Sally (32 years old)

Sally, a 32-year-old teacher who loves hiking, introduces herself in your consultation hour. You know her as a trustworthy and competent person. She has rheumatoid arthritis for 8 years. She is stable concerning her arthritis symptoms since she started with the Tocilizumab additionally to the Methotrexate, one year ago. Your laboratory values concerning the liver and kidney are in order. Since yesterday, she shows fever (38.5 °C), a dry cough and an headache. Her actual oxygen saturation is 97%, blood pressure 140/90 mmHg and the respiratory rate 19/minute.

Her daughter, five years old, was tested positive with SARS-CoV-2 3 days ago. Sally was subsequently tested with a positive outcome.

Her actual medication:

• Tocilizumab 162 mg once a week as a subcutaneous injection (planned for tomorrow)
• Methotrexate 10 mg once a week