RT Generic T1 Treatment of COVID-19 with convalescent plasma in patients with humoral immunodeficiency - Three consecutive cases and review of the literature A1 Delgado-Fernandez, Marcial A1 Garcia-Gemar, Gracia Mar A1 Fuentes-Lopez, Ana A1 Munoz-Perez, Manuel Isidro A1 Oyonarte-Gomez, Salvador A1 Ruiz-Garcia, Ignacio A1 Martin-Carmona, Jessica A1 Sanz-Canovas, Jaime A1 Castano-Carracedo, Manuel Aangel A1 Reguera-Iglesias, Jose Maria A1 Ruiz-Mesa, Juan Diego K1 Covid-19 K1 Convalescent plasma K1 Humoral immunodeficiency K1 Rituximab K1 Obinutuzumab K1 Coronavirus disease 2019 K1 Liver-transplant recipients K1 Rituximab K1 Sars-cov-2 K1 Therapy K1 Antibodies K1 Mechanism K1 Outcomes AB Patients lacking humoral response have been suggested to develop a less severe COVID-19, but there are some reports with a prolonged, relapsing or deadly course. From April 2020, there is growing evidence on the benefits of COVID-19 convalescent plasma (CCP) for patients with humoral immunodeficiency. Most of them had a congenital primary immunodeficiency or were on treatment with anti CD20 antibodies. We report on three patients treated in our hospital and review thirty-one more cases described in the literature. All patients but three resolved clinical picture with CCP. A dose from 200 to 800 ml was enough in most cases. Antibody levels after transfusion were negative or low, suggesting consumption of them in SARS-CoV-2 neutralization. These patients have a protracted clinical course shortened after CCP. CCP could be helpful for patients with humoral immunodeficiency. It avoid relapses and chronification. CCP should be transfused as early as possible in patients with COVID-19 and humoral immunodeficiency.(c) 2021 Sociedad Espanola de Enfermedades Infecciosas y Microbiologia Clinica. Published by Elsevier Espana, S.L.U. All rights reserved. PB Ediciones doyma s a SN 0213-005X YR 2022 FD 2022-11-01 LK https://hdl.handle.net/10668/26025 UL https://hdl.handle.net/10668/26025 LA en DS RISalud RD Apr 18, 2025