https://scholars.lib.ntu.edu.tw/handle/123456789/631180
標題: | Coronavirus disease 2019 rebounds following nirmatrelvir/ritonavir treatment | 作者: | Lai, Chih-Cheng PO-REN HSUEH |
關鍵字: | COVID-19; SARS-CoV-2; mechanisms; nirmatrelvir/ritonavir; rebound; virological rebound | 公開日期: | 二月-2023 | 卷: | 95 | 期: | 2 | 來源出版物: | Journal of medical virology | 摘要: | Nirmatrelvir/ritonavir (NMV-r) is an effective anti-SARS-CoV-2 agent and has been recommended in the treatment of nonhospitalized patients with COVID-19. In rare occasions, some patients experience virologic and symptomatic rebound after initial resolution, which we call COVID-19 rebound after NMV-r. Although COVID rebound can also occur after molnupiravir treatment or even no antiviral treatment, we have more serious concern about the rebound after NMV-r, which remains the most effective antiviral. Due to a lack of information about its frequency, mechanism, outcomes, and management, we conducted this review to provide comprehensive and updated information to address these questions. Based on the limited evidence, the incidence of COVID-19 rebound after NMV-r was less than 2%, and most cases developed 5-15 days after initiating NMV-r treatment. Almost all reported cases had mild symptoms, and the clinical condition gradually subsided without additional treatment. Overall, the clinical outcome was favorable, and only a small number of patients required emergency department visits or hospitalization. Regarding virologic rebound, culturable SARS-CoV-2 with possible transmission was observed, so re-isolation may be needed. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/631180 | ISSN: | 01466615 | DOI: | 10.1002/jmv.28430 |
顯示於: | 醫學院附設醫院 (臺大醫院) |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。