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. 2021 Aug 2;12:708101. doi: 10.3389/fimmu.2021.708101

Table 1.

Timeline of episode of care.

Day 0
  • SARS-CoV-2 positive after rapid antigen test

  • Regular domestic quarantine and daily monitoring of CRP plasma concentration and symptoms

  • Difficulty sleeping

Day 2
  • Coughing irritation when trying to take a deep breath, coughing hurts

Day 3
  • Coughing persists

Day 4
  • Coughing for several hours, difficulty breathing without coughing irritation

  • 2 hours of chills including severe sweating -> dehydration

  • Performance slump

Day 5
Start of treatment
1st apheresis
  • The positive test result of the PCR from Day 0 is available

  • Rapid CRP concentration increase on the two previous days

  • Overall poor physical condition, fever

  • Oxygen saturation of the blood was 89%

  • Venous, typically dark, hypoxemic blood

  • Dehydration with a picture of mild coagulopathy

  • Fluid substitution with 250 ml NaCl before and during apheresis, nevertheless only low plasma flow (20 mL/min)

Day 6
2nd apheresis
  • Thorax X-ray

  • Fluid substitution with 100 ml CaCl2 and 500 ml NaCl before apheresis; 250 ml NaCl during apheresis

  • Overall poor physical condition, fever

  • Patient received additional heparin starting halfway through apheresis

Day 7
3rd apheresis
  • 300 ml NaCl during apheresis

  • Patient is negative in Corona rapid test

  • 6 mg dexamethasone as a pill for 7 days starting 2 h after apheresis

Day 8
4th apheresis
End of treatment
  • Patient is more agile and subjectively fitter than on the previous days

  • 500 ml NaCl during apheresis

  • Deep sleep at night for the first time again with preserved hyperhidrosis

Day 9
  • Breathing improves to about 2/3 of normal

Day 10
  • Patient feels fit and can breathe deeply again

  • 8 kg weight loss = 11% of body weight

Day 14
  • Follow-up thorax X-ray

Day 35
  • Transthoracic Echocardiography

  • Resting Echocardiography

Day 49
  • Cardiac magnetic resonance imaging