Scientific article
Case report
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English

COVID-19 infection and treatment with hydroxychloroquine cause severe haemolysis crisis in a patient with glucose-6-phosphate dehydrogenase deficiency

Published inEuropean Journal of Haematology, vol. 105, no. 3, p. 357-359
Publication date2020
Abstract

Glucose-6-phosphate dehydrogenase (G6PD) deficiency is an inherited genetic disorder caused by red cell enzymatic defects and is associated with haemolytic crisis when patients are exposed to oxidative agents (fava beans, drugs, infections). Hydroxychloroquine is suspected to trigger haemolytic crisis in G6PD-deficient patients, and off-label administration of this drug to patients infected with the novel coronavirus (SARS-CoV-2) could cause concern. We report here the first case of severe haemolytic crisis in a patient with G6PD deficiency, initiated by severe COVID-19 infection and hydroxychloroquine use. With worldwide spread of COVID-19, especially in regions with a high prevalence of G6PD deficiency, our case should alert physicians to this possible correlation.

Keywords
  • Coronavirus
  • COVID-19
  • G6PD deficiency
  • Haemolysis
  • Hydroxychloroquine
  • SARS-CoV-2
  • Aged
  • Betacoronavirus
  • Comorbidity
  • Coronavirus Infections/complications/drug therapy/epidemiology
  • Glucosephosphate Dehydrogenase Deficiency/complications/epidemiology
  • Hemolysis/drug effects
  • Humans
  • Hydroxychloroquine/adverse effects/therapeutic use
  • Male
  • Pandemics
  • Pneumonia, Viral/drug therapy/epidemiology
Citation (ISO format)
BEAUVERD, Yan et al. COVID-19 infection and treatment with hydroxychloroquine cause severe haemolysis crisis in a patient with glucose-6-phosphate dehydrogenase deficiency. In: European Journal of Haematology, 2020, vol. 105, n° 3, p. 357–359. doi: 10.1111/ejh.13432
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Article (Published version)
Identifiers
Journal ISSN0902-4441
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129downloads

Technical informations

Creation10/27/2020 4:46:00 PM
First validation10/27/2020 4:46:00 PM
Update time03/15/2023 10:55:26 PM
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