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Recently, the administration of convalescent plasma or hyper-immune immunoglobulin (hIVIG,

extracted from convalescentplasma) has been raised as one of the treatment options. Alatest research
reported that host cell entry of SARS-COV-2depends on SARS-COV-2-spike protein combining with the
recep-tor ACE2 of the target cells. Of interest, convalescent SARS patientsexhibit a neutralizing antibody
response, which is largely directedagainst the spike protein [10]. Previous experience in treatingpatients
with SARS coronavirus (SARS-COV) whose condition con-tinued to deteriorate despite treatment with
ribavirin plus pulsedmethylprednisolone, the convalescent plasma or hyperimmuneimmunoglobulin is
the last resort and proved to be effective inlower mortality and shorten length of hospital stay

https://doi.org/10.1016/j.tracli.2021.03.004

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