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Transfus Apher Sci . Prolonged viral shedding in a lymphoma patient with COVID-19 infection receiving convalescent plasma

tetano

Editor, Senior Moderator
Transfus Apher Sci


. 2020 Jul 3;102871.
doi: 10.1016/j.transci.2020.102871. Online ahead of print.
Prolonged viral shedding in a lymphoma patient with COVID-19 infection receiving convalescent plasma


Ayşe Karataş[SUP] 1 [/SUP], Ahmet ?ağkan İnkaya[SUP] 2 [/SUP], Haluk Demiroğlu[SUP] 1 [/SUP], Salih Aksu[SUP] 1 [/SUP], Tahmaz Haziyev[SUP] 1 [/SUP], Olgu Erkin ?ınar[SUP] 1 [/SUP], Alpaslan Alp[SUP] 3 [/SUP], ?mr?m Uzun[SUP] 2 [/SUP], Nilg?n Sayınalp[SUP] 1 [/SUP], Hakan G?ker[SUP] 4 [/SUP]



Affiliations

Abstract

Acute respiratory syndrome coronavirus 2 (SARS-CoV-2) first identified in Wuhan, China; and spread all over the world. Reverse-transcription polymerase chain reaction (RT-PCR) test for SARS-CoV-2 usually returns to negative in 20 days post-infection, but prolonged positivity has been reported up to 63 days. A case whose viral shedding lasted 60 days is reported from China. Herein we report a patient with a history of autologous stem cell transplantation (ASCT) for lymphoma whose RT-PCR test remained positive for SARS-CoV-2 for 74 days. The prolonged RT-PCR positivity, despite convalescent plasma infusion, may suggest that the given antibodies may be ineffective in terms of viral clearance. In patients with hematological malignancies or immunosuppression, such as ASCT, may lead to prolonged viral shedding, and strict isolation is warranted for long-term SARS-CoV-2 infection control.

Keywords: Autologous stem cell transplantation (ASCT); COVID-19; Convalescent plasma; Lymphoma; SARS-CoV-2.
 
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