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Anti-SARS-CoV2 serological profile and associated factors in adults living with HIV followed at Departmental and Teaching Hospital of Borgou in 2022. 2022 年博尔古省立和教学医院随访的成年艾滋病毒感染者的抗 SARS-CoV2 血清学概况及相关因素。
Pub Date : 2024-01-08 DOI: 10.29245/2689-9981/2023/2.1173
Attinsounon Cossi Angelo, Dovonou Comlan Albert, A. Kazali, Kanninkpo Fabius, A. Adébayo, Vodounou Amos, S. Khadidjatou, Serge Adé
Introduction: Literature data suggest that people living with the human immunodeficiency virus (PLHIV) are at increased risk of severe forms of Coronavirus 2019 (COVID-19) infection and related mortality. The aim of this study was to investigate the anti-SARS-CoV-2 serological profile in adults living with HIV followed at the Departmental and Teaching Hospital of Borgou (DTH-B) in 2022 and to identify factors associated with anti-SARS-CoV-2 seropositivity in the latter. Methods: This was a descriptive and analytical cross-sectional study conducted in the Internal Medicine Department at DTH-B, from June 27, 2022 to July 27, 2022. PLHIV were systematically recruited after informed consent. A survey form was used to collect epidemiological, clinical, paraclinical and therapeutic data. Anti-SARS-CoV-2 antibodies (IgG and IgM) were tested using the BIOSYNEX COVID-19 BSS rapid test (Biosynex SA, France). Data were analyzed using STATA/MP14.1 software. The significance level was 5%. Results: A total of 135 adults living with HIV were included in the study. The sex ratio was 0.34 and the mean age 45 ± 11.03 years. Anti-SARS-CoV-2 seroprevalence was 50.37%. Only one respondent reported a confirmed COVID-19, while vaccination coverage was 37.78%. Anti-SARS-CoV-2 seroprevalence in unvaccinated patients was 40.48%. Factors significantly associated with anti-SARS-CoV-2 seropositivity in multivariate analysis were vaccination status (p=0.02) and viral load (p=0.001). Conclusion: Anti-SARS-CoV-2 antibodies were detectable in more than half the PLHIV. Their presence was associated with the notion of vaccination and an undetectable viral load. This study therefore suggests the need to promote COVID-19 vaccination among PLHIV followed up at DTH-B, as well as the continuation of adequate management of HIV infection in order to reduce COVID-19-related morbidity and mortality in this so-called vulnerable population.
导言:文献数据表明,人类免疫缺陷病毒感染者(PLHIV)感染严重形式的冠状病毒2019(COVID-19)并导致相关死亡的风险增加。本研究旨在调查 2022 年在博尔古教学医院(DTH-B)接受随访的成年艾滋病毒感染者的抗 SARS-CoV-2 血清学特征,并确定与后者抗 SARS-CoV-2 血清阳性相关的因素。研究方法这是一项描述性和分析性横断面研究,于 2022 年 6 月 27 日至 2022 年 7 月 27 日在 DTH-B 内科进行。在获得知情同意后,系统地招募了艾滋病毒感染者。调查表用于收集流行病学、临床、辅助临床和治疗数据。使用 BIOSYNEX COVID-19 BSS 快速检测试剂盒(Biosynex SA,法国)检测抗 SARS-CoV-2 抗体(IgG 和 IgM)。数据使用 STATA/MP14.1 软件进行分析。显著性水平为 5%。结果本研究共纳入 135 名成年艾滋病病毒感染者。性别比为 0.34,平均年龄为 45 ± 11.03 岁。抗 SARS-CoV-2 血清阳性率为 50.37%。只有一名受访者报告确诊过 COVID-19,疫苗接种率为 37.78%。未接种疫苗患者的抗SARS-CoV-2血清流行率为40.48%。在多变量分析中,与抗 SARS-CoV-2 血清阳性率明显相关的因素是疫苗接种情况(p=0.02)和病毒载量(p=0.001)。结论半数以上的 PLHIV 检测到了抗 SARS-CoV-2 抗体。抗体的存在与疫苗接种和病毒载量检测不到有关。因此,这项研究表明,有必要在 DTH-B 跟踪的艾滋病毒感染者中推广 COVID-19 疫苗接种,并继续对艾滋病毒感染进行适当管理,以降低这一所谓易感人群中与 COVID-19 相关的发病率和死亡率。
