Full recovery of a stage IV cancer patient facing COVID-19 pandemic.
Anuraj Quiran ParmanandeDiana C SimãoMariana SardinhaAna Filipa Palma Dos ReisAna Sofia SpencerJoão Vasco BarreiraRicardo da LuzPublished in: Autopsy & case reports (2020)
Coronavirus disease 2019 (COVID-19), first recognized in Wuhan, China, was recently declared a global pandemic by the World Health Organization (WHO). Advanced age and comorbid disease, well-known characteristics in the solid tumor population, have been reported as risk factors for severe disease and death. Cancer-related immunosuppression and its treatments also seem to play an active role in the prognosis, response, and clinical outcomes of these patients. The most effective combination therapy for COVID-19 is still under investigation, and the use of corticosteroids is controversial. Although, as a group, metastatic cancer patients are often considered not to be good candidates for ICU treatment, the individual prognosis should always come into consideration, even in a context of high pressure on medical facilities. We report the case of a stage IV prostate cancer patient infected with SARS-CoV-2 who required ICU admission and recovered from COVID-19 infection. Further studies are needed in order to identify accurate clinical prognostic criteria and provide the best treatment for these challenging patients.
Keyphrases
- coronavirus disease
- sars cov
- prostate cancer
- end stage renal disease
- chronic kidney disease
- respiratory syndrome coronavirus
- newly diagnosed
- squamous cell carcinoma
- small cell lung cancer
- ejection fraction
- peritoneal dialysis
- intensive care unit
- emergency department
- radical prostatectomy
- patient reported
- extracorporeal membrane oxygenation
- acute respiratory distress syndrome
- mechanical ventilation
- case control