tetano
Editor, Senior Moderator
Cureus
. 2020 Jul 14;12(7):e9187.
doi: 10.7759/cureus.9187.
Early Use of Tocilizumab May Prevent Clinical Deterioration in Select COVID-19 Patients: A Case Series
Asif Hitawala[SUP] 1 [/SUP], Sany Kumar[SUP] 1 [/SUP], K V Gopalakrishna[SUP] 1 [/SUP]
Affiliations
Abstract
Coronavirus disease 2019 (COVID-19) is a respiratory viral illness caused by the novel severe acute respiratory syndrome coronavirus 2. It is known to cause severe illness in certain patients, who develop acute respiratory distress syndrome (ARDS) often requiring intubation and mechanical ventilation adding to significant morbidity and mortality. Tocilizumab is an interleukin-6 inhibitor that has shown promise in improving outcomes in patients with COVID-19. It is usually administered to patients with severe COVID-19 who develop ARDS. We present three cases of COVID-19 where the patients were admitted to the hospital for observation and were found to be worsening clinically. They were believed to be developing ARDS, and intubation and mechanical ventilation were anticipated. Tocilizumab was administered in the early phase of the disease before intubation. Patients improved clinically and ultimately did not require intubation. Our findings suggest that early use of tocilizumab might be beneficial in preventing clinical deterioration and intubation in select COVID-19 patients.
Keywords: acute respiratory distress syndrome; covid-19; interleukin-6; pandemic; severe acute respiratory syndrome coronavirus 2; tocilizumab.
. 2020 Jul 14;12(7):e9187.
doi: 10.7759/cureus.9187.
Early Use of Tocilizumab May Prevent Clinical Deterioration in Select COVID-19 Patients: A Case Series
Asif Hitawala[SUP] 1 [/SUP], Sany Kumar[SUP] 1 [/SUP], K V Gopalakrishna[SUP] 1 [/SUP]
Affiliations
- PMID: 32818119
- PMCID: PMC7426663
- DOI: 10.7759/cureus.9187
Abstract
Coronavirus disease 2019 (COVID-19) is a respiratory viral illness caused by the novel severe acute respiratory syndrome coronavirus 2. It is known to cause severe illness in certain patients, who develop acute respiratory distress syndrome (ARDS) often requiring intubation and mechanical ventilation adding to significant morbidity and mortality. Tocilizumab is an interleukin-6 inhibitor that has shown promise in improving outcomes in patients with COVID-19. It is usually administered to patients with severe COVID-19 who develop ARDS. We present three cases of COVID-19 where the patients were admitted to the hospital for observation and were found to be worsening clinically. They were believed to be developing ARDS, and intubation and mechanical ventilation were anticipated. Tocilizumab was administered in the early phase of the disease before intubation. Patients improved clinically and ultimately did not require intubation. Our findings suggest that early use of tocilizumab might be beneficial in preventing clinical deterioration and intubation in select COVID-19 patients.
Keywords: acute respiratory distress syndrome; covid-19; interleukin-6; pandemic; severe acute respiratory syndrome coronavirus 2; tocilizumab.