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10.1002/jmv.26589

http://scihub22266oqcxt.onion/10.1002/jmv.26589
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33038012!7675303!33038012
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suck abstract from ncbi


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pmid33038012      J+Med+Virol 2021 ; 93 (4): 2090-2098
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  • Evaluation of alpha defensin, IL-1 receptor antagonist, and IL-18 levels in COVID-19 patients with macrophage activation syndrome and acute respiratory distress syndrome #MMPMID33038012
  • Kerget B; Kerget F; Aksakal A; Askin S; Saglam L; Akgun M
  • J Med Virol 2021[Apr]; 93 (4): 2090-2098 PMID33038012show ga
  • BACKGROUND: Many laboratory parameters have been associated with morbidity and mortality in SARS-CoV-2 (COVID-19), which emerged in an animal market in Wuhan, China in December 2019 and has infected over 20 million people. This study investigated the relationship between serum interleukin (IL)-18, IL-1 receptor antagonist (IL-1Ra), and alpha defensin levels and the clinical course and prognosis of COVID-19. MATERIALS AND METHODS: This study included 100 patients who were admitted to the chest diseases department and intensive care unit of our hospital and diagnosed with COVID-19 by real-time polymerase chain reaction (PCR) of nasopharyngeal swab samples between March 24 and May 31, 2020. The control group consisted of 50 nonsymptomatic health workers with negative real-time PCR results in routine COVID-19 screening in our hospital. RESULTS: Serum alpha defensin, IL-1Ra, and IL-18 levels were significantly higher in patients who developed macrophage activation syndrome (MAS) and acute respiratory distress syndrome (ARDS) compared to patients who did not (p < .001 for all). Alpha defensin, IL-1Ra, and IL-18 levels were significantly higher in COVID-19 patients with and without MAS or ARDS when compared to the control group (p < .001 for all). When the 9 patients who died were compared with the 91 surviving patients, IL-1Ra and IL-18 levels were found to be significantly higher in the nonsurvivors (p < .001). CONCLUSION: Our findings of correlations between alpha defensin and levels of IL-1Ra and IL-18, which were previously shown to be useful in COVID-19 treatment and follow-up, indicates that it may also be promising in treatment.
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |COVID-19/epidemiology/*immunology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Interleukin 1 Receptor Antagonist Protein/*blood[MESH]
  • |Interleukin-18/*blood[MESH]
  • |Macrophage Activation Syndrome/*virology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Prognosis[MESH]
  • |Respiratory Distress Syndrome/*virology[MESH]
  • |Turkey[MESH]


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