SARS-CoV-2 变种与患有 MIS-C 的儿童的不同临床过程有关
Andres F Moreno Rojas1, Emelia Bainto2, Helen Harvey3
1Department of Pediatrics, Division of Pediatric Cardiology, University of California San Diego, and Rady Children's Hospital, 3020 Children's Way MC 5004, San Diego, CA, 92123, USA.
World journal of pediatrics : WJP
|December 22, 2023
概括
儿童多系统炎症综合征 (MIS-C) 严重程度与SARS-CoV-2变种有所不同. 第二波,包括多种菌株,在儿科患者中发现了更严重的MIS-C病例,尽管没有死亡.
科学领域:
- 儿童传染病 儿童传染病
- 病毒学 病毒学
- 流行病学 流行病学
背景情况:
- 最近的SARS-CoV-2感染与儿童的MIS-C有关.
- 随着SARS-CoV-2的进化,它发生了各种突变.
- 关于特定变异和MIS-C严重程度的研究有限.
研究的目的:
- 调查SARS-CoV-2变种与儿科患者MIS-C严重程度之间的相关性.
- 分析不同病毒波的MIS-C的临床表现和结果.
主要方法:
- 对104名儿科MIS-C患者进行了回顾性单中心研究 (2020年5月 - 2022年3月).
- 从电子病历和公共基因组数据库中收集的数据.
- 对人口统计,临床数据,实验室值和结果的分析.
主要成果:
- 四个MIS-C波与循环的SARS-CoV-2变种 (阿尔法,埃普西隆,玛,三角形,奥米克朗) 相关联.
- 跨波的MIS-C症状和实验室发现是一致的.
- 第二波显示增加了PICU入院率 (74%) 和内支持 (63%).
- 没有患者需要机械循环支持;两个需要侵入性通风. 没有观察到死亡率.
结论:
- 不同的SARS-CoV-2菌株与不同的MIS-C严重程度有关.
- 第二波显示MIS-C的临床过程更为严重.
- 需要进一步的研究来确定变异变化或其他因素是否导致严重程度差异.
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