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Does Recombinant Human Erythropoietin Administration in Critically Ill Covid-19 Patients Have Miraculous Therapeutic Effects? Publisher Pubmed



Hadadi A1 ; Mortezazadeh M2 ; Kolahdouzan K3 ; Alavian G4
Authors
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Authors Affiliations
  1. 1. Department of Infectious Diseases, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Internal Medicine Department, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Radiation Oncology Department, Cancer Institute, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Pharmacotherapy Department, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran

Source: Journal of Medical Virology Published:2020


Abstract

An 80-year-old man with multiple comorbidities presented to the emergency department with tachypnea, tachycardia, fever, and critically low O2 saturation and definitive chest computerized tomography scan findings in favor of COVID-19 and positive PCR results in 48 hours. He received antiviral treatment plus recombinant human erythropoietin (rhEPO) due to his severe anemia. After 7 days of treatment, he was discharged with miraculous improvement in his symptoms and hemoglobin level. We concluded that rhEPO could attenuate respiratory distress syndrome and confront the severe acute respiratory syndrome coronavirus 2 virus through multiple mechanisms including cytokine modulation, antiapoptotic effects, leukocyte release from bone marrow, and iron redistribution away from the intracellular virus. © 2020 Wiley Periodicals, Inc.