Kanwar Badar, Lee Chul Joong, Lee Jong-Hoon
Department of Pulmonary Critical Care Medicine, Hunt Regional Hospital, Greenville, TX 75401, USA.
Zein Pain Clinic Seongbuk, Seoul 02830, Korea.
Vaccines (Basel). 2021 Jun 10;9(6):635. doi: 10.3390/vaccines9060635.
The COVID-19 pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), seems to be difficult to overcome. A pandemic of such a scale has not been seen since the 1918 influenza pandemic. Although the predominant clinical presentation is respiratory disease, neurological manifestations and sequelae are increasingly being recognized. We observed a case series of rapid recovery of ARDS within 24 h in the preliminary clinical features of COVID-19 ARDS-associated neurological disease. It was also noted that by 15 April, 2021, there was no SARS-CoV-2 ARDS on Sorok Island in South Korea, where lepers had been living together. We compared each of dapsone's effects on humans and considered those of SARS-CoV-2. Dapsone showed different effects in the brain. The Sorokdo National Hospital reported a relationship between dapsone and the neuroinflammasome of Alzheimer's disease (AD) in Sorok Island from January 2005 to June 2020. AD prevalence was low in the leprosy patient group who took dapsone regularly. The preliminary cross-sectional study of the trial group (22 subjects) and the control group (22 subjects) in the Hunt Regional Hospital reported the following results: The chi-square statistic is 5.1836. The p-value is 0.022801. The result is considered significant at < 0.05. The results from the medical treatment from 21 December to 29 December 2020 were considered. The mortality rates at the ARDS onset stage were 0% with dapsone administered as a standard COVID-19 treatment and 40% without dapsone administered as a standard COVID-19 treatment, respectively. Based on the respiratory failure and sudden high death rate originating from the involvement of the brainstem, especially the pre-Bötzinger complex, dapsone can be used to significantly reduce the incidence of the cases of acute respiratory distress syndrome and other illnesses caused by SARS-CoV-2.
由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的新型冠状病毒肺炎大流行似乎难以克服。自1918年流感大流行以来,尚未见过如此规模的大流行。尽管主要临床表现为呼吸系统疾病,但神经表现和后遗症越来越受到认可。我们在新型冠状病毒肺炎急性呼吸窘迫综合征相关神经疾病的初步临床特征中观察到一系列病例在24小时内快速恢复急性呼吸窘迫综合征。还注意到,到2021年4月15日,在韩国索罗克岛(麻风病人曾居住在一起的地方)没有新型冠状病毒肺炎急性呼吸窘迫综合征病例。我们比较了氨苯砜对人类的各种影响,并考虑了其对SARS-CoV-2的影响。氨苯砜在大脑中显示出不同的作用。索罗克岛国立医院报告了2005年1月至2020年6月期间氨苯砜与索罗克岛阿尔茨海默病(AD)神经炎性小体之间的关系。定期服用氨苯砜的麻风病患者组中AD患病率较低。亨特地区医院试验组(22名受试者)和对照组(22名受试者)的初步横断面研究报告了以下结果:卡方统计量为5.1836。p值为0.022801。结果在<0.05时被认为具有显著性。考虑了2020年12月21日至12月29日的治疗结果。在新型冠状病毒肺炎标准治疗中使用氨苯砜时,急性呼吸窘迫综合征发病阶段的死亡率为0%,不使用氨苯砜作为新型冠状病毒肺炎标准治疗时死亡率为40%。基于脑干尤其是前包钦格复合体受累导致的呼吸衰竭和突然高死亡率,氨苯砜可用于显著降低由SARS-CoV-2引起的急性呼吸窘迫综合征和其他疾病的发病率。