Acute Exacerbation of Cold Agglutinin Disease by SARS-CoV-2 Infection: A Rural U.S. Hospital Experience

COVID-19 has been associated with profound hematologic disease processes, including cold agglutinin disease (CAD). We discuss a patient with preexisting stable CAD that was exacerbated by COVID-19. Management of this patient was complicated by the fact that rituximab, a known therapy for CAD, could...

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Bibliographic Details
Main Authors: Jackson Musuuza, Gilbert-Roy Kamoga, Neelima Gonugunta, Janani Baskaran
Format: Article
Language:English
Published: American College of Physicians 2024-01-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2023.0133
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Summary:COVID-19 has been associated with profound hematologic disease processes, including cold agglutinin disease (CAD). We discuss a patient with preexisting stable CAD that was exacerbated by COVID-19. Management of this patient was complicated by the fact that rituximab, a known therapy for CAD, could not be used. Recent reports have shown poorer survival for patients with COVID-19 who received rituximab. In this report, we discuss the pathogenesis of CAD and its management in the context of SARS-CoV-2 infection. We aim to increase awareness of possible exacerbation of CAD by SARS-CoV-2 infection.
ISSN:2767-7664