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> Considering the potential neuroinvasion of SARS-CoV-2, antiviral therapy should be carried out as early as possible to block its entry into the CNS. Airway inhalation of antiviral agents will be the first choice at the early stage of infection, which will inhibit the replication SARS-CoV-2 in the respiratory tracts and lung and prevent from its subsequent neuroinvasion. It is also urgent to find effective antiviral drugs that can cross the blood-brain barrier. Moreover, corticosteroids, which are used frequently for severe patients, may have no treatment effect, but rather accelerate the replication of the virus within the neurons.


>corticosteroids may have no treatment effect

isn't the point of the corticosteriods to rapidly reduce widespread pulmonary inflammation that would otherwise kill the patient?


Yes, but it suggests that it could be important to distinguish whether the cause of their decline and hypoxia is CNS respiratory depression or issues with lung function before making that call.




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