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COVID-19 Cases from the First Local Outbreak of the SARS-CoV-2 B.1.1.7 Variant in China May Present More Serious Clinical Features: A Prospective, Comparative Cohort Study.
Song, Yang; Ge, Ziruo; Cui, Shuping; Tian, Di; Wan, Gang; Zhu, Shuangli; Wang, Xianbo; Wang, Yu; Zhao, Xiang; Xiang, Pan; Xu, Yanli; Zhang, Tingyu; Liu, Long; Liu, Gang; Wang, Yanhai; Tan, Jianbo; Zhang, Wei; Xu, Wenbo; Chen, Zhihai.
  • Song Y; National Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
  • Ge Z; Emergency Department of COVID-19, Beijing Ditan Hospital, Capital Medical University, Beijing, China.
  • Cui S; Emergency Department of COVID-19, Beijing Ditan Hospital, Capital Medical University, Beijing, China.
  • Tian D; Peking University, Ditan Teaching Hospital, Beijing, China.
  • Wan G; Emergency Department of COVID-19, Beijing Ditan Hospital, Capital Medical University, Beijing, China.
  • Zhu S; Emergency Department of COVID-19, Beijing Ditan Hospital, Capital Medical University, Beijing, China.
  • Wang X; National Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
  • Wang Y; Emergency Department of COVID-19, Beijing Ditan Hospital, Capital Medical University, Beijing, China.
  • Zhao X; Emergency Department of COVID-19, Beijing Ditan Hospital, Capital Medical University, Beijing, China.
  • Xiang P; National Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
  • Xu Y; Emergency Department of COVID-19, Beijing Ditan Hospital, Capital Medical University, Beijing, China.
  • Zhang T; Emergency Department of COVID-19, Beijing Ditan Hospital, Capital Medical University, Beijing, China.
  • Liu L; Emergency Department of COVID-19, Beijing Ditan Hospital, Capital Medical University, Beijing, China.
  • Liu G; Emergency Department of COVID-19, Beijing Ditan Hospital, Capital Medical University, Beijing, China.
  • Wang Y; Emergency Department of COVID-19, Beijing Ditan Hospital, Capital Medical University, Beijing, China.
  • Tan J; National Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
  • Zhang W; Emergency Department of COVID-19, Beijing Ditan Hospital, Capital Medical University, Beijing, China.
  • Xu W; Emergency Department of COVID-19, Beijing Ditan Hospital, Capital Medical University, Beijing, China.
  • Chen Z; National Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Microbiol Spectr ; 9(1): e0027321, 2021 09 03.
Article in English | MEDLINE | ID: covidwho-1341310
ABSTRACT
The SARS-CoV-2 B.1.1.7 variant has increased sharply in numbers worldwide and is reported to be more contagious than the nonvariant. Little is known regarding the detailed clinical features of B.1.1.7 variant infection. Data on 74 COVID-19 cases from two outbreaks in two districts of Beijing, China were extracted from a cloud database, including 41 cases from Shunyi District (Shunyi B.1.470 group) and 33 from Daxing (Daxing B.1.1.7 group) from December 25, 2020 to January 17, 2021. We conducted a comparison of the clinical characteristics. Seven clinical indicators of the Daxing B.1.1.7 group were significantly higher than those of the Shunyi group, including the proportion with fever over 38°C, the levels of C-reactive protein (CRP), serum amyloid A (SAA), creatine kinase (CK), d-dimer (DD), and CD4+ T lymphocytes (CD4+ T), and the proportion with ground-glass opacity (GGO) in the lung (P values of ≤0.05). After adjusting for age, B.1.1.7 variant infection was a risk factor for elevated CRP (P = 0·045), SAA (P = 0·011), CK (P = 0·034), and CD4+ T (P = 0.029) and for the presence of GGO (P = 0.005). The median threshold cycle (CT) value of reverse transcriptase quantitative PCR (RT-qPCR) tests of the N gene target in the Daxing B.1.1.7 group was significantly lower (P = 0.036) than that in the Shunyi B.1.470 group. Clinical features, including a more serious inflammatory response, pneumonia, and a possibly higher viral load, were detected in the cases infected with B.1.1.7 SARS-CoV-2. The B.1.1.7 variant may have increased pathogenicity. IMPORTANCE The SARS-CoV-2 B.1.1.7 variant, which was first identified in the United Kingdom, has increased sharply in numbers worldwide and was reported to be more contagious than the nonvariant. To our knowledge, no studies investigating the detailed clinical features of COVID-19 cases infected with the B.1.1.7 variant have been published. Local epidemics have rarely occurred in China, but occasionally, a small clustered outbreak triggered by an imported SARS-CoV-2 strain with only one chain of transmission could happen. From late 2020 to early 2021, two clustered COVID-19 outbreaks occurred in Beijing, one of which was caused by the B.1.1.7 variant. The COVID-19 patients from the two outbreaks received similar clinical tests, diagnoses, and treatments. We found that the B.1.1.7 variant infection could lead to a more serious inflammatory response, acute response process, more severe pneumonia, and probably higher viral loads. This therefore implies that the B.1.1.7 variant may have increased pathogenicity.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Disease Outbreaks / SARS-CoV-2 / COVID-19 Type of study: Cohort study / Observational study / Prognostic study Topics: Variants Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: English Journal: Microbiol Spectr Year: 2021 Document Type: Article Affiliation country: Spectrum.00273-21

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Disease Outbreaks / SARS-CoV-2 / COVID-19 Type of study: Cohort study / Observational study / Prognostic study Topics: Variants Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: English Journal: Microbiol Spectr Year: 2021 Document Type: Article Affiliation country: Spectrum.00273-21