Study of Clinical and Biological Characteristics of Moroccan Covid-19 Patients With and Without Olfactory and/or Gustatory Dysfunction
Identifieur interne : 000757 ( Main/Exploration ); précédent : 000756; suivant : 000758Study of Clinical and Biological Characteristics of Moroccan Covid-19 Patients With and Without Olfactory and/or Gustatory Dysfunction
Auteurs : Hasnae Benkirane [Maroc] ; Jaafar Heikel [Maroc] ; Fatima Zahra Laamiri [Maroc] ; Amina Bouziani [Maroc] ; Houria Lahmam [Maroc] ; Ayoub Al-Jawaldeh [Égypte] ; Noureddine El Haloui [Maroc] ; Khalid Ennibi [Maroc] ; Naim Akhtar-Khan [France] ; El Mostafa El Fahime [Maroc] ; Majdouline Obtel [Maroc] ; Amina Barkat [Maroc] ; Hassan Aguenaou [Maroc]Source :
- Frontiers in Physiology [ 1664-042X ] ; 2020.
Abstract
The epidemic of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), causing coronavirus disease 2019 (COVID-19), presents a significant and urgent threat to global health. This alarming viral infection, declared as pandemic by the WHO in February 2020, has resulted millions of infected patients and thousands of deaths around the world. In Morocco, despite the efforts made by the authorities, the SARS-CoV-2 continues to spread and constitutes a burden of morbidity and mortality. The objective of this study is to describe clinical characteristics of COVID-19 Moroccan patients and to establish the relationship between specific clinical symptoms, namely ageusia and/or anosmia, with these characteristics.
We performed a descriptive, non-interventional cross-sectional study analyzing data from 108 patients admitted to the VINCI clinic, Casablanca (Morocco). The database includes 39 parameters including epidemiological characteristics, anthropometric measurements and biological analyzes.
The average of age of the patients was 43.80 ± 15.75 years with a sex ratio of 1:1. The mean body mass index of the patients was 25.54 ± 4.63 Kg/m2. The majority of patients had, at least, one comorbidity and among 75% symptomatic patients, about 50% had, at least, three symptoms namely, fever (40.7%), cough (39.8%), myalgia (28.7%), and anosmia and/or ageusia (20.4%). From biological analyzes, we noticed lymphopenia and an elevated protein C reactive and lactate dehydrogenases levels in 24.1, 36.1, and 35.2% of patients, respectively. A disturbance in liver function markers was observed in 15.7% of cases. For the other hemostasis parameters, high levels of prothrombin and platelets were reported in 14.6 and 14.8% of patients, respectively. Comparisons related to the presence of anosmia and/or ageusia did not show any difference for demographic and anthropometric characteristics, while a possibility of a significant difference was revealed for certain biological parameters, particularly the levels of lymphocytes, D-dimer and troponin.
This study provides significant findings that will be used not only to supplement previous studies carried out in Morocco in order to resume the epidemiological situation in comparison with other countries, but also to improve the quality of the diagnosis of COVID-19 patients by identifying all the symptoms of the disease and better understanding its clinical outcomes.
Url:
DOI: 10.3389/fphys.2020.595005
PubMed: 33329044
PubMed Central: 7710934
Affiliations:
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Nutrition (AFRA/IAEA), Ibn Tofaïl University</institution>,<addr-line>Kenitra</addr-line>,<country>Morocco</country></nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">33329044</idno><idno type="pmc">7710934</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7710934</idno><idno type="RBID">PMC:7710934</idno><idno type="doi">10.3389/fphys.2020.595005</idno><date when="2020">2020</date><idno type="wicri:Area/Pmc/Corpus">000188</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000188</idno><idno type="wicri:Area/Pmc/Curation">000188</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000188</idno><idno type="wicri:Area/Pmc/Checkpoint">000033</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000033</idno><idno 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first="Hasnae" last="Benkirane">Hasnae Benkirane</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>CNESTEN, Joint Research Unit in Nutrition and Food, Regional Designated Center of Nutrition (AFRA/IAEA), Ibn Tofaïl University</institution>,<addr-line>Kenitra</addr-line>,<country>Morocco</country></nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Heikel, Jaafar" sort="Heikel, Jaafar" uniqKey="Heikel J" first="Jaafar" last="Heikel">Jaafar Heikel</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Mohammed VI University of Health Sciences</institution>,<addr-line>Casablanca</addr-line>,<country>Morocco</country></nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Laamiri, Fatima Zahra" sort="Laamiri, Fatima Zahra" uniqKey="Laamiri F" first="Fatima Zahra" last="Laamiri">Fatima