Serveur d'exploration SRAS

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Severe acute respiratory syndrome associated coronavirus is detected in intestinal tissues of fatal cases.

Identifieur interne : 002934 ( PubMed/Curation ); précédent : 002933; suivant : 002935

Severe acute respiratory syndrome associated coronavirus is detected in intestinal tissues of fatal cases.

Auteurs : Xueying Shi [République populaire de Chine] ; Encong Gong ; Dongxia Gao ; Bo Zhang ; Jie Zheng ; Zifen Gao ; Yanfeng Zhong ; Wanzhong Zou ; Bingquan Wu ; Weigang Fang ; Songlin Liao ; Shenglan Wang ; Zhigang Xie ; Min Lu ; Lin Hou ; Haohao Zhong ; Hongquan Shao ; Ning Li ; Congrong Liu ; Fei Pei ; Jingping Yang ; Yuping Wang ; Zhihui Han ; Xiaohong Shi ; Qianying Zhang ; Jiangfeng You ; Xiang Zhu ; Jiang Gu

Source :

RBID : pubmed:15654797

Descripteurs français

English descriptors

Abstract

A significant percentage of confirmed severe acute respiratory syndrome (SARS) patients experienced gastrointestinal symptoms, and the viral sequence was detectable in the stool of most patients. At present, the knowledge of the pathology of the digestive system in SARS patients is limited. Because a resurgence of the SARS epidemic is constantly possible, there is an urgent need to understand the involvement of the digestive system in this new disease.

DOI: 10.1111/j.1572-0241.2005.40377.x
PubMed: 15654797

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pubmed:15654797

Le document en format XML

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<term>Adult</term>
<term>Autopsy</term>
<term>Female</term>
<term>Gastrointestinal Diseases (metabolism)</term>
<term>Gastrointestinal Diseases (pathology)</term>
<term>Gastrointestinal Diseases (virology)</term>
<term>Gastrointestinal Tract (metabolism)</term>
<term>Gastrointestinal Tract (pathology)</term>
<term>Gastrointestinal Tract (virology)</term>
<term>Humans</term>
<term>Intestinal Mucosa (metabolism)</term>
<term>Intestinal Mucosa (pathology)</term>
<term>Intestinal Mucosa (virology)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>SARS Virus (isolation & purification)</term>
<term>Severe Acute Respiratory Syndrome (complications)</term>
<term>Severe Acute Respiratory Syndrome (metabolism)</term>
<term>Severe Acute Respiratory Syndrome (pathology)</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Autopsie</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maladies gastro-intestinales (anatomopathologie)</term>
<term>Maladies gastro-intestinales (métabolisme)</term>
<term>Maladies gastro-intestinales (virologie)</term>
<term>Muqueuse intestinale (anatomopathologie)</term>
<term>Muqueuse intestinale (métabolisme)</term>
<term>Muqueuse intestinale (virologie)</term>
<term>Mâle</term>
<term>Syndrome respiratoire aigu sévère ()</term>
<term>Syndrome respiratoire aigu sévère (anatomopathologie)</term>
<term>Syndrome respiratoire aigu sévère (métabolisme)</term>
<term>Tube digestif (anatomopathologie)</term>
<term>Tube digestif (métabolisme)</term>
<term>Tube digestif (virologie)</term>
<term>Virus du SRAS (isolement et purification)</term>
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<term>Maladies gastro-intestinales</term>
<term>Muqueuse intestinale</term>
<term>Syndrome respiratoire aigu sévère</term>
<term>Tube digestif</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Severe Acute Respiratory Syndrome</term>
</keywords>
<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en">
<term>SARS Virus</term>
</keywords>
<keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr">
<term>Virus du SRAS</term>
</keywords>
<keywords scheme="MESH" qualifier="metabolism" xml:lang="en">
<term>Gastrointestinal Diseases</term>
<term>Gastrointestinal Tract</term>
<term>Intestinal Mucosa</term>
<term>Severe Acute Respiratory Syndrome</term>
</keywords>
<keywords scheme="MESH" qualifier="métabolisme" xml:lang="fr">
<term>Maladies gastro-intestinales</term>
<term>Muqueuse intestinale</term>
<term>Syndrome respiratoire aigu sévère</term>
<term>Tube digestif</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Gastrointestinal Diseases</term>
<term>Gastrointestinal Tract</term>
<term>Intestinal Mucosa</term>
<term>Severe Acute Respiratory Syndrome</term>
</keywords>
<keywords scheme="MESH" qualifier="virologie" xml:lang="fr">
<term>Maladies gastro-intestinales</term>
<term>Muqueuse intestinale</term>
<term>Tube digestif</term>
</keywords>
<keywords scheme="MESH" qualifier="virology" xml:lang="en">
<term>Gastrointestinal Diseases</term>
<term>Gastrointestinal Tract</term>
<term>Intestinal Mucosa</term>
</keywords>
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<term>Adult</term>
<term>Autopsy</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Autopsie</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
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<front>
<div type="abstract" xml:lang="en">A significant percentage of confirmed severe acute respiratory syndrome (SARS) patients experienced gastrointestinal symptoms, and the viral sequence was detectable in the stool of most patients. At present, the knowledge of the pathology of the digestive system in SARS patients is limited. Because a resurgence of the SARS epidemic is constantly possible, there is an urgent need to understand the involvement of the digestive system in this new disease.</div>
</front>
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<PMID Version="1">15654797</PMID>
<DateCompleted>
<Year>2005</Year>
<Month>02</Month>
<Day>15</Day>
</DateCompleted>
<DateRevised>
<Year>2006</Year>
<Month>11</Month>
<Day>15</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Print">0002-9270</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>100</Volume>
<Issue>1</Issue>
<PubDate>
<Year>2005</Year>
<Month>Jan</Month>
</PubDate>
</JournalIssue>
<Title>The American journal of gastroenterology</Title>
<ISOAbbreviation>Am. J. Gastroenterol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Severe acute respiratory syndrome associated coronavirus is detected in intestinal tissues of fatal cases.</ArticleTitle>
<Pagination>
<MedlinePgn>169-76</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">A significant percentage of confirmed severe acute respiratory syndrome (SARS) patients experienced gastrointestinal symptoms, and the viral sequence was detectable in the stool of most patients. At present, the knowledge of the pathology of the digestive system in SARS patients is limited. Because a resurgence of the SARS epidemic is constantly possible, there is an urgent need to understand the involvement of the digestive system in this new disease.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We performed seven SARS autopsies in which samples of alimentary tract and digestive glands were examined with routine pathology, electron microscopy (EM), in situ hybridization (ISH), immunohistochemistry, and real-time polymerase chain reaction (PCR).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The main histopathological finding was atrophy of the mucosal lymphoid tissue. A few mucosal epithelial cells and lymphocytes in the intestine were positively stained for coronavirus with ISH. SARS-coronavirus (CoV)-like particles were found in the mucosal epithelial cells under EM and mild focal inflammation was detected in the alimentary tract. One patient who experienced severe diarrhea had pseudomembranous enteritis of the ileum. Fatty degeneration and central lobular necrosis were observed in the liver. No evidence of direct viral infection was found in the esophagus, the stomach, the salivary gland, the liver, or the pancreas.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In addition to the lungs, the gastrointestinal tract is another target of SARS-CoV infection, as the intestinal epithelial cells and mucosal lymphoid tissue are infected. The findings provide possible explanations for the gastrointestinal symptoms and the presence of virus in the stool of SARS patients.</AbstractText>
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<LastName>Liu</LastName>
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