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引用次数: 0
Linezolid-Associated Black Tongue: A Rare Adverse Drug Reaction 利奈唑胺相关黑舌:一种罕见的药物不良反应
Pub Date : 2023-01-22 DOI: 10.29245/2689-9981/2023/1.1170
Dr. Gyanshankar P. Mishra
Linezolid is an effective second-line anti-tuberculosis drug. However, the use of linezolid has been associated with rare adverse drug reactions (ADRs), one of which is the linezolid-associated black hairy tongue (BHT). This reaction is characterized by a black or dark brown discoloration of the tongue, which may be accompanied by a metallic or bitter taste. In this case report, we present a 19-year-old male patient who developed linezolid-associated black tongue while receiving linezolid as part of an all-oral, longer-course treatment regime for multidrug-resistant/rifampicin-resistant tuberculosis (MDR/RR-TB). The patient's BHT was only cosmetic and resolved upon discontinuation of linezolid. This case report aims to raise awareness of this rare ADR and the importance of close monitoring and potential withdrawal of linezolid to optimize treatment outcomes.
利奈唑胺是一种有效的二线抗结核药物。然而,利奈唑胺的使用与罕见的药物不良反应(adr)有关,其中之一是利奈唑胺相关的黑毛舌(BHT)。这种反应的特点是舌头出现黑色或深褐色的变色,并伴有金属味或苦味。在本病例报告中,我们报告了一名19岁的男性患者,他在接受利奈唑胺作为耐多药/利福平耐药结核病(MDR/RR-TB)全口服长期治疗方案的一部分时出现了利奈唑胺相关的黑舌。患者的BHT只是表面的,在停用利奈唑胺后得到解决。本病例报告旨在提高对这一罕见不良反应的认识,以及密切监测和停用利奈唑胺的重要性,以优化治疗结果。
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引用次数: 0
Mycobacterium Bovis mycotic aneurysm of the visceral aorta after intravesical BCG therapy 肠内卡介苗治疗后内脏主动脉的牛分枝杆菌真菌性动脉瘤
Pub Date : 2022-08-19 DOI: 10.29245/2689-9981/2022/1.1169
E. Deveze, D. Raimondeau, M. Ammi
Case report of a 73-year-old man with Mycobacterium bovis BCG supra renal saccular aortic aneurysm eight months after intravesical BCG therapy.
一例73岁男性患者在膀胱内卡介苗治疗8个月后并发牛卡介苗分枝杆菌肾囊主动脉瘤。
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引用次数: 0
COVID-19 in Arab Americans Revealed a Public Health Concern 阿拉伯裔美国人的COVID-19引发了公共卫生问题
Pub Date : 2022-03-22 DOI: 10.29245/2689-9981/2022/1.1166
Eman EL-Sawalhy, Priscila Bercea, Mohammad A Alkheder, M. Khadra, Wehbi Hanayni, Muna Shaaeli, Hanady Daas
COVID-19 infection can lead to severe consequences, especially among ethnic minorities. Data about COVID-19 infection outcomes in the Arab American population as a minority ethnic group compared to other racial and ethnic minorities are lacking. We conducted a retrospective observational cohort study that included 1,740 hospitalized adult patients with confirmed COVID-19 infection from March 12th, 2020, to January 30th, 2021, at a single center to compare baseline characteristics and outcomes in Arabs hospitalized with COVID-19 to patients from other ethnic groups during the same study period. Of those, we identified 320 Arab patients. We found that Arab American population suffered similar odds of complications and adverse outcomes despite having fewer risk factors for severe illness.
