Lenfopenik Olan Hafif COVID-19 Vakalarında İmmun Plazma Tedavisi Ne Kadar Güvenliydi?

Abstract

Aim: Many treatment methods have endeavored during the Coronavirus Disease of 2019 (COVID-19) pandemic. Particularly before the vaccines came into use, the medical world gained adequate experience with convalescent plasma (CP) administration, which was ignored after preventive remedies. In this study, we compared the clinical conditions and treatments during the infection with pulmonary fibrosis after recovery.
 Material and Method: This prospective, cross-sectional study was conducted with COVID-19 patients. The patients were divided into two groups according to the severity of the disease. Sixty of them were reevaluated regarding pulmonary fibrosis via high-resolution computed tomography performed in the 6th month after recovery.
 Results: A total of 60 patients (mean age=54.05±9.16) participated in this study. Both severe and non-severe groups were equal in the number of patients. There was no difference between the groups in the evaluation of fibrosis scores. However, in those with pulmonary fibrosis, age, CURB-65 scores, and D-dimer levels were found to be higher, whereas hematocrit levels were lower. In lymphopenic patients, almost 95% of those who underwent CP treatment had fibrosis (p=0.013). This fibrosis formation was more prominent in the non-severe group (p=0.028). Comparable fibrosis increation persisted in diabetics.
 Conclusion: Based on the results, the pulmonary involvement of COVID-19 may form persistent fibrosis after recovery. The accuracy of administering CP treatment in non-severe patients with lymphopenia should be reviewed, as it might increase pulmonary fibrosis.