Zahra Laamiri</name><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Laboratory of Health Sciences and Technology, Higher Institute of Health Sciences of settat, Hassan First University of Settat</institution>,<addr-line>Settat</addr-line>,<country>Morocco</country></nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Bouziani, Amina" sort="Bouziani, Amina" uniqKey="Bouziani A" first="Amina" last="Bouziani">Amina Bouziani</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>CNESTEN, Joint Research Unit in Nutrition and Food, Regional Designated Center of Nutrition (AFRA/IAEA), Ibn Tofaïl University</institution>,<addr-line>Kenitra</addr-line>,<country>Morocco</country></nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Lahmam, Houria" sort="Lahmam, Houria" uniqKey="Lahmam H" first="Houria" last="Lahmam">Houria Lahmam</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>CNESTEN, Joint Research Unit in Nutrition and Food, Regional Designated Center of Nutrition (AFRA/IAEA), Ibn Tofaïl University</institution>,<addr-line>Kenitra</addr-line>,<country>Morocco</country></nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Al Jawaldeh, Ayoub" sort="Al Jawaldeh, Ayoub" uniqKey="Al Jawaldeh A" first="Ayoub" last="Al-Jawaldeh">Ayoub Al-Jawaldeh</name><affiliation wicri:level="1"><nlm:aff id="aff4"><institution>Nutrition, Department of NonCommunicable Diseases and Mental Health World Health Organization (WHO),Regional Office for the Eastern Mediterranean (EMRO), Abdul Razzak Al-Sanhouri</institution>,<addr-line>Cairo</addr-line>,<country>Egypt</country></nlm:aff><country xml:lang="fr">Égypte</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="El Haloui, Noureddine" sort="El Haloui, Noureddine" uniqKey="El Haloui N" first="Noureddine" last="El Haloui">Noureddine El Haloui</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>CNESTEN, Joint Research Unit in Nutrition and Food, Regional Designated Center of Nutrition (AFRA/IAEA), Ibn Tofaïl University</institution>,<addr-line>Kenitra</addr-line>,<country>Morocco</country></nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Ennibi, Khalid" sort="Ennibi, Khalid" uniqKey="Ennibi K" first="Khalid" last="Ennibi">Khalid Ennibi</name><affiliation wicri:level="1"><nlm:aff id="aff5"><institution>Center of Virology, Infectious and Tropical Diseases, Mohammed V Military Hospital</institution>,<addr-line>Rabat</addr-line>,<country>Morocco</country></nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Akhtar Khan, Naim" sort="Akhtar Khan, Naim" uniqKey="Akhtar Khan N" first="Naim" last="Akhtar-Khan">Naim Akhtar-Khan</name><affiliation wicri:level="1"><nlm:aff id="aff6"><institution>Inserm Research Center, U1231 INSERM/UB/AgroSup, Team-Physiology of Nutrition & Toxicology, Faculty of Life Sciences, University Bourgogne Franche-Comté (UBFC)</institution>,<addr-line>Dijon</addr-line>,<country>France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="El Fahime, El Mostafa" sort="El Fahime, El Mostafa" uniqKey="El Fahime E" first="El Mostafa" last="El Fahime">El Mostafa El Fahime</name><affiliation wicri:level="1"><nlm:aff id="aff7"><institution>Functional Genomic Platform, UATRS-CNRST</institution>,<addr-line>Rabat</addr-line>,<country>Morocco</country></nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Obtel, Majdouline" sort="Obtel, Majdouline" uniqKey="Obtel M" first="Majdouline" last="Obtel">Majdouline Obtel</name><affiliation wicri:level="1"><nlm:aff id="aff8"><institution>Laboratory of Community Health, Preventive Medicine and Hygiene, Laboratory of Epidemiology and Clinical Research, Department of Public Heath, Faculty of Medicine and Pharmacy, Mohammed V University</institution>,<addr-line>Rabat</addr-line>,<country>Morocco</country></nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Barkat, Amina" sort="Barkat, Amina" uniqKey="Barkat A" first="Amina" last="Barkat">Amina Barkat</name><affiliation wicri:level="1"><nlm:aff id="aff9"><institution>Health and Nutrition Research Team of the Mother-Child Couple, Faculty of Medicine, Mohammed 5th University</institution>,<addr-line>Rabat</addr-line>,<country>Morocco</country></nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Aguenaou, Hassan" sort="Aguenaou, Hassan" uniqKey="Aguenaou H" first="Hassan" last="Aguenaou">Hassan Aguenaou</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>CNESTEN, Joint Research Unit in Nutrition and Food, Regional Designated Center of Nutrition (AFRA/IAEA), Ibn Tofaïl University</institution>,<addr-line>Kenitra</addr-line>,<country>Morocco</country></nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Frontiers in Physiology</title><idno type="eISSN">1664-042X</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The epidemic of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), causing coronavirus disease 2019 (COVID-19), presents a significant and urgent threat to global health. This alarming viral infection, declared as pandemic by the WHO in February 2020, has resulted millions of infected patients and thousands of deaths around the world. In Morocco, despite the efforts made by the authorities, the SARS-CoV-2 continues to spread and constitutes a burden of morbidity and mortality. The objective of this study is to describe clinical characteristics of COVID-19 Moroccan patients and to establish the relationship between specific clinical symptoms, namely ageusia and/or anosmia, with these characteristics.