COVID-19感染可导致严重后果,特别是在少数民族中。与其他种族和少数民族相比,阿拉伯裔美国人作为少数民族群体的COVID-19感染结果的数据缺乏。我们开展了一项回顾性观察队列研究,纳入了2020年3月12日至2021年1月30日期间1,740例确诊COVID-19感染的住院成年患者,在一个单一中心,比较同一研究期间阿拉伯人与其他族裔患者的基线特征和结局。其中,我们确定了320名阿拉伯患者。我们发现,尽管患严重疾病的危险因素较少,但阿拉伯裔美国人患并发症和不良后果的几率相似。
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引用次数: 0
COVID-19 Comorbidity and Non-Communicable Diseases (NCDs) General Reference Hospital (HGR), Niamey, Niger 2019冠状病毒病共病和非传染性疾病综合参考医院,尼亚美,尼日尔
Pub Date : 2021-10-30 DOI: 10.29245/2689-9981/2021/1.1165
Mahamane Sani Mahamane Aminou, Gbaguidi Aichatou Diawara, Migitaba Hassane Moctar, S. Rabiou, Emoud Tcholi Idrissa, Salifou Alkassoum Ibrahim, F. Adamou, Batouré Oumarou, Ocquet Sakina, B. Souleymane, Moussa Salia Amadou, Oumara Maman, Tambwe Didier, Anya Blanche, Ngozi Idemili-Aronu, Igweonu Obianuju, Dangou Jean-marie, Adéhossi Eric, Okeibunor Joseph Chukwudi, Talisuna Ambrose
The COVID-19 infection has highlighted the most vulnerable patients. Indeed, COVID-19 patients suffering from another pathology including NCDs such as Arterial Hypertension (Hypertension), diabetes, cancers and respiratory diseases are paying a heavy price for this pandemic. We undertook a study in Niger to better document this comorbidity in a cross-sectional study that brought together patients hospitalized at the Niamey General Reference Hospital for COVID-19 infection and suffering from one or more NCDs. Among 273 patients hospitalized from March 19 to June 03, 2020, 34.8% had a non-communicable disease associated with COVID-19. The average age of the patients was 55 years (22 years to 94 years) and the sex ratio was 2.64 (72.5 % men and 27.5% women). Hypertension was the most represented NCD with 24.5%, followed by diabetes in 17.9% of cases, respiratory diseases 3.66% and other diseases (Heart disease, Obesity, Dyslipidemia, Gout, Chronic renal failure) with 3%. Health workers were the most affected by the disease with 38.6% of cases. The average consultation time was 3.77 days with extremes ranging from 1 to 8 days. The clinical symptoms characterizing the two main groups of patients (hypertensive and diabetic) were almost identical. It consisted mainly of cough, fever, chills, sore throat and rhinorrhea. According to the WHO clinical criteria for the severity of COVID-19, 34 patients or 16.11% were severe and 177 patients or 83% moderate. The clinical severity of the disease is significantly correlated with the patient's age (over 50 years) and the presence of an NCD associated with COVID-19. A total of 35.8% were hospitalized in intensive care in the NCD and COVID-19 group and 14.6% in the NCD group (p <0.001). The average length of patient hospitalization was 6.87 days overall, it was 7 days in intensive care. In 61.7% of cases the length of hospitalization was greater than 4 days. There was 22.1% in the NCD group and 7.3% in the just COVID-19 group (p <0.001). A total of 90.6% of registered deaths occurred in intensive care.
