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新冠疫情早期五个中国家庭聚集性病例中 SARS-CoV-2 感染的动态特征。

Dynamic profiles of SARS-Cov-2 infection from five Chinese family clusters in the early stage of the COVID-19 pandemic.

机构信息

Jinan Infectious Diseases Hospital, Cheeloo College of Medicine, Shandong University, Jinan, 250021, Shandong, China.

Department of Biostatistics, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, 250012, China.

出版信息

Sci Rep. 2020 Dec 16;10(1):22048. doi: 10.1038/s41598-020-79035-1.

Abstract

Although several cases of family clusters with SARS-Cov-2 infection have been reported, there are still limited data preventing conclusions from being drawn regarding the characteristics and laboratory findings in the COVID-19 population within family clusters. In the present study, we retrospectively collected five family clusters with COVID-19 and summarized the dynamic profiles of the clinical characteristics, laboratory findings, immune markers, treatment and prognosis of this population. Furthermore, we also compared clinical and laboratory data between the SARS-Cov-2 infection with family cluster (n = 21) and those without family cluster (n = 16). We demonstrated that the duration of SARS-Cov-2 replication might be varied based on the different family clusters due to their different genetic backgrounds. The onset improved lung radiology might start at the end of the SARS-Cov-2 positive period. Furthermore, the obtained results demonstrated that similar basic characteristics and clinical findings seem to exist between the cases with SARS-Cov-2 and without family clusters. The serum level of ferritin might have a different biological function and be a new biomarker for the family cluster. Further studies with larger numbers of patients are required.

摘要

尽管已经报道了几起因 SARS-CoV-2 感染引起的家庭聚集病例,但对于 COVID-19 人群中家庭聚集病例的特征和实验室结果,仍缺乏数据支持,难以得出结论。在本研究中,我们回顾性地收集了五例 COVID-19 家庭聚集病例,并总结了该人群的临床特征、实验室检查结果、免疫标志物、治疗和预后的动态特征。此外,我们还比较了 SARS-CoV-2 感染伴家庭聚集(n=21)和无家庭聚集(n=16)的临床和实验室数据。我们发现,由于不同的遗传背景,SARS-CoV-2 复制的持续时间可能因不同的家庭聚集而有所不同。SARS-CoV-2 阳性期结束时,肺部影像学表现可能开始改善。此外,研究结果表明,SARS-CoV-2 感染与无家庭聚集的病例之间似乎存在相似的基本特征和临床表现。血清铁蛋白水平可能具有不同的生物学功能,是家庭聚集的一个新的生物标志物。需要进一步的大规模研究来验证。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/898b/7744538/f87441ad3399/41598_2020_79035_Fig1_HTML.jpg

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