</p></sec><sec><title>Methods</title><p>We performed a descriptive, non-interventional cross-sectional study analyzing data from 108 patients admitted to the VINCI clinic, Casablanca (Morocco). The database includes 39 parameters including epidemiological characteristics, anthropometric measurements and biological analyzes.</p></sec><sec><title>Results</title><p>The average of age of the patients was 43.80 ± 15.75 years with a sex ratio of 1:1. The mean body mass index of the patients was 25.54 ± 4.63 Kg/m<sup>2</sup>. The majority of patients had, at least, one comorbidity and among 75% symptomatic patients, about 50% had, at least, three symptoms namely, fever (40.7%), cough (39.8%), myalgia (28.7%), and anosmia and/or ageusia (20.4%). From biological analyzes, we noticed lymphopenia and an elevated protein C reactive and lactate dehydrogenases levels in 24.1, 36.1, and 35.2% of patients, respectively. A disturbance in liver function markers was observed in 15.7% of cases. For the other hemostasis parameters, high levels of prothrombin and platelets were reported in 14.6 and 14.8% of patients, respectively. Comparisons related to the presence of anosmia and/or ageusia did not show any difference for demographic and anthropometric characteristics, while a possibility of a significant difference was revealed for certain biological parameters, particularly the levels of lymphocytes, D-dimer and troponin.</p></sec><sec><title>Conclusion</title><p>This study provides significant findings that will be used not only to supplement previous studies carried out in Morocco in order to resume the epidemiological situation in comparison with other countries, but also to improve the quality of the diagnosis of COVID-19 patients by identifying all the symptoms of the disease and better understanding its clinical outcomes.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Arentz, M" uniqKey="Arentz M">M. Arentz</name></author><author><name sortKey="Yim, E" uniqKey="Yim E">E. 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Wang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zoukal, S" uniqKey="Zoukal S">S. Zoukal</name></author><author><name sortKey="Nani, S" uniqKey="Nani S">S. Nani</name></author><author><name sortKey="Hassoune, S" uniqKey="Hassoune S">S. Hassoune</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>France</li><li>Maroc</li><li>Égypte</li></country></list><tree><country name="Maroc"><noRegion><name sortKey="Benkirane, Hasnae" sort="Benkirane, Hasnae" uniqKey="Benkirane H" first="Hasnae" last="Benkirane">Hasnae Benkirane</name></noRegion><name sortKey="Aguenaou, Hassan" sort="Aguenaou, Hassan" uniqKey="Aguenaou H" first="Hassan" last="Aguenaou">Hassan Aguenaou</name><name sortKey="Barkat, Amina" sort="Barkat, Amina" uniqKey="Barkat A" first="Amina" last="Barkat">Amina Barkat</name><name sortKey="Bouziani, Amina" sort="Bouziani, Amina" uniqKey="Bouziani A" first="Amina" last="Bouziani">Amina Bouziani</name><name sortKey="El Fahime, El Mostafa" sort="El Fahime, El Mostafa" uniqKey="El Fahime E" first="El Mostafa" last="El Fahime">El Mostafa El Fahime</name><name sortKey="El Haloui, Noureddine" sort="El Haloui, Noureddine" uniqKey="El Haloui N" first="Noureddine" last="El Haloui">Noureddine El Haloui</name><name sortKey="Ennibi, Khalid" sort="Ennibi, Khalid" uniqKey="Ennibi K" first="Khalid" last="Ennibi">Khalid Ennibi</name><name sortKey="Heikel, Jaafar" sort="Heikel, Jaafar" uniqKey="Heikel J" first="Jaafar" last="Heikel">Jaafar Heikel</name><name sortKey="Laamiri, Fatima Zahra" sort="Laamiri, Fatima Zahra" uniqKey="Laamiri F" first="Fatima Zahra" last="Laamiri">Fatima Zahra Laamiri</name><name sortKey="Lahmam, Houria" sort="Lahmam, Houria" uniqKey="Lahmam H" first="Houria" last="Lahmam">Houria Lahmam</name><name sortKey="Obtel, Majdouline" sort="Obtel, Majdouline" uniqKey="Obtel M" first="Majdouline" last="Obtel">Majdouline Obtel</name></country><country name="Égypte"><noRegion><name sortKey="Al Jawaldeh, Ayoub" sort="Al Jawaldeh, Ayoub" uniqKey="Al Jawaldeh A" first="Ayoub" last="Al-Jawaldeh">Ayoub Al-Jawaldeh</name></noRegion></country><country name="France"><noRegion><name sortKey="Akhtar Khan, Naim" sort="Akhtar Khan, Naim" uniqKey="Akhtar Khan N" first="Naim" last="Akhtar-Khan">Naim Akhtar-Khan</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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