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. 2020 Jun 11;34(8):2265–2270. doi: 10.1038/s41375-020-0914-x

Table 1.

Demographics, baseline characteristics, and clinical outcomes of hematological patients with SARS-CoV-2 infection.

UPN1 UPN2 UPN3 UPN4 UPN5 UPN6 UPN7 UPN8
Sex M W M W M M W W
Age 61 63 52 64 54 55 58 56
Days from positive NAT to last seen or death 68 66 59 59 23 55 55 55
Days from positive NAT to first symptomsa −5 −8 −1 N/A −2 2 7 10
First symptoms Fever, cough Cough, diarrhea Fever, malaise None Fever Fever Dyspnea Dysgeusia, nausea
Hematological diseaseb DLBCL (12 months continuous complete remission) Coombs positive Evans syndrome, Hodgkin lymphoma (10 year continuous complete remission) DLBCL Multiple myeloma AML-MRC, CRi (severe pancytopenia) Follicular lymphoma Lymphoid blast crisis of CML, HLA-identical unrelated donor alloHCT, molecular remission, chronic GvHD AML-MRC, HLA-identical sibling donor alloHCT, acute skin GvHD
Specific hematologic therapy in the last 12 months before COVID-19 diagnosis EPOCH-R, high-dose MTX Eltrombopagc, prednisolonec, intravenous immunoglobulinsc R-CHOP and pegfilgrastimc RVD induction; high dose cyclophosphamide (priming therapy) and filgrastimc daunorubicin, cytarabine (7 + 3 induction) G-CHOP and lipegfilgrastimc TBI 8 Gy, fludarabine, rabbit ATG, methotrexate (reduced-intensity myeloablative conditioning); dasatinib; methylprednisolone and cyclosporinec High-dose cytarabine (consolidation); busulfan, fludarabine (myeloablative conditioning); mycophenolate mofetil and cyclosporinec
Relevant coexisting disorders Secondary immunoglobulin deficiency Iatrogenic Cushing’s syndrome, Parkinson’s disease, severe osteoporosis, recurrent deep vein thrombosis, splenectomy Obesity None Diabetes mellitus, peptic ulcer disease Chronic obstructive pulmonary disease, arterial hypertension, clear cell renal cell carcinoma (in remission), obesity Arterial hypertension, QTc-prolongation, extrapulmonary tuberculosis Arterial hypertension, paroxysmal atrial fibrillation, hyperlipidemia
Smoking history No No No No No Yes, 122 pack years No No
All symptoms Fever, cough, sore throat, respiratory distress Fever, cough, dyspnea, diarrhea Fever, mailase, cough, respiratory distress None Fever, cough, respiratory distress Fever, cough, dysgeusia, respiratory distress Dyspnea, cough, malaise, fever, respiratory distress Dysgeusia, nausea, cough, fever, respiratory distress
Chest X-ray Bilateral pneumonia None Bilateral pneumonia None Bilateral pneumonia Bilateral pneumonia Bilateral pneumonia Bilateral pneumonia
Abnormal blood countd before SARS-CoV-2 infection Lymphopenia Leukocytosis Lymphopenia Severe neutropenia, mild anemia, severe thrombocytopenia, lymphopenia Severe pancytopenia, lymphopenia No Anemia Anemia, lymphopenia, thrombocytopenia
Laboratory changes since SARS-CoV-2 infection Increased CRP, d-dimers, ferritin, LDH, PCT (IL-6, sIL-2R not measured) Lymphocytosis, thrombocytopenia; increased IL-6 (ferritin, sIL-2R not measured) Neutropenia, thrombocytopenia; increased AST, ALT, CRP, d-dimers, ferritin, HSTT, IL-6, LDH, PCT, sIL-2R Increased CRP (ferritin, IL-6 and sIL-2r not measured) Increased CRP, d-dimers, ferritin, HSTT, IL-6, LDH, sIL-2R; decreased fibrinogen Neutropenia, thrombocytopenia, lymphocytopenia; increased AST, ALT, CRP, d-dimers, ferritin, fibrinogen, HSTT, IL-6, LDH (sIL-2R not measured) Lymphocytopenia; increased CRP, ferritin, IL-6, sIL-2R Increased CRP, ferritin, IL-6 (sIL-2R not measured)
Complications Bacterial pneumonia None Severe ARDS, cytokine release syndrome, ventilator associated pneumonia None Severe ARDS, extubation failure, cytokine release syndrome, multi organ failure, death Severe ARDS, cytokine release syndrome None CMV reactivation, bacterial enterocolitis
Days to ARDSe N/A N/A 7 N/A 7 6 N/A N/A
Treatment of COVID-19 Hydroxychloroquine, clarithromycin, zinc None Hydroxychloroquine, azithromycin, zinc, tocilizumab (three doses), prednisolone, convalescent plasma with prednisolone None Hydroxychloroquine, azithromycin, zinc, tocilizumab (three doses), dexamethasone Hydroxychloroquine, azithromycin, zinc, tocilizumab (two doses), convalescent plasma with prednisolone Hydroxychloroquine, zinc Hydroxychloroquine, azithromycin, zinc
SARS-CoV-2 S1/S2 IgG (EIA) at time of last NAT N/A Positive Weakly positive N/A N/A Negative Negative Positive
Days to negative NATf 11 N/R 34 7 N/R 48 N/R N/R
Outcome Cured, well, discharged Alive, well, outpatient Cured, well, rehabilitation Cured, well, outpatient Dead Cured, well, rehabilitation Alive, well, discharged Alive, well, discharged

AlloHCT allogeneic hematopoietic cell transplantation, ALT alanine aminotransferase, AML-MRC acute myeloid leukemia with myelodysplasia-related changes, ARDS acute respiratory distress syndrome, AST aspartate aminotransferase, ATG anti-thymocyte globulin, CRi complete remission with incomplete hematologic recovery, CRP C-reactive protein, CML chronic myeloid leukemia, DLBCL diffuse large B-cell lymphoma, EIA enzyme immunoassay, EPOCH-R etoposide, prednisolone, vincristine, cyclophosphamide, doxorubicin, rituximab, G-CHOP obinutuzumab, cyclophosphamide, doxorubicin, vincristine, prednisolone, GvHD graft versus host disease, HLA human leukocyte antigen, HSTT highly sensitive troponin t, IgG immunoglobulin G, IL-6 interleukin-6, LDH lactate dehydrogenase, NAT nucleic acid test, N/A not applicable, N/R not reached, PBSC peripheral blood stem cell, PCT procalcitonin, R-CHOP rituximab, cyclophosphamide, doxorubicin, vincristine, prednisolone, RVD lenalidomide, bortezomib, dexamethasone, sIL-2R soluble interleukin-2 receptor, TBI total body irradiation, UPN unique patient number.

aSome patients were identified by NAT screening after contact with infected patient before development of symptoms.

bHematologic disease were classified according to WHO classification.

cAdministered in the 14 days prior to COVID-19 onset.

dLymphocytopenia was defined as a lymphocyte count of <1000 per cubic millimeter. Thrombocytopenia was defined as a platelet count of <150,000 per cubic millimeter.

eDays to ARDS were counted from onset of clinical symptoms.

fDays to negative NAT were counted from first positive NAT until the first of two consecutive negative NAT 24 h apart.