukraine
 
3
Department of Infectious deseases, Bogomolets National Medical University, Ukraine
 
 
Submission date: 2023-07-23
 
 
Acceptance date: 2023-11-09
 
 
Publication date: 2024-02-23
 
 
Corresponding author
Olga Yepanchintseva   

Department of the Heart and Great Vessels Pathology Diagnostics, Heart Institute of the Ministry of Health of Ukraine , Ukraine, Bratyslavska str., 5A,, 02660, Кyiv, Ukraine
 
 
Wiadomości Lekarskie 2024;77(1):166-170
 
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ABSTRACT
Aim:
To evaluate the influence of disease-modifying immunotherapy on infectious complications of COVID-19.

Material and methods:
The authors present the case of a prolonged course of COVID 19 disease in a 37-year-old patient with multiple sclerosis on anti-CD20 monoclonal antibodies immunotherapy.

Case report:
This publication presents a clinical case of the course of COVID-19 disease in a multiple sclerosis patient receiving ublituximab therapy. The use of disease-modifying anti-CD20 monoclonal antibody therapy was associated with a protracted wave-like course of COVID-19 with the addition of a bacterial infection. This publication illustrates the key mechanisms and approaches to the treatment of such a cohort of patients.

Summary:
The use of highly effective multiple sclerosis treatment methods may be associated with an increase in the incidence of COVID-19 and worsening of its course. Multiple sclerosis patients receiving anti-CD20 therapy are at particular risk of a wave-like course of COVID-19, caused by immunosuppression, creates a basis for bacterial and fungal coinfection.

eISSN:2719-342X
ISSN:0043-5147
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