体液免疫缺陷患者的COVID-19感染:病例系列和文献综述

IF 2.3 Q1 OTORHINOLARYNGOLOGY
Maaz Jalil, Julianne Pietras, S. N. Ahmed, P. Daniels, R. Hostoffer
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引用次数: 4

摘要

2019冠状病毒病(COVID-19)已经感染了全球许多人,并继续对免疫系统较弱的人构成重大威胁。评估体液免疫缺陷患者感染COVID-19的临床结果的数据有限且相互矛盾。目的了解COVID-19感染原发性体液免疫缺陷患者的临床结局,并与现有文献进行比较。方法:我们对15例感染COVID-19的体液免疫缺陷(定义为常见可变免疫缺陷、特异性抗体缺陷或未明确的低丙种球蛋白血症)患者进行了回顾性队列研究。确定严重程度评分来评估这些患者的临床结果。在我们的15例患者队列中,33%的体液免疫缺陷感染COVID-19的个体患有中度至重度疾病,需要住院治疗或导致死亡。新冠肺炎死亡率为7%。所有5例严重COVID-19感染患者均至少有1种合并症或危险因素。在我们的体液免疫缺陷患者感染COVID-19队列中,我们发现中度至重度COVID-19感染率更高,临床结果更差,特别是在有合并症或危险因素的患者中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
COVID-19 Infection in Patients with Humoral Immunodeficiency: A Case Series and Literature Review
Background The coronavirus 2019 disease (COVID-19) has infected many individuals worldwide and continues to pose a significant threat to those with weakened immune systems. The data evaluating the clinical outcomes of patients with humoral immunodeficiencies that contract COVID-19 is limited and conflicting. Objective To describe the clinical outcomes of COVID-19 infections in patients with primary humoral immunodeficiency and compare results to current literature. Methods We conducted a retrospective cohort review on 15 patients with a humoral immunodeficiency defined as Common Variable Immunodeficiency, Specific Antibody Deficiency, or unspecified hypogammaglobulinemia, who contracted COVID-19. Severity scores were determined to evaluate the clinical outcomes of these patients. Results Of our 15-patient cohort, 33% of individuals with a humoral immunodeficiency infected with COVID-19 had moderate to severe disease, requiring hospitalization or resulting in death. COVID-19 mortality rate was found to be 7%. All 5 of our patients with severe COVID-19 infection had at least 1 comorbidity or risk factor. Conclusion Within our cohort of humoral immunodeficient patients infected with COVID-19, we found a higher rate of moderate to severe COVID-19 infection and worse clinical outcomes, particularly in patients with comorbidities or risk factors.
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来源期刊
Allergy & Rhinology
Allergy & Rhinology OTORHINOLARYNGOLOGY-
CiteScore
3.30
自引率
4.50%
发文量
11
审稿时长
15 weeks
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