COVID-19感染突出了最脆弱的患者。事实上,患有动脉高血压(高血压)、糖尿病、癌症和呼吸系统疾病等非传染性疾病的COVID-19患者正在为这次大流行付出沉重代价。我们在尼日尔进行了一项研究,以便在一项横断面研究中更好地记录这种共病,该研究汇集了在尼亚美综合参考医院住院的COVID-19感染和患有一种或多种非传染性疾病的患者。2020年3月19日至6月3日住院的273例患者中,34.8%患有与COVID-19相关的非传染性疾病。患者平均年龄55岁(22 ~ 94岁),性别比为2.64(男性72.5%,女性27.5%)。高血压是最具代表性的非传染性疾病,占24.5%,其次是糖尿病,占17.9%,呼吸系统疾病占3.66%,其他疾病(心脏病、肥胖、血脂异常、痛风、慢性肾衰竭)占3%。卫生工作者受该病影响最大,占38.6%。平均会诊时间为3.77天,极值为1至8天。两组主要患者(高血压和糖尿病)的临床症状几乎相同。主要表现为咳嗽、发烧、发冷、喉咙痛和鼻漏。按照世界卫生组织新冠肺炎严重程度临床标准,重度34例,占16.11%;中度177例,占83%。该病的临床严重程度与患者年龄(50岁以上)和是否存在与COVID-19相关的非传染性疾病显著相关。NCD和COVID-19组住院重症监护率为35.8%,NCD组为14.6% (p <0.001)。患者总体平均住院时间为6.87 d,重症监护期为7 d。61.7%的病例住院时间大于4天。非传染性疾病组为22.1%,单纯COVID-19组为7.3% (p <0.001)。90.6%的登记死亡发生在重症监护室。
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引用次数: 0
Human Papillomavirus (HPV) Viral Proteins Substitute for the Impact of Somatic Mutations by Affecting Cancer-Related Genes: Meta-analysis and Perspectives 人乳头瘤病毒(HPV)病毒蛋白通过影响癌症相关基因来替代体细胞突变的影响:meta分析和观点
Pub Date : 2020-06-01 DOI: 10.29245/2689-9981/2020/1.1157
Zisheng Shang, V. Kouznetsova, I. Tsigelny
Purpose: Although a strong association between human papillomavirus (HPV) and a variety of cancers has long been established, infection by HPV alone has been shown to be insufficient for the induction of cancer, with a large number of HPV infections regressing without causing cancer. Additionally, HPV-negative cases have worse prognosis rates than HPV-positive ones across a multitude of cancer types. The reasons behind these phenomena are poorly understood. We try to explain it.
目的:虽然人类乳头瘤病毒(HPV)与多种癌症之间的密切联系早已确立,但仅感染HPV不足以诱发癌症,大量HPV感染消退而不致癌。此外,在多种癌症类型中,hpv阴性病例的预后率比hpv阳性病例更差。人们对这些现象背后的原因知之甚少。我们试图解释它。
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引用次数: 3
https://www.infectiologyjournal.com/article/3/1 https://www.infectiologyjournal.com/article/3/1
Pub Date : 2020-04-01 DOI: 10.29245/2689-9981/2020/1.1154
Gyanshankar P. Mishra, N. Babu
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引用次数: 0
Clinical Approaches of HIV-1/HTLV-1 Co-infection Still Keep their Mysteries HIV-1/HTLV-1合并感染的临床方法仍不清楚
Pub Date : 2019-07-01 DOI: 10.29245/2689-9981/2019/4.1146
Gergès Rizkallah, R. Mahieux, H. Dutartre
Clinical Approaches of HIV-1/HTLV-1 Co-infection Still Keep their Mysteries Gerges Rizkallah1, Renaud Mahieux2, Hélène Dutartre2 1Faculty of Public Health, Sagesse University, Beirut, Lebanon 2Équipe oncogenèse rétrovirale, équipe labellisée «FRM», CIRI – Centre International de Recherche en Infectiologie, Univ Lyon, Université Claude Bernard Lyon 1, Inserm, U1111, CNRS, UMR, ENS Lyon, Lyon, France
Clinical。unep / of gag hcmv感染Still Keep their Mysteries Gerges Rizkallah1、Renaud Mahieux2海伦Dutartre2 1Faculty大学公共健康、智慧、贝鲁特、黎巴嫩2Équipe oncogenèse蛋白酶、团队-«FRM»,CIRI—抗、里昂大学国际研究中心大学(Claude Bernard里昂1 - Inserm、U1111 CNRS、UMR ENS、里昂,里昂,法国
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引用次数: 1
Multidrug Resistant Probiotics as an Alternative to Antibiotic Probiotic therapy 多药耐药益生菌作为抗生素益生菌治疗的替代品
Pub Date : 2019-07-01 DOI: 10.29245/2689-9981/2019/4.1147
D. Lokesh, K. Rajagopal, Jae-Ho Shin
Drug-resistance is a major problem globally, the number of drug-resistant bacteria has increased substantially through horizontal gene transfer. Even Mycobacterium tuberculosis are reported to have acquired antitubercular drug-resistance and named as MDR Mtb. The acquisition of immunity has not given up, here; it is needed to be a continuous procedure. Further causing the microbial adapting to a very high and larger number of drugs recognized as extreme drug and total drug-resistance. The mechanistic aspects of MDR Mtb are well understood. Nevertheless, this is not the case with Probiotic microbes such as Bifidobacterium adolescentis. Herein, we report the mechanistic aspects of antitubercular drug-resistance in this organism for the first time. This review discusses the report by a mutation that confers multi drug-resistance in Bifidobacteria.
