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10.1097/INF.0000000000002720

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32379199!7279056!32379199
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suck abstract from ncbi


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pmid32379199      Pediatr+Infect+Dis+J 2020 ; 39 (7): e87-e90
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  • A Case of Critically Ill Infant of Coronavirus Disease 2019 With Persistent Reduction of T Lymphocytes #MMPMID32379199
  • Qiu L; Jiao R; Zhang A; Chen X; Ning Q; Fang F; Zeng F; Tian N; Zhang Y; Huang Y; Sun Z; Dhuromsingh M; Li H; Li Y; Xu R; Chen Y; Luo X
  • Pediatr Infect Dis J 2020[Jul]; 39 (7): e87-e90 PMID32379199show ga
  • BACKGROUND: The outbreak of coronavirus disease 2019 (COVID-19) is becoming a global threat. However, our understanding of the clinical characteristics and treatment of critically ill pediatric patients and their ability of transmitting the coronavirus that causes COVID-19 still remains inadequate because only a handful pediatric cases of COVID-19 have been reported. METHODS: Epidemiology, clinical characteristics, treatment, laboratory data and follow-up information and the treatment of critically ill infant were recorded. RESULTS: The infant had life-threatening clinical features including high fever, septic shock, recurrent apnea, petechiae and acute kidney injury and persistent declined CD3+, CD4+ and CD8+ T cells. The duration of nasopharyngeal virus shedding lasted for 49 days even with the administration of lopinavir/ritonavir for 8 days. The CD3+, CD4+ and CD8+ T cells was partially recovered 68 days post onset of the disease. Accumulating of effector memory CD4+ T cells (CD4+TEM) was observed among T-cell compartment. The nucleic acid tests and serum antibody for the severe acute respiratory syndrome coronavirus 2 of the infant's mother who kept intimate contact with the infant were negative despite no strict personal protection. CONCLUSIONS: The persistent reduction of CD4+ and CD8+ T cells was the typical feature of critically ill infant with COVID-19. CD4+ and CD8+ T cells might play a key role in aggravating COVID-19 and predicts a more critical course in children. The prolonged nasopharyngeal virus shedding was related with the severity of respiratory injury. The transmission of SARS-CoV-2 from infant (even very critical cases) to adult might be unlikely.
  • |Betacoronavirus/isolation & purification[MESH]
  • |CD4-Positive T-Lymphocytes/*immunology/pathology[MESH]
  • |CD8-Positive T-Lymphocytes/*immunology/pathology[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/drug therapy/*immunology/pathology/virology[MESH]
  • |Critical Illness[MESH]
  • |Humans[MESH]
  • |Infant[MESH]
  • |Lopinavir/therapeutic use[MESH]
  • |Lymphocyte Count[MESH]
  • |Male[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/drug therapy/*immunology/pathology/virology[MESH]
  • |Ritonavir/therapeutic use[MESH]
  • |SARS-CoV-2[MESH]


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