The Cytokine Storm: Why Some COVID-19 Cases Are More Severe

coronavirus

Blog Updated on June 16, 2020

One of the biggest outstanding questions of the COVID-19 pandemic is why symptoms vary so much among patients. Some patients have no symptoms at all; some symptoms are mild, while others are extremely severe. Among the more severe cases, a common pattern of disease progression happens like this: A patient gets through the first week with some signs of recoveryโ€”then suddenly they rapidly deteriorate. In some cases, they go from needing just a tiny bit of oxygen to requiring a ventilator within 24 hours.

This pattern, often seen in young and otherwise healthy patients, has baffled doctors. What causes these patients to suddenly crash? Research now suggests that the patientโ€™s own immune system may be to blame. Itโ€™s called cytokine release syndromeโ€”also known as the โ€œcytokine stormโ€.

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