Immune reconstitution and severity of COVID-19 among hematopoietic cell transplant recipients

Transpl Infect Dis. 2021 Aug;23(4):e13606. doi: 10.1111/tid.13606. Epub 2021 Apr 3.

Abstract

Severe acute respiratory syndrome coronavirus 2 can lead to life-threatening coronavirus disease 2019 (COVID-19) infections in patients with hematologic malignancies, particularly among hematopoietic cell transplant (HCT) recipients. We describe two patients with COVID-19 during the pre-engraftment period after HCT and review previous reports of COVID-19 in HCT recipients. Because of significant mortality from COVID-19, primarily after allogeneic HCT, early, preemptive, and optimal directed therapy may improve outcomes and reduce the mortality rate but still needs to be established in clinical trials.

Keywords: COVID-19; hematopoietic cell transplantation; outcomes; pre-engraftment; stem cell therapy.

Publication types

  • Case Reports

MeSH terms

  • COVID-19*
  • Hematopoietic Stem Cell Transplantation* / adverse effects
  • Humans
  • Immune Reconstitution*
  • SARS-CoV-2
  • Transplant Recipients