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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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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author Jackson Musuuza
Gilbert-Roy Kamoga
Neelima Gonugunta
Janani Baskaran
author_facet Jackson Musuuza
Gilbert-Roy Kamoga
Neelima Gonugunta
Janani Baskaran
author_sort Jackson Musuuza
collection DOAJ
description 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.
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spelling doaj-art-b8242849e4724804a7d2cf18778be3422025-08-20T02:27:20ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642024-01-013110.7326/aimcc.2023.0133Acute Exacerbation of Cold Agglutinin Disease by SARS-CoV-2 Infection: A Rural U.S. Hospital ExperienceJackson Musuuza0Gilbert-Roy Kamoga1Neelima Gonugunta2Janani Baskaran31Department of Internal Medicine, White River Health, Batesville, Arkansas1Department of Internal Medicine, White River Health, Batesville, Arkansas1Department of Internal Medicine, White River Health, Batesville, Arkansas1Department of Internal Medicine, White River Health, Batesville, ArkansasCOVID-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.https://www.acpjournals.org/doi/10.7326/aimcc.2023.0133
spellingShingle Jackson Musuuza
Gilbert-Roy Kamoga
Neelima Gonugunta
Janani Baskaran
Acute Exacerbation of Cold Agglutinin Disease by SARS-CoV-2 Infection: A Rural U.S. Hospital Experience
Annals of Internal Medicine: Clinical Cases
title Acute Exacerbation of Cold Agglutinin Disease by SARS-CoV-2 Infection: A Rural U.S. Hospital Experience
title_full Acute Exacerbation of Cold Agglutinin Disease by SARS-CoV-2 Infection: A Rural U.S. Hospital Experience
title_fullStr Acute Exacerbation of Cold Agglutinin Disease by SARS-CoV-2 Infection: A Rural U.S. Hospital Experience
title_full_unstemmed Acute Exacerbation of Cold Agglutinin Disease by SARS-CoV-2 Infection: A Rural U.S. Hospital Experience
title_short Acute Exacerbation of Cold Agglutinin Disease by SARS-CoV-2 Infection: A Rural U.S. Hospital Experience
title_sort acute exacerbation of cold agglutinin disease by sars cov 2 infection a rural u s hospital experience
url https://www.acpjournals.org/doi/10.7326/aimcc.2023.0133
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