耐药性是一个全球性的主要问题,耐药细菌的数量通过水平基因转移而大幅增加。据报道,甚至结核分枝杆菌也获得了抗结核药物耐药性,并被命名为MDR Mtb。在这里,获得豁免权并没有放弃;这需要是一个连续的过程。进一步造成微生物对非常高和数量较多的药物的适应,被认为是极端耐药和完全耐药。耐多药Mtb的机制方面已得到充分了解。然而,这与益生菌微生物,如双歧杆菌青少年的情况不同。在此,我们首次报道了这种生物抗结核耐药性的机制方面。本文综述了双歧杆菌中产生多重耐药突变的报道。
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引用次数: 4
Benefits and Limitations of MALDI-TOF Mass Spectrometry for the Identification of Microorganisms MALDI-TOF质谱法鉴定微生物的优点和局限性
Pub Date : 2019-07-01 DOI: 10.29245/2689-9981/2019/4.1142
J. Rychert
Matrix-assisted laser desorption-ionization time of flight mass spectrometry (MALDI-TOF MS) is replacing traditional methods for identifying microorganisms in the clinical laboratory. This relatively simple technique overcomes many of the challenges of identifying bacteria and fungi. As the technology has evolved, the expansion of the databases containing spectra of known organisms has allowed for the identification of species with similar phenotypic, genotypic, and biochemical properties that was not previously possible. This has resulted in improvements in clinical care including improving the diagnosis of infections caused by relatively rare species and decreasing the time to diagnosis. In many cases, this leads to a reduction in the time to appropriate therapy and even a decrease in the length of hospital stays. However, it is not without its limitations. Inherent similarities between organisms and a limited number of spectra in the database can lead to poor discrimination between species, as well as misidentifications. These errors occur with relatively low frequency and can typically be overcome with supplemental testing. The adoption of MALDITOF MS in the clinical microbiology laboratory is revolutionizing infectious disease diagnosis and clinical care.
基质辅助激光解吸-电离飞行时间质谱法(MALDI-TOF MS)正在取代传统的临床实验室微生物鉴定方法。这种相对简单的技术克服了识别细菌和真菌的许多挑战。随着技术的发展,包含已知生物光谱的数据库的扩展已经允许识别具有相似表型,基因型和生化特性的物种,这在以前是不可能的。这导致了临床护理的改善,包括改善了对相对罕见的物种引起的感染的诊断,并缩短了诊断时间。在许多情况下,这导致适当治疗的时间缩短,甚至住院时间缩短。然而,它并非没有局限性。生物之间的内在相似性和数据库中有限数量的光谱可能导致物种之间的差区分,以及错误识别。这些错误发生的频率相对较低,通常可以通过补充测试来克服。在临床微生物实验室中采用MALDITOF质谱正在彻底改变传染病的诊断和临床护理。
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引用次数: 61
期刊
Journal of Infectiology
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