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1.
EuropePMC; 2020.
Preprint in English | EuropePMC | ID: ppcovidwho-324554

ABSTRACT

Objective: To explore the clinical characteristics and prognosis of COVID-19 patients with cerebral stroke. Methods: : In this retrospective study, 2474 patients with COVID-19 were admitted and treated in Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology in Wuhan from February 10, 2020, to March 24, 2020. Data on the clinical characteristics, laboratory parameters and prognosis of COVID-19 patients with or without cerebral stroke were collected and comparatively analyzed. Results: : Of 2474 COVID-19 patients (61.0±15.7 years;1235 males [49.9%]), 113 (4.7%) patients had cerebral stroke, and 25 (1.0%) patients had a new onset of stroke. Eighty-eight (77.9%) patients in the previous stroke group had cerebral ischemia, while 25 (22.1%) patients in the new-onset stroke group had cerebral ischemia. Most COVID-19 patients with stroke were elderly with more complicated disorders, such as hypertension, diabetes and heart diseases. Laboratory examinations showed a hypercoagulation status and elevated serum parameters such as IL-6, cTnI, NT pro-BNP and BUN. Of note, stroke patients revealed a nearly double mortality (12.4% vs 6.9%) to that of patients without stroke. Additionally, age (≥60 years), fingertip oxygen saturation (<93%) and consciousness disorder were independent predictors for new cerebral stroke in COVID-19 patients. Interpretation: The high risk of new-onset stroke in COVID-19 patients was older age combined with fingertip oxygen saturation (<93%) and consciousness disorder. These patients are more vulnerable to multiple organ dysfunction and an overactivated inflammatory response, in turn leading to a deteriorated outcome and mortality.

2.
Front Cell Infect Microbiol ; 11: 653794, 2021.
Article in English | MEDLINE | ID: covidwho-1325515

ABSTRACT

Purpose: To investigate the sensitivity of SARS-CoV-2 testing in specimens collected from the anterior nasal vestibules of COVID-19 patients. Methods: A cross-sectional analysis was performed on 30 patients with a confirmed diagnosis of COVID-19 at the Shanghai Public Health Clinical Center from March 14, 2020 to March 21, 2020. Paired specimens were collected from both the anterior nasal vestibule and the oropharynx from all patients. All specimens were tested for SARS-CoV-2 using reverse transcription-polymerase chain reaction (RT-PCR) assays. Results: Of the 30 patients with confirmed COVID-19, 17 patients (56.7%) tested positive for SARS-CoV-2 when oropharyngeal specimens were used, while 20 patients (66.7%) tested positive when nasal swab specimens were used. There was no statistically significant difference in sensitivity between the two methods. Conclusions: Respiratory swabs collected from the nasal vestibule offer a less invasive alternative to oropharyngeal swabs for specimen collection in the detection of SARS-CoV-2 infection, and have adequate sensitivity.


Subject(s)
COVID-19 , SARS-CoV-2 , COVID-19 Testing , China/epidemiology , Cross-Sectional Studies , Humans , Nasopharynx , Specimen Handling
3.
Cell ; 184(13): 3438-3451.e10, 2021 06 24.
Article in English | MEDLINE | ID: covidwho-1275185

ABSTRACT

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has been spreading worldwide, causing a global pandemic. Bat-origin RaTG13 is currently the most phylogenetically related virus. Here we obtained the complex structure of the RaTG13 receptor binding domain (RBD) with human ACE2 (hACE2) and evaluated binding of RaTG13 RBD to 24 additional ACE2 orthologs. By substituting residues in the RaTG13 RBD with their counterparts in the SARS-CoV-2 RBD, we found that residue 501, the major position found in variants of concern (VOCs) 501Y.V1/V2/V3, plays a key role in determining the potential host range of RaTG13. We also found that SARS-CoV-2 could induce strong cross-reactive antibodies to RaTG13 and identified a SARS-CoV-2 monoclonal antibody (mAb), CB6, that could cross-neutralize RaTG13 pseudovirus. These results elucidate the receptor binding and host adaption mechanisms of RaTG13 and emphasize the importance of continuous surveillance of coronaviruses (CoVs) carried by animal reservoirs to prevent another spillover of CoVs.


Subject(s)
Angiotensin-Converting Enzyme 2/metabolism , Binding Sites/physiology , COVID-19/metabolism , Chiroptera/virology , SARS-CoV-2/pathogenicity , Amino Acid Sequence , Animals , Antibodies, Monoclonal/immunology , COVID-19/immunology , Chiroptera/immunology , Chiroptera/metabolism , Host Specificity/immunology , Humans , Phylogeny , Protein Binding/physiology , Receptors, Virus/metabolism , SARS-CoV-2/immunology , Sequence Alignment
4.
Ann Transl Med ; 9(2): 100, 2021 Jan.
Article in English | MEDLINE | ID: covidwho-1079877

ABSTRACT

BACKGROUND: To investigate the temporal pattern of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) presence on ocular surfaces using conjunctival swabs in coronavirus disease 2019 (COVID-19) patients. METHODS: This study included 59 patients (32 newly admitted and 27 hospitalized for ≥2 weeks) with a COVID-19-confirmed diagnosis at the Shanghai Public Health Clinical Center from March 3, 2020, to March 21, 2020. Conjunctival swab samples were collected from both eyes of all the 59 patients and were tested by reverse transcription polymerase chain reaction (RT-PCR) assay. The range of sampling time lies widely between 1 and 50 days since symptom onset. RESULTS: Among the 32 newly admitted patients, positive RT-PCR results for SARS-CoV-2 in conjunctival swab samples were reported in 2 patients (one eye for each) without ocular discomfort, but 1 positive case had conjunctival congestion. The positive results were detected on Day 5 for 1 patient and Day 7 for the other, but repeated tests after 1 week were negative for both patients. All 27 patients who had been hospitalized for ≥2 weeks had negative test results. The mean time from symptom onset to sampling of 2 positive cases was significantly less than that of 57 negative cases (P<0.001). CONCLUSIONS: SARS-CoV-2 on the ocular surface can be detected in the early phase of COVID-19. The risk of ocular transmission remains and might be higher in the early phase.

