AI Article Synopsis

  • Tocilizumab (TCZ) is used to reduce cytokine release syndrome (CRS) in COVID-19 patients by blocking interleukin-6 (IL-6) signalling, but its side effects are not fully understood.
  • A 45-year-old patient with COVID-19 developed acute hypertriglyceridaemia after receiving TCZ, despite being treated with favipiravir for respiratory issues.
  • Medical professionals should be cautious of TCZ's potential negative effects on lipid levels in COVID-19 patients, which could be compounded by the impact of the disease itself on lipids.

Article Abstract

Treatment with tocilizumab (TCZ) to block interleukin-6 (IL-6) signalling is predicted to mitigate cytokine release syndrome (CRS) caused by coronavirus disease 2019 (COVID-19). However, the adverse effects of TCZ on patients with COVID-19 remain unclear. We herein report a patient with COVID-19 treated with TCZ who developed acute hypertriglyceridaemia. Despite favipiravir treatment, acute respiratory distress syndrome developed in a 45-year-old patient with COVID-19; thus, TCZ was initiated. The triglyceride levels greatly increased after TCZ administration. Physicians should consider the negative impact of TCZ on the lipid profile in patients with COVID-19, although COVID-19-induced CRS itself may be an aggravating factor.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7725631PMC
http://dx.doi.org/10.2169/internalmedicine.5244-20DOI Listing

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