Clinical characteristics of 140 patients infected with SARS-CoV-2 in Wuhan, China
- PMID: 32077115
- DOI: 10.1111/all.14238
Clinical characteristics of 140 patients infected with SARS-CoV-2 in Wuhan, China
Abstract
Background: Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection has been widely spread. We aim to investigate the clinical characteristic and allergy status of patients infected with SARS-CoV-2.
Methods: Electronic medical records including demographics, clinical manifestation, comorbidities, laboratory data, and radiological materials of 140 hospitalized COVID-19 patients, with confirmed result of SARS-CoV-2 viral infection, were extracted and analyzed.
Results: An approximately 1:1 ratio of male (50.7%) and female COVID-19 patients was found, with an overall median age of 57.0 years. All patients were community-acquired cases. Fever (91.7%), cough (75.0%), fatigue (75.0%), and gastrointestinal symptoms (39.6%) were the most common clinical manifestations, whereas hypertension (30.0%) and diabetes mellitus (12.1%) were the most common comorbidities. Drug hypersensitivity (11.4%) and urticaria (1.4%) were self-reported by several patients. Asthma or other allergic diseases were not reported by any of the patients. Chronic obstructive pulmonary disease (COPD, 1.4%) patients and current smokers (1.4%) were rare. Bilateral ground-glass or patchy opacity (89.6%) was the most common sign of radiological finding. Lymphopenia (75.4%) and eosinopenia (52.9%) were observed in most patients. Blood eosinophil counts correlate positively with lymphocyte counts in severe (r = .486, P < .001) and nonsevere (r = .469, P < .001) patients after hospital admission. Significantly higher levels of D-dimer, C-reactive protein, and procalcitonin were associated with severe patients compared to nonsevere patients (all P < .001).
Conclusion: Detailed clinical investigation of 140 hospitalized COVID-19 cases suggests eosinopenia together with lymphopenia may be a potential indicator for diagnosis. Allergic diseases, asthma, and COPD are not risk factors for SARS-CoV-2 infection. Older age, high number of comorbidities, and more prominent laboratory abnormalities were associated with severe patients.
Keywords: COVID-19; SARS-CoV-2; allergy; eosinophil; risk factor.
© 2020 EAACI and John Wiley and Sons A/S. Published by John Wiley and Sons Ltd.
Comment in
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Sex difference and smoking predisposition in patients with COVID-19.Lancet Respir Med. 2020 Apr;8(4):e20. doi: 10.1016/S2213-2600(20)30117-X. Epub 2020 Mar 11. Lancet Respir Med. 2020. PMID: 32171067 Free PMC article. No abstract available.
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What dermatologists could do to cope with the novel coronavirus (SARS-CoV-2): a dermatologist's perspective from China.J Eur Acad Dermatol Venereol. 2020 May;34(5):e211-e212. doi: 10.1111/jdv.16389. J Eur Acad Dermatol Venereol. 2020. PMID: 32220020 No abstract available.
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Severe acute respiratory syndrome coronavirus 2 pneumonia and pulmonary embolism in a 66-year-old woman.Pol Arch Intern Med. 2020 May 29;130(5):438-439. doi: 10.20452/pamw.15333. Epub 2020 May 1. Pol Arch Intern Med. 2020. PMID: 32356640 No abstract available.
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Early experiences of SARS-CoV-2 infection in severe asthmatics receiving biologic therapy.J Allergy Clin Immunol Pract. 2020 Sep;8(8):2784-2786. doi: 10.1016/j.jaip.2020.06.027. Epub 2020 Jun 24. J Allergy Clin Immunol Pract. 2020. PMID: 32592790 Free PMC article. No abstract available.
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