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J Med Case Rep . Monoclonal antibody infusion reaction with bamlanivimab and etesevimab in a 5-year-old male with coronavirus disease 2019: a case re

tetano

Editor, Senior Moderator
J Med Case Rep

. 2023 Feb 24;17(1):64.
doi: 10.1186/s13256-023-03779-3.
Monoclonal antibody infusion reaction with bamlanivimab and etesevimab in a 5-year-old male with coronavirus disease 2019: a case report
Rajapillai L I Pillai 1 , Caroline Dziel 2 , Stephanie Vogel 2 , Frank Szczerba 2 , Weijen W Chang 2 , Ingrid Y Camelo 3 , Armando Paez 4
Affiliations

PMID: 36823658 DOI: 10.1186/s13256-023-03779-3

Abstract

Background: Bamlanivimab and etesevimab had been granted emergency use authorization in children under 12 years who are at risk of progression from mild/moderate coronavirus disease 2019 to severe disease and hospitalization.

Case report: We report on a 5-year-old white male with preexisting conditions, predisposing him to severe disease, who developed hypoxia and flushing 3 minutes into his infusion, thus meeting the criteria for anaphylaxis.

Conclusions: We believe this patient developed either an immunoglobulin E-mediated anaphylactic or a non-immunoglobulin E-mediated anaphylactoid reaction to bamlanivimab and etesevimab, which is an important possibility to consider on administration.

Keywords: Anaphylactoid; Bamlanivimab; Case report; Etesevimab; Infusion reaction; Monoclonal antibody.
 
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