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12/25/2025 9:07:32 AM | Browse: 1 | Download: 0
Publication Name World Journal of Clinical Cases
Manuscript ID 113655
Country Egypt
Received
2025-09-01 06:46
Peer-Review Started
2025-09-01 06:46
First Decision by Editorial Office Director
2025-10-17 07:28
Return for Revision
2025-10-17 07:28
Revised
2025-10-31 06:39
Publication Fee Transferred
Second Decision by Editor
2025-12-15 02:38
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2025-12-15 07:01
Articles in Press
2025-12-15 07:01
Edit the Manuscript by Language Editor
Typeset the Manuscript
2025-12-23 01:44
Publish the Manuscript Online
2025-12-25 08:54
ISSN 2307-8960 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Infectious Diseases
Manuscript Type Case Report
Article Title First use of nitazoxanide in Kelleni’s protocol for managing severe bronchiolitis in a 9-month-old infant: A case report and review of literature
Manuscript Source Invited Manuscript
All Author List Mina Thabet Kelleni
Funding Agency and Grant Number
Corresponding Author Mina Thabet Kelleni, Assistant Professor, MD, PhD, Department of Medical Pharmacology, College of Medicine, Minia University, Main Road Shalaby Land, Minya 61519, Egypt. mina.kelleni@mu.edu.eg
Key Words SARS-CoV-2; COVID-19; Nitazoxanide; Benproperine; Alpha-amylase; Levocetrizine; Ambroxol; Kelleni’s protocol; Case report
Core Tip This report presents the first documented use of nitazoxanide incorporated within Kelleni’s protocol to manage severe bronchiolitis in a 9-month-old infant. The infant presented with SpO₂ 84% on room air, tachypnea, and diffuse wheezing which was clinically consistent with severe viral bronchiolitis. Bronchiolitis is a leading cause of infant hospitalization and mortality worldwide, with limited effective antiviral treatments. Early administration of nitazoxanide, alongside other immunomodulatory therapies, showed clinical improvement as shown with resolution of fever and progressive improvement in in all symptoms, SpO₂ rising from 84% to 92% and then 96% at full recovery in this severe case within two weeks. This approach highlights the potential to repurpose nitazoxanide and Kelleni’s protocol to safely manage severe lower viral respiratory tract infections in infants younger than one year.
Publish Date 2025-12-25 08:54
Citation

Kelleni MT. First use of nitazoxanide in Kelleni’s protocol for managing severe bronchiolitis in a 9-month-old infant: A case report and review of literature. World J Clin Cases 2025; 13(36): 113655

URL https://www.wjgnet.com/2307-8960/full/v13/i36/113655.htm
DOI https://dx.doi.org/10.12998/wjcc.v13.i36.113655
Full Article (PDF) WJCC-13-113655-with-cover.pdf
CARE Checklist–2016 113655-CARE-Checklist-2016.pdf
Manuscript File 113655_Auto_Edited_065119.docx
Answering Reviewers 113655-answering-reviewers.pdf
Audio Core Tip 113655-audio.m4a
Conflict-of-Interest Disclosure Form 113655-conflict-of-interest-statement.pdf
Copyright License Agreement 113655-copyright-assignment.pdf
Signed Consent for Treatment Form(s) or Document(s) 113655-informed-consent-statement.pdf
Non-Native Speakers of English Editing Certificate 113655-non-native-speakers.pdf
Peer-review Report 113655-peer-reviews.pdf
Scientific Misconduct Check 113655-scientific-misconduct-check.png
Scientific Editor Work List 113655-scientific-editor-work-list.pdf
CrossCheck Report 113655-crosscheck-report.pdf