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10.1038/s41467-021-23267-w

http://scihub22266oqcxt.onion/10.1038/s41467-021-23267-w
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34117221!8196064!34117221
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suck abstract from ncbi


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pmid34117221      Nat+Commun 2021 ; 12 (1): 3554
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  • Distinct clinical and immunological profiles of patients with evidence of SARS-CoV-2 infection in sub-Saharan Africa #MMPMID34117221
  • Morton B; Barnes KG; Anscombe C; Jere K; Matambo P; Mandolo J; Kamng'ona R; Brown C; Nyirenda J; Phiri T; Banda NP; Van Der Veer C; Mndolo KS; Mponda K; Rylance J; Phiri C; Mallewa J; Nyirenda M; Katha G; Kambiya P; Jafali J; Mwandumba HC; Gordon SB; Cornick J; Jambo KC
  • Nat Commun 2021[Jun]; 12 (1): 3554 PMID34117221show ga
  • Although the COVID-19 pandemic has left no country untouched there has been limited research to understand clinical and immunological responses in African populations. Here we characterise patients hospitalised with suspected (PCR-negative/IgG-positive) or confirmed (PCR-positive) COVID-19, and healthy community controls (PCR-negative/IgG-negative). PCR-positive COVID-19 participants were more likely to receive dexamethasone and a beta-lactam antibiotic, and survive to hospital discharge than PCR-negative/IgG-positive and PCR-negative/IgG-negative participants. PCR-negative/IgG-positive participants exhibited a nasal and systemic cytokine signature analogous to PCR-positive COVID-19 participants, predominated by chemokines and neutrophils and distinct from PCR-negative/IgG-negative participants. PCR-negative/IgG-positive participants had increased propensity for Staphylococcus aureus and Streptococcus pneumoniae colonisation. PCR-negative/IgG-positive individuals with high COVID-19 clinical suspicion had inflammatory profiles analogous to PCR-confirmed disease and potentially represent a target population for COVID-19 treatment strategies.
  • |Adult[MESH]
  • |Africa South of the Sahara/epidemiology[MESH]
  • |Anti-Bacterial Agents/administration & dosage[MESH]
  • |Antibodies/blood[MESH]
  • |COVID-19 Drug Treatment[MESH]
  • |COVID-19/blood/epidemiology/*immunology[MESH]
  • |Coinfection/immunology[MESH]
  • |Cytokines/blood[MESH]
  • |Dexamethasone/administration & dosage[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Immunoglobulin G/blood[MESH]
  • |Immunoglobulin M/blood[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]


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