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A systematic review. Current understanding of the infection caused by Betapolyomavirus hominis 系统回顾。目前对人乙型多瘤病毒感染的认识
Pub Date : 2023-07-06 DOI: 10.22625/2072-6732-2023-15-2-24-34
D. R. Prilepskaya, E. Domonova
Reactivation of Betapolyomavirus hominis (BKPyV) in kidney and hematopoietic stem cell recipients can lead to serious complications such as BKPyV-associated nephropathy followed by transplant rejection and BKPyV-associated hemorrhagic cystitis. Early diagnosis of the disease is hampering by the possible combination of infection of BKPyV with other post-transplant pathologies and the absence of specific symptoms. Replication of BKPyV is currently the only reliable prognostic sign of the development of long-term consequences, so patient management is basseting on monitoring the concentration of viral DNA. However, consistency between the results of determining the viral load and the development of post-transplant complications associated with BKPyV reactivation cannot be achieving without effective means of standardizing laboratory testing. This review covers the current understanding of the epidemiology; pathogenesis and the clinical features of the disease associated with BKPyV, and also considers in detail the current methods of laboratory diagnosis infection of BKPyV.
人型乙型多瘤病毒(BKPyV)在肾脏和造血干细胞受体中的再激活可导致严重的并发症,如BKPyV相关肾病,随后是移植排斥反应和BKPyV相关出血性膀胱炎。由于BKPyV感染可能与其他移植后病理相结合,以及缺乏特异性症状,该病的早期诊断受到阻碍。目前,BKPyV的复制是唯一可靠的长期预后指标,因此患者管理的基础是监测病毒DNA的浓度。然而,如果没有标准化实验室检测的有效手段,就无法实现病毒载量测定结果与移植后BKPyV再激活相关并发症的一致性。这篇综述涵盖了目前对流行病学的理解;本文对BKPyV相关疾病的发病机制和临床特点进行了综述,并对目前BKPyV感染的实验室诊断方法进行了详细的探讨。
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引用次数: 0
Clinical manifestations of asthenic syndrome after coronavirus infection caused by SARS-CoV-2 SARS-CoV-2型冠状病毒感染后虚弱综合征的临床表现
Pub Date : 2023-07-06 DOI: 10.22625/2072-6732-2023-15-2-60-67
A. O. Mikhailov, S. Sokotun, N. Plekhova, A. Simakova, S. N. Beniova, S. Petukhova, E. S. Machtareva, A. S. Bedareva
Introduction. Asthenic disorders due to COVID-19 infection are generally classified under a recently introduced category in ICD-10: U09.9 Condition after COVID-19, unspecified. In this regard, it is necessary to study the clinical manifestations and systematize the asthenic syndrome after coronavirus infection in order to better understand the tactics of treatment and rehabilitation of this group of patients.Objective. To assess the prevalence of asthenic syndrome in patients who have had a coronavirus infection, to characterize and present its dynamics.Materials and methods. The study involved 200 people with a confirmed diagnosis of COVID-19, aged 51 to 83, who were undergoing inpatient treatment. After discharge from the hospital after 6 months and 12 months, these patients again underwent a physical examination, anamnesis, complaints, and a questionnaire to identify symptoms of asthenia and other psychopathological syndromes.Results. Asthenic symptoms were found in 2/3 of the examined persons. Autonomic disorders were noted with a slight decrease from 81.5% after 6 months to 74.2% after 12. Sleep disorders and increased fatigue progressed during the observed period from 70.4% to 80.6% and 63.0 to 74.2% respectively. Emotional lability of patients as a whole did not change.Conclusion. Polymorphic symptoms of asthenic syndrome were revealed, the most common phenomena were sleep disorders and symptoms of fatigue.
