• Shock · Mar 2023

    Severe Coronavirus disease (COVID)-19: from pathogenesis to therapy.

    • Jean-Marc Cavaillon, Antonio Artigas, Andreas Barratt-Due, Evangelos J Giamarellos-Bourboulis, Hernando Gómez, Gilles Hayem, VlaarAlexander P JAPJDepartment of Intensive Care, Amsterdam University Medical Center, University of Amsterdam, the Netherlands., and W Joost Wiersinga.
    • National Research Agency (ANR), Paris, France.
    • Shock. 2023 Mar 1; 59 (3S Suppl 1): 101510-15.

    AbstractThe COVID-19 pandemic has been a challenge to propose efficient therapies. Because severe SARS-CoV2 infection is a viral sepsis eventually followed by an immunological autoinflammatory phenomenon, many approaches have been inspired by the previous attempts made in bacterial sepsis, while specific antiviral strategies (use of interferon or specific drugs) have been additionally investigated. We summarize our current thinking on the use of SARS-CoV-2 antivirals, corticosteroids, anti-IL-1, anti-IL-6, anti-C5a, as well as stem cell therapy in severe COVID-19. Patient stratification and appropriate time window will be important to be defined to guide successful treatment.Copyright © 2023 by the Shock Society.

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