Roman-Pimentel Andrea, Medina-Cáceres Sandra, Del Valle-Mendoza Juana, Aguilar-Luis Miguel Angel, Kym Sungmin, Aquino-Ortega Ronald, Tarazona-Castro Yordi, Carrillo-Ng Hugo, de Villa Eliezer Bonifacio-Velez, Silva-Caso Wilmer
School of Medicine, Faculty of Health Sciences, Peruvian University of Applied Sciences, Lima, Peru.
Biomedicine Laboratory, Research Center of the Faculty of Health Sciences, Peruvian University of Applied Sciences, Lima, Peru.
Interdiscip Perspect Infect Dis. 2025 Jun 12;2025:6486467. doi: 10.1155/ipid/6486467. eCollection 2025.
In the context of SARS-CoV-2 infection, the present study aimed to determine the clinical and laboratory characteristics and serum levels of IL-6 and zinc in patients with COVID-19 according to their clinical condition in a hospital in Lima, Peru. Patients were divided into 4 groups according to the clinical condition of the disease, the group of patients hospitalized in the intensive care unit, hospitalized patients who did not require intensive care unit, COVID-19 patients who did not require hospitalization, and a control group. It was determined that 64.8% of the patients evaluated were men. Patients hospitalized in the ICU were 11.25 times more likely to have a cough and 36.7 times more likely to have a fever compared to the control group. In the group of hospitalized patients who did not require ICU, the presence of cough was 9.44 times higher than in the control group. The lowest IL-6 values were obtained in the group of COVID-19 patients who did not require hospitalization (2 pg/mL) and the highest in the ICU group (168.5 pg/mL). On the other hand, the highest values of the micronutrient zinc were also obtained in the ICU group (3402.5 μg/dL). In this group, the highest values of lymphocytes, C-reactive protein, and lactate dehydrogenase were also found with statistical significance compared to the group of hospitalized patients who did not require ICU. In conclusion, patients with COVID-19 in the ICU had higher levels of IL-6 and zinc compared to the other groups. This group also had the highest levels of lymphocytes, C-reactive protein, and lactate dehydrogenase compared to the group of hospitalized patients who did not require ICU care.
在严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染的背景下,本研究旨在根据秘鲁利马一家医院中新冠肺炎患者的临床状况,确定其临床和实验室特征以及白细胞介素-6(IL-6)和锌的血清水平。根据疾病的临床状况,将患者分为4组,即入住重症监护病房的患者组、无需入住重症监护病房的住院患者组、无需住院的新冠肺炎患者组以及一个对照组。经测定,接受评估的患者中有64.8%为男性。与对照组相比,入住重症监护病房的患者咳嗽的可能性高11.25倍,发烧的可能性高36.7倍。在无需入住重症监护病房的住院患者组中,咳嗽的发生率比对照组高9.44倍。在无需住院的新冠肺炎患者组中获得的IL-6值最低(2 pg/mL),而在重症监护病房组中最高(168.5 pg/mL)。另一方面,微量营养素锌的最高值也在重症监护病房组中获得(3402.5 μg/dL)。与无需入住重症监护病房的住院患者组相比,该组中淋巴细胞、C反应蛋白和乳酸脱氢酶的最高值也具有统计学意义。总之,与其他组相比,重症监护病房中的新冠肺炎患者IL-6和锌的水平更高。与无需重症监护病房护理的住院患者组相比,该组中淋巴细胞、C反应蛋白和乳酸脱氢酶的水平也最高。