新冠肺炎布鲁氏菌病患者的治疗结果:黑龙江病例系列和文献系统回顾。

IF 3 3区 医学 Q2 ENVIRONMENTAL SCIENCES
Man Li YANG , Jing Ya WANG , Xing Yu ZONG , Li GUAN , Hui Zhen LI , Yi Bai XIONG , Yu Qin LIU , Ting LI , Xin Yu JI , Xi Yu SHANG , Hui Fang ZHANG , Yang GUO , Zhao Yuan GONG , Lei ZHANG , Lin TONG , Ren Bo CHEN , Yi Pin FAN , Jin QIN , Fang WANG , Gang LIN , Yan MA
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引用次数: 0

摘要

目的:新冠肺炎布鲁氏菌病患者的临床特征和结果尚未得到很好的证实,我们试图分析本地和文献中新冠肺炎布鲁氏菌症患者康复前后的临床结果。方法:回顾性收集2020年1月15日至2022年4月29日黑龙江省传染病医院合并症患者的住院资料,并进行出院后前瞻性随访。对人口学、流行病学、临床症状、放射学和实验室数据、治疗药物和结果以及随访进行了分析,并证明了系统审查的结果。结果:共纳入4例新冠肺炎布鲁氏菌病患者。1名患者在新冠肺炎前有活动性布鲁氏菌病,3名患者在布鲁氏菌症前有非活动性布鲁氏菌病。中位年龄为54.5岁,均为男性(100.0%)。两例(50.0%)为中度,一例为轻度和无症状。3例(75.0%)至少有一种合并症(布鲁氏菌病除外)。4例患者均在新冠肺炎核酸筛查中发现。病例C和D入院时分别只有头痛和发烧。4例采用中药治疗,3例采用西药治疗,住院期间无不良反应发生。所有患者均治愈出院。此外,1例(25.0%)仍有活动性布鲁氏菌病,新冠肺炎无再阳性,其他3例(75.0%)除1例在康复后随访期间出现疲劳和焦虑外,没有任何不适症状。在进行文献综述时,两份病例报告中报告了两例类似病例,均已康复,但没有康复后随访的数据。结论:这些病例表明新冠肺炎布鲁氏菌病患者康复前后有良好的预后。应该进行更多的临床研究来证实我们的发现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Treatment Outcomes in COVID-19 Patients with Brucellosis: Case Series in Heilongjiang and Systematic Review of Literature

Objective

Clinical characteristics and outcome in COVID-19 with brucellosis patients has not been well demonstrated, we tried to analyze clinical outcome in local and literature COVID-19 cases with brucellosis before and after recovery.

Methods

We retrospectively collected hospitalization data of comorbid patients and prospectively followed up after discharge in Heilongjiang Infectious Disease Hospital from January 15, 2020 to April 29, 2022. Demographics, epidemiological, clinical symptoms, radiological and laboratory data, treatment medicines and outcomes, and follow up were analyzed, and findings of a systematic review were demonstrated.

Results

A total of four COVID-19 with brucellosis patients were included. One patient had active brucellosis before covid and 3 patients had nonactive brucellosis before brucellosis. The median age was 54.5 years, and all were males (100.0%). Two cases (50.0%) were moderate, and one was mild and asymptomatic, respectively. Three cases (75.0%) had at least one comorbidity (brucellosis excluded). All 4 patients were found in COVID-19 nucleic acid screening. Case C and D had only headache and fever on admission, respectively. Four cases were treated with Traditional Chinese medicine, western medicines for three cases, no adverse reaction occurred during hospitalization. All patients were cured and discharged. Moreover, one case (25.0%) had still active brucellosis without re-positive COVID-19, and other three cases (75.0%) have no symptoms of discomfort except one case fell fatigue and anxious during the follow-up period after recovery. Conducting the literature review, two similar cases have been reported in two case reports, and were both recovered, whereas, no data of follow up after recovery.

Conclusion

These cases indicate that COVID-19 patients with brucellosis had favorable outcome before and after recovery. More clinical studies should be conducted to confirm our findings.

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来源期刊
Biomedical and Environmental Sciences
Biomedical and Environmental Sciences 环境科学-公共卫生、环境卫生与职业卫生
CiteScore
2.60
自引率
8.60%
发文量
2170
审稿时长
1.0 months
期刊介绍: Biomedical and Environmental Sciences (BES) is a peer-reviewed journal jointly established by the Chinese Center for Disease Control and Prevention (China CDC) and the Coulston International Corporation (CIC), USA in 1988, and is published monthly by Elsevier. It is indexed by SCI, PubMed, and CA. Topics covered by BES include infectious disease prevention, chronic and non-communicable disease prevention, disease control based on preventive medicine, and public health theories. It also focuses on the health impacts of environmental factors in people''s daily lives and work, including air quality, occupational hazards, and radiation hazards. Article types considered for publication include original articles, letters to the editor, reviews, research highlights, and policy forum.
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