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镰状细胞病患儿与严重新型冠状病毒肺炎:先天性免疫反应基因单核苷酸多态性病例报告

Children with sickle cell disease and severe COVID-19 presenting single nucleotide polymorphisms in innate immune response genes - A case report.

作者信息

Pessoa Natália Lima, Diniz Lilian Martins Oliveira, Andrade Adriana de Souza, Kroon Erna Geessien, Bentes Aline Almeida, Campos Marco Antônio

机构信息

Laboratório de Vírus Departamento de Microbiologia Instituto de Ciências Biológicas Universidade Federal de Minas Gerais Belo Horizonte Brazil.

Imunologia de Doenças Virais, Instituto René Rachou Fundação Oswaldo Cruz Belo Horizonte Brazil.

出版信息

EJHaem. 2021 Nov 24;3(1):199-202. doi: 10.1002/jha2.325. eCollection 2022 Feb.

Abstract

Here we report three clinical cases of children with sickle cell disease (SCD) and severe COVID-19 who evolved with complications during hospitalization or after discharge. They present single nucleotide polymorphisms in and genes, identified from 37 patients under 16 years old hospitalized from September 2020 to May 2021 in the Hospital João Paulo II, Belo Horizonte, Brazil. They presented significant complications of SCD as acute chest syndrome, splenic sequestration, and pain crisis during hospitalization or up to 2 months after SARS-CoV-2 infection. They all required transfusion of concentrated red blood cells and hospitalization in a reference hospital to care for children with SCD.

摘要

在此,我们报告三例镰状细胞病(SCD)患儿合并重症 COVID-19 的临床病例,这些患儿在住院期间或出院后出现了并发症。他们存在 和 基因的单核苷酸多态性,这些是从 2020 年 9 月至 2021 年 5 月在巴西贝洛奥里藏特的若昂·保罗二世医院住院的 37 名 16 岁以下患者中鉴定出来的。他们在住院期间或感染 SARS-CoV-2 后长达 2 个月出现了 SCD 的严重并发症,如急性胸综合征、脾隔离症和疼痛危象。他们都需要输注浓缩红细胞,并在一家参考医院住院,以照顾患有 SCD 的儿童。

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Preoperative blood transfusions for sickle cell disease.镰状细胞病的术前输血
Cochrane Database Syst Rev. 2020 Jul 2;7(7):CD003149. doi: 10.1002/14651858.CD003149.pub4.

本文引用的文献

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Pathophysiology of Sickle Cell Disease.镰状细胞病的病理生理学。
Annu Rev Pathol. 2019 Jan 24;14:263-292. doi: 10.1146/annurev-pathmechdis-012418-012838. Epub 2018 Oct 17.
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Sickle cell disease.镰状细胞病。
Nat Rev Dis Primers. 2018 Mar 15;4:18010. doi: 10.1038/nrdp.2018.10.

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