SARS-CoV-2感染的发病机制

Nicolás Faúndes G, Karen Genskowsky V, R. Tordecilla F
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摘要

Covid-19是一种传染病,其病原被称为SARS-CoV-2。它具有高传染率,高发病率和死亡率,并可能危及多器官。其主要感染途径是飞沫,但也可通过气溶胶、粪口和接触污染物等其他途径感染。尽管免疫反应对于防御任何感染都至关重要,但在严重的Covid-19感染中,免疫系统会发生失调,导致细胞因子显著增加,从而导致全身炎症状态。炎症、感染和病毒脱落会损害肺部、血管、大脑、胃肠道、肾脏、心脏和肝脏,最终导致多器官功能障碍和衰竭。
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Patogenia de la infección por SARS-CoV-2
Covid-19 is an infectious disease whose etiological agent called SARS-CoV-2. It has a high contagion rate, high morbidity and mortality, and potential multi-organ compromise. Its main route of infection is by droplets, however, the infection can be acquired by other routes such as aerosols, fecal-oral and contact with fomites. Although the immune response is essential for defense against any infection, in severe Covid-19 infection, a dysregulation of the immune system occurs, which leads to marked increases of cytokines and the consequent systemic inflammatory state. Inflammation, infection, and viral shedding can compromise the lungs, blood vessels, brain, gastrointestinal (GI) tract, kidneys, heart, and liver, ultimately leading to multiple organ dysfunction and failure.
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