介绍。由COVID-19感染引起的衰弱障碍通常归为ICD-10中最近引入的类别:COVID-19后病情,未指明。因此,有必要对冠状病毒感染后虚弱综合征的临床表现进行研究,并将其系统化,以更好地了解这组患者的治疗和康复策略。评估冠状病毒感染患者中虚弱综合征的患病率,表征并呈现其动态。材料和方法。该研究涉及200名确诊为COVID-19的人,年龄在51岁至83岁之间,他们正在接受住院治疗。在出院6个月和12个月后,这些患者再次接受体格检查、记忆、主诉和问卷调查,以确定虚弱症状和其他精神病理综合征。2/3的被调查者出现虚弱症状。注意到自主神经障碍,从6个月后的81.5%轻微下降到12个月后的74.2%。在观察期内,睡眠障碍和疲劳加重分别从70.4%上升到80.6%和63.0上升到74.2%。患者的情绪不稳定性总体上没有变化。虚弱综合征表现为多态症状,最常见的是睡眠障碍和疲劳症状。
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引用次数: 0
The role of immune homeostasis in patients with new coronavirus infection (COVID-19) in the development of invasive pulmonary aspergillosis 新型冠状病毒感染(COVID-19)患者免疫稳态在侵袭性肺曲霉病发展中的作用
Pub Date : 2023-07-06 DOI: 10.22625/2072-6732-2023-15-2-14-23
A. Taraskina, E. Frolova, O. Shadrivova, O. V. Sekretareva, N. Vasilyeva
Recently, more attention has been paid to the role of indolamine-2,3-dioxygenase and aryl hydrocarbon receptor in maintaining a balance between immune reactivity and tolerance in various infectious diseases. It is known that the hallmark of COVID-19 is the activation of immuno-inflammatory pathways that induce indoleamine-2,3-dioxygenase, a key enzyme that catalyzes the metabolism of tryptophan along the kynurenine pathway, thereby changing the ratio of kynurenine/tryptophan in the blood serum of patients. An important property of SARS-CoV-2 is its ability to bind to aryl hydrocarbon receptor, which leads to an increase in intracellular expression of indolamine-2,3-dioxygenase and production of kynurenine at the initial stage of infection. Long-term activation of the aryl hydrocarbon receptor increases the production of interleukin-6, enhancing the inflammatory state and counteracting immune tolerance in the later stages of COVID-19. In aggregate, these data point to an important role of indolamine 2,3-dioxygenase and the aryl hydrocarbon receptor in controlling inflammation in patients with COVID-19. Dysregulation of the immune response not only threaten the host’s ability to cope with SARS-CoV-2, but can also predispose a person to secondary bacterial and fungal infections. Among the secondary infections that occur in patients with new coronavirus infection, COVID-19-associated invasive pulmonary aspergillosis is an important cause of death, although many aspects of the disease still remain unresolved. This review presents the current understanding of the importance of tryptophan metabolites and immunological factors in the pathogenesis of COVID-19 and invasive pulmonary aspergillosis.
近年来,吲哚胺-2,3-双加氧酶和芳烃受体在各种传染病中维持免疫反应性和耐受性平衡中的作用越来越受到关注。已知COVID-19的标志是激活免疫炎症途径,诱导吲哚胺-2,3-双加氧酶,该酶是催化色氨酸沿犬尿氨酸途径代谢的关键酶,从而改变患者血清中犬尿氨酸/色氨酸的比例。SARS-CoV-2的一个重要特性是其与芳烃受体的结合能力,这导致细胞内吲哚胺-2,3-双加氧酶的表达增加,并在感染初期产生犬尿氨酸。芳烃受体的长期激活会增加白细胞介素-6的产生,从而在COVID-19晚期增强炎症状态并抵消免疫耐受。综上所述,这些数据表明吲哚胺2,3-双加氧酶和芳烃受体在控制COVID-19患者炎症中的重要作用。免疫反应失调不仅会威胁宿主应对SARS-CoV-2的能力,还会使人容易继发性细菌和真菌感染。在新型冠状病毒感染患者发生的继发感染中,covid -19相关的侵袭性肺曲霉病是一个重要的死亡原因,尽管该疾病的许多方面仍未得到解决。本文综述了目前对色氨酸代谢物和免疫因子在COVID-19和侵袭性肺曲霉病发病机制中的重要性的认识。
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引用次数: 0
Characteristics, Clinical Manifestations, Length of Hospitalization and Nutritional Status of COVID-19 patients COVID-19患者的特点、临床表现、住院时间及营养状况
Pub Date : 2023-06-30 DOI: 10.22625/2072-6732-2023-15-2-68-73
Erika Martining Wardani, Riezky Faisal Nugroho, Difran Nobel Bistara, L. Wijayanti, Siti Nurhasina, Fety Susanti Cahyaningsih
Background: The disease that is endemic and has become a global pandemic is COVID-19 due to reports of thousands of cases. The pandemic is weighing on intensive care units with an influx of COVID-19 patients. The clinical manifestations of COVID-19 vary, diagnostic examinations and treatment are also experiencing dynamic developments. This study aims to provide an overview of the characteristics, clinical manifestations, length of treatment and nutritional status of COVID-19 patients who are hospitalized in the Isolation Room of Dr Soetomo Hospital Surabaya.Methods: this study used a descriptive analytic cross-sectional method with inclusion criteria that were positive for COVID-19. The research data was obtained from 130 hospital medical records for the period June to August 2021. The collected data was then analyzed using SPSS version 25.Results: The study found that men were more exposed to COVID-19 (71.5%) and 70% of patients worked as medical personnel. The age range of the majority of patients was more than 40 years (78.5%). Clinical manifestations of COVID-19 patients were cough (44.6%), fever (40%), flu-like symptoms (32.3%), painful swallowing (26.2%), anosmia (16.2%), shortness of breath (15.4%), nausea (14.6%), vomiting (13.8%), and diarrhea (0.9%). The average length of stay is 7-14 days (9.2%) with adequate nutritional status (14.6%).Conclusion: The majority of COVID-19 sufferers are male, over 40 years old, with cough symptoms, and the most comorbid hypertension, as well as deaths from hypertension and the elderly. Better treatment is needed for people with COVID-19.
