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10.1111/ene.14564

http://scihub22266oqcxt.onion/10.1111/ene.14564
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32997370!7537196!32997370
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suck abstract from ncbi

pmid32997370      Eur+J+Neurol 2021 ; 28 (10): 3411-3417
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  • Muscle involvement in SARS-CoV-2 infection #MMPMID32997370
  • Pitscheider L; Karolyi M; Burkert FR; Helbok R; Wanschitz JV; Horlings C; Pawelka E; Omid S; Traugott M; Seitz T; Zoufaly A; Lindeck-Pozza E; Woll E; Beer R; Seiwald S; Bellmann-Weiler R; Hegen H; Loscher WN
  • Eur J Neurol 2021[Oct]; 28 (10): 3411-3417 PMID32997370show ga
  • BACKGROUND AND PURPOSE: Since the outbreak of the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) pandemic, several reports indicated neurological involvement in COVID-19 disease. Muscle involvement has also been reported as evidenced by creatine kinase (CK) elevations and reports of myalgia. METHODS: Creatine kinase, markers of inflammation, pre-existing diseases and statin use were extracted from records of Austrian hospitalised COVID-19 patients. Disease severity was classified as severe in case of intensive care unit (ICU) admission or mortality. COVID-19 patients were additionally compared to an historical group of hospitalised influenza patients. RESULTS: Three hundred fifty-one patients with SARS-CoV-2 and 258 with influenza were included in the final analysis. CK was elevated in 27% of COVID-19 and in 28% of influenza patients. CK was higher in severe COVID-19 as were markers of inflammation. CK correlated significantly with inflammation markers, which had an independent impact on CK when adjusted for demographic variables and disease severity. Compared to influenza patients, COVID-19 patients were older, more frequently male, had more comorbidities, and more frequently had a severe disease course. Nevertheless, influenza patients had higher baseline CK than COVID-19, and 35.7% of intensive care unit (ICU)-admitted patients had CK levels >1,000 U/L compared to only 4.7% of ICU-admitted COVID-19 patients. CONCLUSIONS: HyperCKemia occurs in a similar frequency in COVID-19 and influenza infection. CK levels were lower in COVID-19 than in influenza in mild and severe disease. CK levels strongly correlate with disease severity and markers of inflammation. To date, it remains unclear whether hyperCKemia is due to a virus-triggered inflammatory response or direct muscle toxicity.
  • |*COVID-19[MESH]
  • |*Influenza, Human/complications/epidemiology[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Muscles[MESH]
  • |Pandemics[MESH]


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