about Details  Loan Officer Loan Mug Gift Officer Loan Gift Officer Loan Mug Funny Officer Mugs


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Details about   Loan Officer Funny   Mug Loan Officer Gift Loan Officer Gift Mug Loan Officer
Condition: New: A brand-new, unused, unopened, undamaged item in its original packaging (where packaging is Shape: Round
Color: White Country/Region of Manufacture: United States
Personalized: Yes Item Height: 4.7 in
Service For: 1 Item Width: 3.5 in
Glassware Type: Mug Material: Ceramic
Occasion: Anniversary Pattern: Novelty
Set Includes: Coffee Cup, Coffee Mug, Cup, Novelty Mug, Tea Cup Type: Coffee Mug
Brand: Unbranded Features: Freezer Safe, Microwave Safe
Manufacturer Warranty: 1 year



published on tue nov 09 2021

about Details  Loan Officer Loan Mug Gift Officer Loan Gift Officer Loan Mug Funny Officer Mugs

gandhi, s., klein, j., robertson, a., pena-hernandez, m. a.,

about Details  Loan Officer Loan Mug Gift Officer Loan Gift Officer Loan Mug Funny Officer Mugs

lin, m. j., roychoudhury, p., lu, p., fournier, j., ferguson, d., mohamed bakhash, s. a., muenker, m. c., srivathsan, a., wunder, e. a., kerantzas, n., wang, w., pyle, a., wilen, c. b., ogbuagu, o., greninger ,, a. l., iwasaki, a., schulz, w. l., ko, a. i.

sars-cov-2 remdesivir resistance mutations have been generated in vitro but have not been reported in patients receiving treatment with the antiviral agent. we present a case of an immunocompromised patient with acquired b-cell deficiency who developed an indolent, protracted course of sars-cov-2 infection. remdesivir therapy alleviated symptoms and produced a transient virologic response, but her course was complicated by recrudescence of high-grade viral shedding. whole genome sequencing identified a mutation, e802d, in the nsp12 rna-dependent rna polymerase which was not present in pre-treatment specimens. in vitro experiments demonstrated that the mutation conferred a ~6-fold increase in remdesivir ic50 but resulted in a fitness cost in the absence of remdesivir. sustained clinical and virologic response was achieved after treatment with casirivimab-imdevimab. although the fitness cost observed in vitro may limit the risk posed by e802d,

, this case illustrates the importance of monitoring for remdesivir resistance and the potential benefit of combinatorial therapies in immunocompromised patients with sars-cov-2 infection.

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