id author title date pages extension mime words sentences flesch summary cache txt cord-329853-kf3kh26y Trimarchi, HernĂ¡n Eculizumab, SARS-CoV-2 and atypical hemolytic uremic syndrome 2020-09-27 .txt text/plain 1097 64 39 Complement activation is thought to contribute to endothelial injury and there are at least seven ongoing clinical trials testing six different anti-complement strategies for coronavirus disease 2019 (COVID-19), including eculizumab. We herein report on a kidney transplant patient with aHUS on chronic eculizumab therapy that developed severe COVID-19 despite eculizumab administration early in the course of the disease. Although eculizumab was unable to prevent the development of severe endothelial cell injury, as assessed by increasing D-dimer levels from 292 to 10 586 ng/mL, the patient eventually recovered following dexamethasone and convalescent plasma administration. To our knowledge, this is the first report of a kidney transplant recipient with aHUS on eculizumab therapy who developed SARS-CoV-2 infection. Complement associated microvascular injury and thrombosis in the pathogenesis of severe COVID-19 infection: a report of five cases ./cache/cord-329853-kf3kh26y.txt ./txt/cord-329853-kf3kh26y.txt