Neuromuscular Complex Care Centre, National Hospital for Neurology and Neurosurgery, Queen Square, London, United Kingdom; MRC Centre for Neuromuscular Disease, UCL Institute of Neurology, London, United Kingdom.
Neuromuscular Complex Care Centre, National Hospital for Neurology and Neurosurgery, Queen Square, London, United Kingdom.
Neuromuscul Disord. 2021 Jul;31(7):603-606. doi: 10.1016/j.nmd.2021.04.005. Epub 2021 Apr 27.
Due to their frailty and cardiorespiratory compromise adults with DMD are considered extremely vulnerable and at high risk of severe infection should they contract COVID-19. We report 7 adults with DMD aged 17-26 years who tested positive on a nasopharyngeal PCR swab for SARS-CoV-2. Despite long term corticosteroid treatment, severe respiratory compromise requiring night-time ventilation and receiving treatment for moderate to severe cardiomyopathy, none of the patients developed moderate to severe symptoms; in fact two remained asymptomatic and two developed only anosmia and reduced sensation. The remaining three developed transient fever with or without sore throat, cough and runny nose. All recovered fully without complication and no patient required hospitalization.
由于其脆弱性和心肺功能受损,患有 DMD 的成年人被认为极易受到严重感染,如果他们感染了 COVID-19。我们报告了 7 名年龄在 17-26 岁之间的患有 DMD 的成年人,他们的鼻咽 PCR 拭子检测 SARS-CoV-2 呈阳性。尽管长期接受皮质类固醇治疗,严重的呼吸功能受损需要夜间通气,并接受中度至重度心肌病治疗,但没有患者出现中度至重度症状;实际上,有两名患者仍无症状,有两名患者仅出现嗅觉丧失和感觉减退。其余三名患者出现短暂发热,伴有或不伴有喉咙痛、咳嗽和流鼻涕。所有患者均完全康复,无并发症,无患者需要住院治疗。