SARS-CoV-2 infection in a child with primary immunodeficiency: a case report

Matsura, Rodrigo; Cardoso, Maíra; Galleti, Karine Vusberg; Delgado, Artur Figueiredo; Carvalho, Werther

doi:10.25060/residpediatr-2020.v10n2-367

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“…[ 26 ] Another factor which has been described as associated with a worse prognosis in cases hospitalized for COVID-19 are immunodeficient patients. According to Matsura et al ,[ 27 ] it is possible that primary immunodeficiency causes more severe COVID-19 conditions by both direct action of the virus and by an inadequate inflammatory response, meaning that any type of immunodeficiency, whether genetic or extrinsic, has a higher risk of developing complications when infected by the SARS-CoV-2.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Death among Hospitalized and Nonhospitalized Patients due to COVID-19 in a Triple International Border Municipality

Gordillo,

Andrade,

Hoare

et al. 2024

Journal of Global Infectious Diseases

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Introduction: The severity of COVID-19 in the general population ranges from minimally symptomatic disease to critical illness, which may require hospitalization and progress to death Methods: A retrospective cohort study carried out with all positive cases of COVID-19 reported in the municipality of Foz do Iguaçu (PR) between the period from March 2020 to December 2021. Data were collected from Bank Notifies COVID-19 is the name of the information system that provides notifications by professionals of suspected and confirmed cases of the disease. Data were analyzed using descriptive statistical techniques and calculation of relative risk Results: 24,647 confirmed cases were identified in the study; among these, 22,211 (90.1%) were not hospitalized and 2436 (9.9%) were hospitalized. Among the 2436 patients hospitalized for COVID-19, 947 (38.9%) died and 1489 (61.1%) recovered. Among the 22,211 outpatients, 93 (0.4%) died and 22,118 (99.6%) recovered. An association between death and the following characteristics was identified among the cases that were hospitalized: male gender, all age groups over 40 years, indigenous race/color, hospital staylength of more than 10 days,hospitalization in a Unified Health System (SUS) bed and in an Intensive Care Unit (ICU). According to the clinical characteristics of symptoms and comorbidities, the following prevailed:ities dyspnea, intercostal retraction, cyanosis, hypertension, diabetes, obesity, cardiovascular disease, smoking, lung disease, kidneydisease, neurological disease, neoplasia, and immunodeficiency. Among the cases that were not hospitalized, death was associated with: malegender, all age groups over 50 years, dyspnea, cyanosis, hypertension, diabetes, obesity, cardiovascular disease, kidney disease, neurological disease, neoplasia, and liver disease Conclusions: Older adults, male, and Caucasian people are commonly affected by COVID-19 and can evolve with aggravation when they have modifiable risk factors such as obesity and smoking, as well as nonmodifiable risk factors such as: cardiovascular disease, neurological disease, renal, hypertension, diabetes, and immunosuppression.

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Section: Discussionmentioning

confidence: 99%