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10.3389/fimmu.2021.598799

http://scihub22266oqcxt.onion/10.3389/fimmu.2021.598799
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suck abstract from ncbi


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pmid33746945      Front+Immunol 2021 ; 12 (ä): 598799
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  • Upregulated IL-6 Indicates a Poor COVID-19 Prognosis: A Call for Tocilizumab and Convalescent Plasma Treatment #MMPMID33746945
  • Wu J; Shen J; Han Y; Qiao Q; Dai W; He B; Pang R; Zhao J; Luo T; Guo Y; Yang Y; Wu Q; Jiang W; Zhang J; Zhang M; Li N; Li W; Xia X
  • Front Immunol 2021[]; 12 (ä): 598799 PMID33746945show ga
  • A comprehensive understanding of the dynamic changes in interleukin-6 (IL-6) levels is essential for monitoring and treating patients infected with severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2). By analyzing the correlations between IL-6 levels and health conditions, underlying diseases, several key laboratory detection indices, and the prognosis of 1,473 patients with the coronavirus disease 2019 (COVID-19), the role of IL-6 during SARS-CoV-2 infection was demonstrated. Our results indicated that IL-6 levels were closely related to age, sex, body temperature, oxygen saturation (SpO(2)) of blood, and underlying diseases. As a stable indicator, the changes in IL-6 levels could indicate the inflammatory conditions during a viral infection. Two specific treatments, namely, tocilizumab and convalescent plasma therapy (CPT), decreased the level of IL-6 and relieved inflammation. CPT has an important role in the therapy for patients with critical COVID-19. We also found that patients with IL-6 levels, which were 30-fold higher than the normal level, had a poor prognosis compared to patients with lower levels of IL-6.
  • |*COVID-19 Drug Treatment[MESH]
  • |*Up-Regulation[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Antibodies, Monoclonal, Humanized/*therapeutic use[MESH]
  • |Antiviral Agents/*therapeutic use[MESH]
  • |COVID-19 Serotherapy[MESH]
  • |COVID-19/blood/epidemiology/*therapy[MESH]
  • |Child[MESH]
  • |China/epidemiology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Immunization, Passive[MESH]
  • |Interleukin-6/*blood[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Prognosis[MESH]
  • |Real-Time Polymerase Chain Reaction[MESH]
  • |SARS-CoV-2/*genetics[MESH]
  • |Severity of Illness Index[MESH]
  • |Treatment Outcome[MESH]


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