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唐氏综合征患者是否易感染危及生命的 COVID-19?

Are patients with Down syndrome vulnerable to life-threatening COVID-19?

机构信息

Department of Neurology, Dimpna Regional Hospital, AZ St Dimpna, JB Stessenstraat 2, 2440, Geel, Belgium.

Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.

出版信息

Acta Neurol Belg. 2021 Jun;121(3):685-687. doi: 10.1007/s13760-020-01373-8. Epub 2020 May 22.

DOI:10.1007/s13760-020-01373-8
PMID:32444942
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7243430/
Abstract

Patients with Down syndrome are at increased risk of respiratory syncytial virus- and H1N1-related death. Literature on COVID-19 in Down syndrome patients is unavailable thus far. We describe the clinical course of 4 patients with Down syndrome during an outbreak of COVID-19. In all four patients, disease course was severe, warranting hospital care in three patients, with fatal outcome in one patient. Another patient receives supportive care in our institution. Our case series is the first report on probable increased risk of life-threatening disease course of COVID-19 in patients with Down syndrome. Proper surveillance, the adherence of social distancing, and the use of personal protective equipment will be essential in reducing morbidity and mortality in our patients.

摘要

唐氏综合征患者患呼吸道合胞病毒和 H1N1 相关死亡的风险增加。目前尚无关于唐氏综合征患者 COVID-19 的文献。我们描述了 4 名唐氏综合征患者在 COVID-19 爆发期间的临床过程。在所有 4 名患者中,疾病过程均很严重,3 名患者需要住院治疗,其中 1 名患者死亡。另一名患者在我院接受支持性治疗。我们的病例系列是第一份关于唐氏综合征患者 COVID-19 致死风险增加的报告。适当的监测、遵守社会距离和使用个人防护设备对于降低我们患者的发病率和死亡率至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf42/7243430/dd849fb0db3f/13760_2020_1373_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf42/7243430/cf911e359c9f/13760_2020_1373_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf42/7243430/dd849fb0db3f/13760_2020_1373_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf42/7243430/cf911e359c9f/13760_2020_1373_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf42/7243430/dd849fb0db3f/13760_2020_1373_Fig2_HTML.jpg

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本文引用的文献

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Risk for Severe Illness and Death among Pediatric Patients with Down Syndrome Hospitalized for COVID-19, Brazil.巴西因 COVID-19 住院的唐氏综合征儿科患者严重疾病和死亡风险。
Emerg Infect Dis. 2023 Jan;29(1):26-35. doi: 10.3201/eid2901.220530.
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