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Case Report: Clinical Features of a COVID-19 Patient With Cirrhosis
Coronavirus disease 2019 (COVID-19) was first reported in Wuhan, Hubei Province, China in December 2019. At present, COVID-19 has emerged as a global pandemic. The clinical features of this disease are not fully understood, especially the interaction of COVID-19 and preexisting comorbidities and how...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8662523/ https://www.ncbi.nlm.nih.gov/pubmed/34901043 http://dx.doi.org/10.3389/fmed.2021.678227 |
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author | Zhou, Jian Jiang, Dixuan Wang, Wanchun Huang, Kang Zheng, Fang Xie, Yuanlin Zhou, Zhiguo Sun, Jingjing |
author_facet | Zhou, Jian Jiang, Dixuan Wang, Wanchun Huang, Kang Zheng, Fang Xie, Yuanlin Zhou, Zhiguo Sun, Jingjing |
author_sort | Zhou, Jian |
collection | PubMed |
description | Coronavirus disease 2019 (COVID-19) was first reported in Wuhan, Hubei Province, China in December 2019. At present, COVID-19 has emerged as a global pandemic. The clinical features of this disease are not fully understood, especially the interaction of COVID-19 and preexisting comorbidities and how these together further impair the immune system. In this case study, we report a COVID-19 patient with cirrhosis. A 73-year-old woman with cirrhosis reported a fever and cough on February 6, 2020. CT of the chest indicated an infection in her bilateral lungs. She tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. The woman was treated with lopinavir and ritonavir tablets and interferon alpha-2b injection, but there was no obvious effect. Although this patient was basically asymptomatic after 2 days in the hospital, the inflammation of the bilateral lungs was slow to subside as shown in CT of the chest. In addition, the white blood cell count (WBC), absolute neutrophil count, and absolute lymphocyte count remained decreased and the result of real-time reverse transcription polymerase chain reaction (PCR) (rRT-PCR) assay was still positive for SARS-CoV-2 on hospital day 28. After infusion of plasma from a recovered COVID-19 patient four times, the patient tested negative for SARS-CoV-2. She was discharged on March 13, 2020. This patient tested negative for SARS-CoV-2 after infusion of plasma from a recovered COVID-19 patient four times. Cirrhosis could impair the homeostatic role of the liver in the systemic immune response, which may affect the removal of SARS-CoV-2. This could lead to a diminished therapeutic effect of COVID-19. Thus, clinicians should pay more attention to COVID-19 patients with cirrhosis. |
format | Online Article Text |
id | pubmed-8662523 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-86625232021-12-11 Case Report: Clinical Features of a COVID-19 Patient With Cirrhosis Zhou, Jian Jiang, Dixuan Wang, Wanchun Huang, Kang Zheng, Fang Xie, Yuanlin Zhou, Zhiguo Sun, Jingjing Front Med (Lausanne) Medicine Coronavirus disease 2019 (COVID-19) was first reported in Wuhan, Hubei Province, China in December 2019. At present, COVID-19 has emerged as a global pandemic. The clinical features of this disease are not fully understood, especially the interaction of COVID-19 and preexisting comorbidities and how these together further impair the immune system. In this case study, we report a COVID-19 patient with cirrhosis. A 73-year-old woman with cirrhosis reported a fever and cough on February 6, 2020. CT of the chest indicated an infection in her bilateral lungs. She tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. The woman was treated with lopinavir and ritonavir tablets and interferon alpha-2b injection, but there was no obvious effect. Although this patient was basically asymptomatic after 2 days in the hospital, the inflammation of the bilateral lungs was slow to subside as shown in CT of the chest. In addition, the white blood cell count (WBC), absolute neutrophil count, and absolute lymphocyte count remained decreased and the result of real-time reverse transcription polymerase chain reaction (PCR) (rRT-PCR) assay was still positive for SARS-CoV-2 on hospital day 28. After infusion of plasma from a recovered COVID-19 patient four times, the patient tested negative for SARS-CoV-2. She was discharged on March 13, 2020. This patient tested negative for SARS-CoV-2 after infusion of plasma from a recovered COVID-19 patient four times. Cirrhosis could impair the homeostatic role of the liver in the systemic immune response, which may affect the removal of SARS-CoV-2. This could lead to a diminished therapeutic effect of COVID-19. Thus, clinicians should pay more attention to COVID-19 patients with cirrhosis. Frontiers Media S.A. 2021-11-26 /pmc/articles/PMC8662523/ /pubmed/34901043 http://dx.doi.org/10.3389/fmed.2021.678227 Text en Copyright © 2021 Zhou, Jiang, Wang, Huang, Zheng, Xie, Zhou and Sun. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Medicine Zhou, Jian Jiang, Dixuan Wang, Wanchun Huang, Kang Zheng, Fang Xie, Yuanlin Zhou, Zhiguo Sun, Jingjing Case Report: Clinical Features of a COVID-19 Patient With Cirrhosis |
title | Case Report: Clinical Features of a COVID-19 Patient With Cirrhosis |
title_full | Case Report: Clinical Features of a COVID-19 Patient With Cirrhosis |
title_fullStr | Case Report: Clinical Features of a COVID-19 Patient With Cirrhosis |
title_full_unstemmed | Case Report: Clinical Features of a COVID-19 Patient With Cirrhosis |
title_short | Case Report: Clinical Features of a COVID-19 Patient With Cirrhosis |
title_sort | case report: clinical features of a covid-19 patient with cirrhosis |
topic | Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8662523/ https://www.ncbi.nlm.nih.gov/pubmed/34901043 http://dx.doi.org/10.3389/fmed.2021.678227 |
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