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Ould Ouali C, Ladjouzi N, Tamas K, Raveloson H, Ben Hassen J, El Omeiri N, Zouloumis G, Al Zoabi MM, Asadi M, Jhouri A, Schlatter J. Efficacy of Single Tocilizumab Administration in an 88-Year-Old Patient with Severe COVID-19 and a Mini Literature Review. Geriatrics (Basel) 2022; 7:geriatrics7010022. [PMID: 35200527 PMCID: PMC8872498 DOI: 10.3390/geriatrics7010022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2022] [Revised: 02/14/2022] [Accepted: 02/18/2022] [Indexed: 12/15/2022] Open
Abstract
The new coronavirus disease 2019 (COVID-19) could be associated with elevated inflammatory cytokine levels, suggesting the involvement of cytokine release syndrome. This syndrome is characterized by release of interleukin 6 correlated with COVID-19 severity and mortality. Targeting IL-6 with Tocilizumab treatment could be a potential therapeutic option for old patients. We report the case of an 88-year-old man with COVID-19 disease who presented at the admission with anemia, fever, oxygen desaturation (92%), and inflammatory syndrome (C-reactive protein (CRP) at 182.5 mg/L; reference range <5.0 mg/L). After remaining CRP level increase (206.6 mg/L), Tocilizumab administration led to rapid clinical outcome and resolution of his inflammatory syndrome. This case report represents a supplementary data confirming the efficacy and safety of Tocilizumab for COVID-19 in elderly patients.
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Affiliation(s)
- Cid Ould Ouali
- Department of Post-Acute and Rehabilitation Care, Department of Critical Geriatric Medicine, Hospital of Paul Doumer, Assistance Publique des Hôpitaux de Paris (AP-HP), 60140 Labruyère, France; (C.O.O.); (N.L.); (K.T.); (H.R.); (J.B.H.); (N.E.O.); (G.Z.); (M.M.A.Z.); (M.A.)
| | - Nadia Ladjouzi
- Department of Post-Acute and Rehabilitation Care, Department of Critical Geriatric Medicine, Hospital of Paul Doumer, Assistance Publique des Hôpitaux de Paris (AP-HP), 60140 Labruyère, France; (C.O.O.); (N.L.); (K.T.); (H.R.); (J.B.H.); (N.E.O.); (G.Z.); (M.M.A.Z.); (M.A.)
| | - Khidher Tamas
- Department of Post-Acute and Rehabilitation Care, Department of Critical Geriatric Medicine, Hospital of Paul Doumer, Assistance Publique des Hôpitaux de Paris (AP-HP), 60140 Labruyère, France; (C.O.O.); (N.L.); (K.T.); (H.R.); (J.B.H.); (N.E.O.); (G.Z.); (M.M.A.Z.); (M.A.)
| | - Hendriniaina Raveloson
- Department of Post-Acute and Rehabilitation Care, Department of Critical Geriatric Medicine, Hospital of Paul Doumer, Assistance Publique des Hôpitaux de Paris (AP-HP), 60140 Labruyère, France; (C.O.O.); (N.L.); (K.T.); (H.R.); (J.B.H.); (N.E.O.); (G.Z.); (M.M.A.Z.); (M.A.)
| | - Jihene Ben Hassen
- Department of Post-Acute and Rehabilitation Care, Department of Critical Geriatric Medicine, Hospital of Paul Doumer, Assistance Publique des Hôpitaux de Paris (AP-HP), 60140 Labruyère, France; (C.O.O.); (N.L.); (K.T.); (H.R.); (J.B.H.); (N.E.O.); (G.Z.); (M.M.A.Z.); (M.A.)
| | - Nesrine El Omeiri
- Department of Post-Acute and Rehabilitation Care, Department of Critical Geriatric Medicine, Hospital of Paul Doumer, Assistance Publique des Hôpitaux de Paris (AP-HP), 60140 Labruyère, France; (C.O.O.); (N.L.); (K.T.); (H.R.); (J.B.H.); (N.E.O.); (G.Z.); (M.M.A.Z.); (M.A.)
| | - Georges Zouloumis
- Department of Post-Acute and Rehabilitation Care, Department of Critical Geriatric Medicine, Hospital of Paul Doumer, Assistance Publique des Hôpitaux de Paris (AP-HP), 60140 Labruyère, France; (C.O.O.); (N.L.); (K.T.); (H.R.); (J.B.H.); (N.E.O.); (G.Z.); (M.M.A.Z.); (M.A.)
| | - Mohamed Moataz Al Zoabi
- Department of Post-Acute and Rehabilitation Care, Department of Critical Geriatric Medicine, Hospital of Paul Doumer, Assistance Publique des Hôpitaux de Paris (AP-HP), 60140 Labruyère, France; (C.O.O.); (N.L.); (K.T.); (H.R.); (J.B.H.); (N.E.O.); (G.Z.); (M.M.A.Z.); (M.A.)
| | - Muneer Asadi
- Department of Post-Acute and Rehabilitation Care, Department of Critical Geriatric Medicine, Hospital of Paul Doumer, Assistance Publique des Hôpitaux de Paris (AP-HP), 60140 Labruyère, France; (C.O.O.); (N.L.); (K.T.); (H.R.); (J.B.H.); (N.E.O.); (G.Z.); (M.M.A.Z.); (M.A.)
| | - Aziza Jhouri
- Pharmacy, Hospital of Paul Doumer, Assistance Publique des Hôpitaux de Paris (AP-HP), 60140 Labruyère, France;
| | - Joël Schlatter
- Pharmacy, Hospital of Paul Doumer, Assistance Publique des Hôpitaux de Paris (AP-HP), 60140 Labruyère, France;
- Correspondence:
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