학술논문

Acute Hypertriglyceridaemia Caused by Tocilizumab in a Patient with Severe COVID-19
Document Type
Journal Article
Source
Internal Medicine. 2020, 59(22):2945
Subject
COVID-19
acute hypertriglyceridaemia
tocilizumab
Language
English
ISSN
0918-2918
1349-7235
Abstract
Treatment with tocilizumab (TCZ) to block interleukin-6 (IL-6) signalling is predicted to mitigate cytokine release syndrome (CRS) caused by coronavirus disease 2019 (COVID-19). However, the adverse effects of TCZ on patients with COVID-19 remain unclear. We herein report a patient with COVID-19 treated with TCZ who developed acute hypertriglyceridaemia. Despite favipiravir treatment, acute respiratory distress syndrome developed in a 45-year-old patient with COVID-19; thus, TCZ was initiated. The triglyceride levels greatly increased after TCZ administration. Physicians should consider the negative impact of TCZ on the lipid profile in patients with COVID-19, although COVID-19-induced CRS itself may be an aggravating factor.