SEARCH WITHIN CONTENT
VOLUME 25 , ISSUE 4 ( April, 2021 ) > List of Articles
Amarjeet Kumar, Abhyuday Kumar, Ajeet Kumar, Neeraj Kumar, Chandni Sinha, Veena Singh
Keywords : COVID-19, Cytokine storm, Interleukin-6,Acute respiratory distress syndrome
Citation Information : Kumar A, Kumar A, Kumar A, Kumar N, Sinha C, Singh V. Multiple Peaked Cytokine Storm: Is Multiple Exposures to the COVID-19 Virus a Possible Cause?. Indian J Crit Care Med 2021; 25 (4):463-464.
License: CC BY-NC 4.0
Published Online: 00-04-2021
Copyright Statement: Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.
Severe acute respiratory syndrome coronavirus 2 is the pathogen that causes coronavirus disease 2019 (COVID-19). Recent studies have shown that the “cytokine storm” (high concentration of proinflammatory cytokines) may contribute to the mortality of COVID-19. Repeated exposure to the virus can lead to a dose-dependent immune response that may be associated with more disease severity and higher mortality. Sudden deterioration/increased oxygen consumption after initial improvement may be due to multiple surges of cytokines storm within a short period, the possible cause may be due to multiple exposures within the incubation period. We hypothesize that multiple surges in cytokines storm in some patients may be due to multiple exposures of the same patient within the incubation period, sepsis, or other inflammatory lesions inside the body. In our cases, sepsis as a cause of cytokine storm was ruled out by doing the procalcitonin test, which was within the normal limit.
© Jaypee Brothers Medical Publishers (P) LTD.