5.
SciFinder; 2020.
Preprint | SciFinder | ID: ppcovidwho-4425

ABSTRACT

A review. Moxibustion, as a traditional treatment method of traditional Chinese medicine, has been one of the important means to prevent plague since ancient times. In recent years, with the continuous deepening of the research on the mechanism and application rules of moxibustion, the role of moxibustion in reducing fever, regulating immune function and anti-virus has been confirmed. In 2019 coronavirus disease epidemic, the role of traditional Chinese medicine has been highly valued, and moxibustion therapy as one of its important components has also been applied to the frontline of anti-epidemic. This article will review the ancient literature and modern research on the prevention and treatment of infectious diseases by moxibustion, and combine with the clin. practice of TCM moxibustion in the prevention and treatment of COVID-19, with a view to providing reference and reference for moxibustion to play a greater role in this outbreak.

6.
Eur J Neurosci ; 53(4): 1350-1361, 2021 02.
Article in English | MEDLINE | ID: covidwho-991349

ABSTRACT

To explore the clinical characteristics and prognosis of COVID-19 patients with cerebral stroke. A total of 2,474 COVID-19 patients from February 10th to March 24th, 2020 were admitted and treated in two branches (Optic Valley and Sino-French New City branch) of the Tongji Hospital. Data on the clinical characteristics, laboratory parameters and prognosis of COVID-19 patients with or without cerebral stroke were collected and comparatively analysed. Of the 2,474 COVID-19 patients, 113 (4.7%) patients had cerebral stroke and 25 (1.0%) patients had new-onset stroke. Eighty-eight (77.9%) patients in the previous-stroke group had cerebral ischaemia, while 25 (22.1%) patients in the new-onset stroke group had cerebral ischaemia. Most COVID-19 patients with stroke were elderly with more comorbidities such as hypertension, diabetes and heart diseases than patients without stroke. Laboratory examinations showed hypercoagulation and elevated serum parameters such as IL-6, cTnI, NT pro-BNP and BUN. Consciousness disorders, a long disease course and poor prognosis were also more commonly observed in stroke patients. The mortality rate of stroke patients was almost double (12.4% vs. 6.9%) that of patients without stroke. In addition, age, male sex and hypertension were independent predictors for new cerebral stroke in COVID-19 patients. In conclusion, the high risk of new-onset stroke must be taken into consideration when treating COVID-19 patients with an elderly age combined with a history of hypertension. These patients are more vulnerable to multiorgan dysfunction and an overactivated inflammatory response, in turn leading to an unfavourable outcome and higher mortality rate.


Subject(s)
COVID-19/complications , Stroke/epidemiology , Adult , Aged , Aged, 80 and over , COVID-19/mortality , Comorbidity , Female , Humans , Hypertension/epidemiology , Incidence , Male , Middle Aged , Prognosis , Retrospective Studies , Risk Factors , SARS-CoV-2 , Stroke/complications
7.
World J Clin Cases ; 8(8): 1343-1349, 2020 Apr 26.
Article in English | MEDLINE | ID: covidwho-189069

ABSTRACT

The pneumonia caused by the coronavirus disease-2019 (COVID-19) outbreak in Wuhan, China constitutes a public health emergency of international concern. The gastrointestinal symptoms of vomiting, diarrhea and abdominal pain and the detection of COVID-19 nucleic acid from fecal specimens in a small number of patients suggest the possibility of transmission via the gastrointestinal tract. People of all ages are vulnerable to this virus, including children. Digestive endoscopy is an invasive procedure during which children cannot wear masks; therefore, they have higher risks of exposure to COVID-19, and the digestive endoscopy center is a relatively high-risk area for COVID-19 infection. Based on these factors and in combination with related policies and regulations, a prevention and control program for the COVID-19 pneumonia in a children's digestive endoscopy center was established to prevent the COVID-19 nosocomial infection.

8.
J Med Virol ; 92(9): 1657-1659, 2020 Sep.
Article in English | MEDLINE | ID: covidwho-46188

ABSTRACT

The outbreak of the infection of 2019 novel coronavirus disease (COVID--19) has become a challenging public health threat worldwide. Limited data are available for pregnant women with COVID-19 pneumonia. We report a case of a convalescing pregnant woman diagnosed with COVID-19 infection 37 days before delivery in the third trimester. A live birth without severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection was performed successfully via the vagina. The findings from our case indicate that there is no intrauterine transmission in this woman who developed COVID-19 pneumonia in late pregnancy.


Subject(s)
COVID-19/virology , Delivery, Obstetric , Pregnancy Complications, Infectious/virology , SARS-CoV-2 , Adult , Biomarkers , COVID-19/diagnosis , COVID-19/immunology , Female , Humans , Infant, Newborn , Live Birth , Pregnancy , Pregnancy Complications, Infectious/diagnosis , SARS-CoV-2/genetics , SARS-CoV-2/immunology
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