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Epidemiological and clinical features of human coronavirus infections among different subsets of patients

Identifieur interne : 001247 ( Main/Exploration ); précédent : 001246; suivant : 001248

Epidemiological and clinical features of human coronavirus infections among different subsets of patients

Auteurs : Tatiane K. Cabeça ; Celso Granato ; Nancy Bellei

Source :

RBID : PMC:4634278

Abstract

Background

Epidemiological and clinical data of human coronaviruses (HCoVs) infections are restricted to span 1–3 years at most. We conducted a comprehensive 9‐year study on HCoVs by analyzing 1137 respiratory samples from four subsets of patients (asymptomatic, general community, with comorbidities, and hospitalized) in São Paulo, Brazil.

Methods

A pan‐coronavirus RT‐PCR screening assay was performed, followed by species‐specific real‐time RT‐PCR monoplex assays.

Results

Human coronaviruses were detected in 88 of 1137 (7.7%) of the samples. The most frequently detected HCoV species were NL63 (50.0%) and OC43 (27.3%). Patients with comorbidities presented the highest risk of acquiring coronavirus infection (odds ratio = 4.17; 95% confidence interval = 1.9–9.3), and children with heart diseases revealed a significant HCoV infection presence. Dyspnea was more associated with HCoV‐229E infections (66.6%), and cyanosis was reported only in HCoVOC43 infections. There were interseasonal differences in the detection frequencies, with HCoV‐229E being predominant in the year 2004 (61.5%) and HCoVNL63 (70.8%) in 2008.

Conclusions

Our data provide a novel insight into the epidemiology and clinical knowledge of HCoVs among different subsets of patients, revealing that these viruses may cause more than mild respiratory tract disease.


Url:
DOI: 10.1111/irv.12101
PubMed: 23462106
PubMed Central: 4634278


Affiliations:


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