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COVID-19 Clinical Presentation Among HIV-Infected Persons in China: A Systematic Review

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单位: [1]Department of Hematology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China [2]Department of Child and Adolescent Health and Maternal Care, School of Public Health, Capital Medical University, No.10 You’anmenwai Xitoutiao, Fengtai District, Beijing 100069, China [3]Department of Epidemiology of Microbial Diseases, Yale School of Public Health, and Department of Pediatrics, Yale School of Medicine, New Haven, CT, USA
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关键词: SARS-COV-2 HIV Coinfection COVID-19 Clinical presentation China

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Purpose of Review The impact of HIV infection on the natural history of COVID-19 is unknown, given the recency of the human spread of SARS-CoV-2 (CoV). We reviewed published case series/reports of CoV-HIV coinfections to clarify epidemiologic and clinical features in China, the first nation with pandemic experience. Recent Findings Assuming that HIV-infected persons were at average risk of CoV infection in Wuhan, we estimated HIV-CoV coinfected persons to number 412 (95%CI: 381-442); our review encompassed an estimated 16.7% (69/412) of Wuhan. Men (many of whom reported sex with other men) accounted for 71.1% (54/76) of the cases reported in China. The median age was 48.0 years old (range 24-77, interquartile:37-57). The median CD4+ cell count at the last clinical visit was 421 cells/mu L; 83.0% had an undetectable viral load. Among 31 patients with clinical details reported, fatigue (41.9%), respiratory distress (41.9%), and gastrointestinal symptoms (26.7%) were most common. Among the 52 cases reporting COVID-19 clinical severity, 46.2% were severe, 44.2% mild, and 9.6% asymptomatic COVID-19. Late antiretroviral therapy (ART) was reported by 30.4% (7/23) among whom 57.1% (4/7) were confirmed as severe COVID-19. The case fatality rate was 9.1% (3/33). Severe disease and death were less common among persons who took ART prior to the COVID-19 diagnosis. Of 16 reported IL-6 results, 68.7% were within the normal range. Earlier use of ART was associated with a better COVID-19 prognosis with CoV-HIV co-infection reported from China through early 2021, but small sample sizes limit definitive conclusions.

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出版当年[2021]版:
大类 | 2 区 医学
小类 | 2 区 传染病学
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大类 | 2 区 医学
小类 | 2 区 传染病学
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Q1 INFECTIOUS DISEASES
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Q2 INFECTIOUS DISEASES

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第一作者单位: [1]Department of Hematology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
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