背景:由于报告了数千例病例,地方性疾病COVID-19已成为全球大流行。随着COVID-19患者的涌入,大流行给重症监护病房带来了压力。COVID-19的临床表现多种多样,诊断检查和治疗也在不断发展。本研究旨在概述在泗水Soetomo医生医院隔离室住院的COVID-19患者的特征、临床表现、治疗时间和营养状况。方法:本研究采用描述性分析横断面方法,纳入标准为COVID-19阳性。研究数据来自2021年6月至8月期间的130份医院医疗记录。收集的数据然后使用SPSS 25版进行分析。结果:研究发现,男性更容易接触COVID-19(71.5%), 70%的患者是医务人员。年龄≥40岁者占多数(78.5%)。临床表现为咳嗽(44.6%)、发热(40%)、流感样症状(32.3%)、吞咽痛(26.2%)、嗅觉丧失(16.2%)、呼吸短促(15.4%)、恶心(14.6%)、呕吐(13.8%)、腹泻(0.9%)。平均住院时间为7-14天(9.2%),营养状况良好(14.6%)。结论:新冠肺炎患者以男性为主,年龄在40岁以上,以咳嗽症状为主,高血压合并症最多,高血压死亡和老年死亡最多。COVID-19患者需要更好的治疗。
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引用次数: 0
Atypical course of parvovirus B19 infection with combined infection (clinical observation) 细小病毒B19感染合并感染的不典型病程(临床观察)
Pub Date : 2023-04-21 DOI: 10.22625/2072-6732-2023-15-1-126-133
O. N. Nikishov, A. A. Kuzin, A. Y. Antipova, I. Lavrentieva, O. Maltsev, K. Kozlov, E. A. Antoniсhev, S. N. Nikishov, A. S. Sigidaev
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引用次数: 0
Rare clinical cases of tularemia 兔吸虫病临床罕见病例
Pub Date : 2023-04-21 DOI: 10.22625/2072-6732-2023-15-1-134-138
L. Rubis, O. Ekimova
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引用次数: 0
Rare clinical forms of chronic brucellosis 罕见临床形式的慢性布鲁氏菌病
Pub Date : 2023-04-21 DOI: 10.22625/2072-6732-2023-15-1-121-125
N. Pshenichnaya, G. Gopatsa, T. Sergeeva
Brucellosis is the most common and severe infectious disease in the group of zoonotic infections. This disease is characterized by a multisysitemic lesion. The difficulties in diagnosing this disease are associated with the pathogenetic features of the development of brucellosis, namely prolonged bacteremia, which causes the development of secondary foci of infection in various organs and tissues, manifested by a variety of clinical manifestations, the erasure of symptoms of the disease, as well as the appearance of rare clinical forms of brucellosis.One of the rare clinical manifestations of chronic brucellosis is the defeat of the cardiovascular system and the defeat of the nervous system. According to the latest literature data, cardiovascular complications of brucellosis in humans account for only 3%, but are the main cause of death in 80%. Damage to the nervous system is rare, with a registered frequency of 3% to 13%.Clinical manifestations of neurobrucellosis are diverse and can mimic many other neurological diseases. The most common manifestations of brucellosis may be meningitis, meningoencephalitis. Despite the rare occurrence, these forms of the disease are severe, lead to disability and mortality with late diagnosis. The article presents clinical cases of brucellosis with lesions of the heart and central nervous system.
布鲁氏菌病是人畜共患传染病中最常见和最严重的传染病。这种疾病的特点是多系统病变。诊断这种疾病的困难与布鲁氏菌病发展的病理特征有关,即长期菌血症,导致各种器官和组织中继发性感染灶的发展,表现为各种临床表现,疾病症状消失,以及出现罕见的布鲁氏菌病临床形式。慢性布鲁氏菌病的罕见临床表现之一是心血管系统和神经系统的失败。根据最新文献资料,人类布鲁氏菌病的心血管并发症仅占3%,但却是80%的主要死亡原因。对神经系统的损害是罕见的,登记的频率为3%至13%。神经布鲁氏菌病的临床表现多种多样,可以模仿许多其他神经系统疾病。布鲁氏菌病最常见的表现可能是脑膜炎、脑膜脑炎。尽管罕见,这些形式的疾病是严重的,导致残疾和死亡,较晚诊断。本文介绍了布鲁氏菌病与心脏和中枢神经系统病变的临床病例。
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引用次数: 0
Instruction to autor 给自动驾驶人的指示
Pub Date : 2023-04-21 DOI: 10.17816/mechnikov201572135-136
A. Editorial
.
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引用次数: 0
Determination of anti-pertussis antibodies in schoolchildren with long-term cough 长期咳嗽学童抗百日咳抗体的测定
Pub Date : 2023-04-20 DOI: 10.22625/2072-6732-2023-15-1-93-100
T. A. Skirda, O. Borisova, A. Borisova, S. Kombarova, A. S. Pimenova, N. Gadua, I. Chagina, M. Petrova, L. Kafarskaya
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引用次数: 0
Features of the system of epidemiological surveillance of infectious diseases in the Socialist Republic of Vietnam 越南社会主义共和国传染病流行病学监测制度的特点
Pub Date : 2023-04-20 DOI: 10.22625/2072-6732-2023-15-1-108-114
V. T. Hoang, A. A. Kuzin, A. Zobov, A. A. Zobovа
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引用次数: 0
期刊
Journal Infectology
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