On 28 September, 2014, the 38-year old doctor, who was in charge of an
Ebola virus treatment unit in Lakka, Sierra Leone, developed a fever and
diarrhea. He tested positive for the virus on the same day. The doctor
was airlifted to Frankfurt University Hospital on the 5th day of his
illness and admitted to a specialized isolation unit.
Within 72 hours of admission he developed signs of vascular leakage
and severe multi-organ failure, including the lungs, kidneys, and
gastrointestinal tract. He was placed on a ventilator and on kidney
dialysis, and was given antibiotics together with a 3-day course of an
experimental drug called FX06 -- a fibrin-derived peptide that has been
shown to reduce vascular leakage and its complications in mice with
Dengue hemorrhagic shock.
A marked improvement in vascular and respiratory function was seen under the combined measures of intensive care and drug treatment. After a 30-day observation period, no Ebola virus genetic material was detected in the patient's blood plasma. The patient was released from hospital and is now with his family.
"Even though the patient was critically ill, we were able to support him long enough for his body to start antibody production and for the virus to be cleared by his body's defenses," explains Dr Wolf.
"In terms of improving treatment for Ebola patients, we have shown how intensive care medicine can successfully be applied under strict isolation conditions," adds senior author Professor Zacharowski, head of the Department of Anaesthetics and Intensive Care Medicine at Frankfurt University Hospital."
The authors conclude by calling for FX06 to be evaluated in clinical trials.
A marked improvement in vascular and respiratory function was seen under the combined measures of intensive care and drug treatment. After a 30-day observation period, no Ebola virus genetic material was detected in the patient's blood plasma. The patient was released from hospital and is now with his family.
"Even though the patient was critically ill, we were able to support him long enough for his body to start antibody production and for the virus to be cleared by his body's defenses," explains Dr Wolf.
"In terms of improving treatment for Ebola patients, we have shown how intensive care medicine can successfully be applied under strict isolation conditions," adds senior author Professor Zacharowski, head of the Department of Anaesthetics and Intensive Care Medicine at Frankfurt University Hospital."
The authors conclude by calling for FX06 to be evaluated in clinical trials.
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