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THE USE OF THYMALINE TO CORRECT IMMUNE STATUS DEVIATIONS IN COVID-19 (rationale for the use of drug and clinical case)

DOI: https://doi.org/10.29296/25877305-2020-08-12

S. Lukyanov(1, 5), Candidate of Medical Sciences; Professor B. Kuznik(1, 2), MD; Professor V.
Khavinson(3, 4), Corresponding Member of RAS; Professor K. Shapovalov(1, 5), MD; Yu. Smolyakov(1, 2),
Candidate of Medical Sciences; P. Tereshkov(1, 2), Candidate of Medical Sciences; Yu. Shapovalov(1, 5); V.
Konnov(1, 5), Candidate of Medical Sciences; Professor E. Magen(6), MD (1)Chita State Medical Academy
(2)Innovative Clinic Academy of Health, Chita (3)Saint-Petersburg Institute of Bioregulation and Gerontology
(4)I.P. Pavlov Institute of Physiology, Saint-Petersburg (5)City Clinical Hospital No.1 of the Ministry of
Health of the Trans-Baikal Territory, Chita (6)Ben Gurion University of Negev, Ashdod, Israel

Data on violations of cellular and humoral immunity in severely patients with COVID-19, as well as the hemostatic system were summarized. It has been shown that patients with COVID-19 have leukocytopenia, lymphocytopenia, neutrophilia, as well as a violation of the ratio between individual subpopulations of T-lymphocytes. The content of pro-inflammatory cytokines increases significantly, which leads to the development of a «cytokine storm». At the same time, such patients develop endothelial dysfunction, hypercoagulation, accompanied by an increase in D-dimer with the subsequent development of microangiopathy (MAP), immunothrombosis, disseminated intravascular coagulation (DIC) and multiple organ failure. A case is given of the use of an immunocorrector thymalin in a patient with a severe course of COVID-19, which contributes to the elimination of disorders in the immune system (including «cytokine storm») and hemostasis.

infectious diseases
«cytokine storm»
blood clotting
multiple organ failure

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