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一种疾病,多种表现——严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染相关的冠状病毒病(COVID-19)的典型和非典型表现

One disease, many faces-typical and atypical presentations of SARS-CoV-2 infection-related COVID-19 disease.

作者信息

Philips Cyriac Abby, Mohan Narain, Ahamed Rizwan, Kumbar Sandeep, Rajesh Sasidharan, George Tom, Mohanan Meera, Augustine Philip

机构信息

The Liver Unit and Monarch, Cochin Gastroenterology Group, Ernakulam Medical Center, Cochin 682025, Kerala, India.

Gastroenterology and Advanced GI Endoscopy, Cochin Gastroenterology Group, Ernakulam Medical Center, Cochin 682025, Kerala, India.

出版信息

World J Clin Cases. 2020 Sep 26;8(18):3956-3970. doi: 10.12998/wjcc.v8.i18.3956.

Abstract

Since the appearance of the novel coronavirus (severe acute respiratory syndrome-coronavirus-2) and related coronavirus disease 2019 (COVID-19) in China in December 2019, a very high number of small and large patient series have been published in literature from around the world. Even though the classical presentation of COVID-19 is one with respiratory symptoms with or without pneumonia that can be self-limiting or evolve into severe respiratory distress syndrome with multiple organ failure, and secondary bacterial sepsis, a large body of evidence suggests a plethora of other types of clinical presentation. In this exhaustive review, we reviewed all of the published literature on COVID-19 to identify different types of clinical presentations affecting various organ systems, to provide an in-depth analysis that may prove useful for clinicians and health-workers on the frontline, battling the severe pandemic.

摘要

自2019年12月新型冠状病毒(严重急性呼吸综合征冠状病毒2)及相关的2019冠状病毒病(COVID-19)在中国出现以来,世界各地的文献中已发表了大量关于该病毒的患者系列研究,涵盖了不同规模。尽管COVID-19的典型表现是伴有或不伴有肺炎的呼吸道症状,这些症状可能是自限性的,也可能发展为伴有多器官功能衰竭的严重呼吸窘迫综合征以及继发性细菌性败血症,但大量证据表明还存在许多其他类型的临床表现。在这篇详尽的综述中,我们回顾了所有已发表的关于COVID-19的文献,以确定影响各个器官系统的不同类型的临床表现,从而进行深入分析,这可能对奋战在抗击这场严重疫情一线的临床医生和医护人员有所帮助。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b55e/7520786/90cecf1a5574/WJCC-8-3956-g001.jpg

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