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Peer-reviewedCC BY-NC-NDEJHaem

Nirmatrelvir/Ritonavir and Subsequent PCR Negativity in Patients With B-Cell Lymphoma and Prolonged SARS-CoV-2 PCR Positivity: A Case Series.

  1. 1Department of Medical Oncology Fukushima Medical University Fukushima Japan.
  2. 2Department of Hematology Fukushima Minami Hospital Fukushima Japan.

Abstract

Prolonged SARS-CoV-2 PCR positivity is increasingly recognized in immunocompromised patients. We retrospectively analyzed four patients with B-cell lymphoma and prior anti-CD20 antibody therapy who exhibited prolonged PCR positivity after COVID-19 diagnosis. The median duration of PCR positivity was 57 days (range, 47-78 days); lymphoma treatment was interrupted in one patient and could not be resumed in another. Three patients received nirmatrelvir/ritonavir and became PCR negative 5-14 days after treatment initiation. These findings suggest that prolonged SARS-CoV-2 PCR positivity may disrupt lymphoma treatment and that PCR negativity was observed shortly after nirmatrelvir/ritonavir treatment in selected patients.

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BibTeX
@article{natori2026nirmatrelvirritonavir,
  title = {{Nirmatrelvir/Ritonavir and Subsequent PCR Negativity in Patients With B-Cell Lymphoma and Prolonged SARS-CoV-2 PCR Positivity: A Case Series.}},
  author = {Yutaka Natori and Hideyoshi Noji and Akiko Shichishima-Nakamura and Satoru Kikuchi and Shigehira Saji},
  journal = {EJHaem},
  year = {2026},
  month = oct,
  doi = {10.1002/jha2.70442},
  url = {https://europepmc.org/article/MED/42927348},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Nirmatrelvir/Ritonavir and Subsequent PCR Negativity in Patients With B-Cell Lymphoma and Prolonged SARS-CoV-2 PCR Positivity: A Case Series.
AU  - Yutaka Natori
AU  - Hideyoshi Noji
AU  - Akiko Shichishima-Nakamura
AU  - Satoru Kikuchi
AU  - Shigehira Saji
PY  - 2026
DA  - 2026/10/24
JO  - EJHaem
DO  - 10.1002/jha2.70442
UR  - https://europepmc.org/article/MED/42927348
AB  - Prolonged SARS-CoV-2 PCR positivity is increasingly recognized in immunocompromised patients. We retrospectively analyzed four patients with B-cell lymphoma and prior anti-CD20 antibody therapy who exhibited prolonged PCR positivity after COVID-19 diagnosis. The median duration of PCR positivity was 57 days (range, 47-78 days); lymphoma treatment was interrupted in one patient and could not be resumed in another. Three patients received nirmatrelvir/ritonavir and became PCR negative 5-14 days after treatment initiation. These findings suggest that prolonged SARS-CoV-2 PCR positivity may disrupt lymphoma treatment and that PCR negativity was observed shortly after nirmatrelvir/ritonavir treatment in selected patients.
SN  - 2688-6146
ER  -