Table 2.
Patient | RT-PCR | Sex | Age (years) | Diagnosis | Disease Duration (years) | EDSS | Comorbidities | DMT | DMT modification or interruption | Hospitalization | IMV | COVID-19 symptoms and Follow-up | Outcome |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | positive | male | 30 | RRMS | 6 | 1 | insulin resistance, hypothyroidism | ocrelizumab | no change - last infusion 10 days before symptoms onset | yes | no | bilateral pneumonia, readmission due to Adenovirus pneumonia | full recovery |
2 | positive | female | 23 | RRMS | 8 | 1 | insulin resistance | dimethyl fumarate | suspended for 35 days until clinical recovery | yes | no | bilateral pneumonia | full recovery |
3 | positive | female | 24 | RRMS | 9 | 1 | migraine, depression, insulin resistance | fingolimod | suspended for 21 days until clinical recovery | yes | no | myalgias and fever | full recovery |
4 | positive | male | 61 | NMOSD-AQP4 | 0.3 | 6 | hypertension, type 2 diabetes | prednisone | steroid stress dose | yes | yes | bilateral pneumonia, tracheostomy | fatal |
5 | positive | female | 54 | NMOSD-AQP4 | 12 | 3 | insulin resistance, pernicious anemia, osteoarthritis | mycophenolate | no change | no | no | anosmia | full recovery |
6 | positive | female | 29 | RRMS | 7 | 1 | hypothyroidism | fingolimod | suspended for 5 days until clinical recovery | no | no | myalgias and fever | full recovery |
7 | not performed - close contact with positive PCR, positive IgM | female | 23 | RRMS | 2.5 | 1 | obesity | dimethyl fumarate | no change | no | no | myalgias and fever | full recovery |
8 | positive | male | 55 | RRMS | 7 | 1 | depression | teriflunomide | suspended for 7 days until clinical recovery | no | no | myalgias and fever, recovering at home | full recovery |
9 | positive | female | 57 | RRMS | 7 | 4 | anxiety, type 2 diabetes | fingolimod | no change | no | no | sore throat, headache, mild dyspnea | full recovery |
10 | positive | male | 17 | RRMS | 2 | 0 | asthma | fingolimod | no change | no | no | asymptomatic | full recovery |
11 | not performed - close contact with positive PCR | female | 28 | NMOSD | 3 | 2.5 | obesity | mycophenolate | no change | no | no | anosmia, fever and diarrhea | full recovery |
12 | not performed - close contact with positive PCR, positive IgG | female | 44 | RRMS | 6 | 3 | depression, cutaneous amyloidosis | natalizumab | last dose 4 months prior infection - waiting for switching to cladribine | no | no | anosmia, diarrhea, fever | full recovery |
13 | positive | male | 40 | NMOSD-MOG | 0.6 | 2.5 | depression | azathioprine | suspension for 1 month | yes | no | myalgia, fever and sore throat, dyspnea, suspected bacterial sobreinfection, received tocilizumab | full recovery |
14 | positive | female | 52 | RRMS | 8 | 1 | depression, obesity, hypertension, insulin resistance | teriflunomide | no change | no | no | dry cough | full recovery |
15 | positive | female | 31 | RRMS | 3 | 2 | hypothyroidism | fingolimod | no change | no | no | asymptomatic | full recovery |
16 | positive, IgG positive | female | 34 | RRMS | 7 | 1 | secondary thyroiditis | alemtuzumab | no change - last dose October 2018 | no | no | myalgia, headache, anosmia | recovering at home |
17 | positive | male | 36 | RRMS | 4 | 2 | migraine, depression | interferon beta 1a IM | no change | no | no | myalgia, rhinorrhea, anosmia | recovering at home |
18 | not performed, negative IgG | female | 31 | RRMS | 14 | 1 | migraine | alemtuzumab 4 doses, ocrelizumab | no change - last infusion 2 months before symptom onset | no | no | fever, myalgia, headache, anosmia | recovering at home |
RT-PCR: real-time polymerase chain reaction; RRMS relapsing-remitting multiple sclerosis; NMOSD Neuromyelitis Optica Spectrum Disorder; AQP4 aquaporin 4; MOG myelin oligodendrocyte glycoprotein; EDSS expanded disability status scale, DMT disease modifying therapy, IMV invasive mechanical ventilation.