Prolonged COVID-19 in an Immunocompromised Patient Treated with Obinutuzumab and Bendamustine for Follicular Lymphoma

Intern Med. 2022 Aug 15;61(16):2523-2526. doi: 10.2169/internalmedicine.9136-21. Epub 2022 May 31.

Abstract

A patient with follicular lymphoma treated with obinutuzumab and bendamustine experienced prolonged coronavirus disease-2019 (COVID-19). One month after the symptoms transiently improved, the patient experienced exacerbated COVID-19 symptoms. The patient recovered from COVID-19 with remdesivir and dexamethasone and was discharged 77 days after the disease onset. The patient completed a primary series of SARS-CoV-2 vaccinations on day 176, but the anti-spike protein IgG was not detected later. A careful observation to detect any subsequent relapse of COVID-19 symptoms is necessary in immunocompromised patients. Chemotherapy should be based on the disease status and type of lymphoma.

Keywords: follicular lymphoma; immunocompromised patient; obinutuzumab and bendamustine; prolonged COVID-19.

MeSH terms

  • Antibodies, Monoclonal, Humanized
  • Antineoplastic Combined Chemotherapy Protocols / adverse effects
  • Bendamustine Hydrochloride / therapeutic use
  • COVID-19*
  • Humans
  • Immunocompromised Host
  • Lymphoma, Follicular* / complications
  • Lymphoma, Follicular* / drug therapy
  • Rituximab / therapeutic use
  • SARS-CoV-2

Substances

  • Antibodies, Monoclonal, Humanized
  • Rituximab
  • Bendamustine Hydrochloride
  • obinutuzumab