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Table 1 Effects of immune status on the course of viral infections, outcomes, and therapy

From: Could hemophagocytic lymphohistiocytosis be the core issue of severe COVID-19 cases?

 

Normal immunity

Immunodeficiency (primary or secondary)

Immune disorder (genetic or acquired)

Response to infection

Correct

Insufficient

Excessive

Course of viral infection

Infection limitation and subsequent elimination

Disseminated, systemic or chronic viral infection

Disseminated or systemic inflammation (i.e., HLH, CRS)

Consequences

Recovery

Single or multi-organ failure

Multi-organ failure

Potential interventions

Vaccinations

Antiviral drugs

Vaccinations

Antiviral drugs

Intravenous immunoglobulins

Immunosuppression

  1. Abbreviations: CRS cytokine release syndrome, HLH hemophagocytic lymphohistiocytosis