High population burden of Omicron variant (B.1.1.529) is associated with the emergence of severe hepatitis of unknown etiology in children DOI Creative Commons
Hiroshi Nishiura, Sung-mok Jung, Katsuma Hayashi

et al.

International Journal of Infectious Diseases, Journal Year: 2022, Volume and Issue: 122, P. 30 - 32

Published: May 13, 2022

To explore a potential country-based ecological link between severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron variant (B.1.1.529) infection and an apparent current global outbreak of hepatitis unknown etiology among children.We examined country-level statistical associations reported detection one or more unexplained cases in children the cumulative number 38 Organisation for Economic Co-operation Development (OECD) member countries plus Romania.At least focal case was detected 12 39 included our analysis. Numbers confirmed these ranged from 4.4 to 11.9 million. Among remaining 27 countries, this measure 0.5 5.5 million cases. Countries which experienced higher precedent population burdens relative those did not report any such (p=0.013).Prior exposure may be associated with increased risk children, indicating critical need conduct cofactor studies.

Language: Английский

Secondary Sclerosing Cholangitis Following Coronavirus Disease 2019 (COVID-19): A Multicenter Retrospective Study DOI Open Access

Peter Hunyady,

Lea Streller,

Darius F. Rüther

et al.

Clinical Infectious Diseases, Journal Year: 2022, Volume and Issue: 76(3), P. e179 - e187

Published: July 9, 2022

Secondary sclerosing cholangitis (SSC) is a rare disease with poor prognosis. Cases of SSC have been reported following coronavirus 2019 (COVID-SSC). The aim this study was to compare COVID-SSC in critically ill patients (SSC-CIP) and assess factors influencing transplant-free survival.In retrospective, multicenter involving 127 from 9 tertiary care centers Germany, compared SSC-CIP logistic regression analyses were performed investigating impacting survival.Twenty-four had COVID-SSC, 77 SSC-CIP, 26 other forms SSC. developed after median 91 days COVID-19 diagnosis. All received extensive intensive treatment (median mechanical ventilation, 48). Patients comparable most the clinical parameters survival not different (P = .443, log-rank test). In overall cohort, use ursodeoxycholic acid (UDCA) (odds ratio [OR], 0.36 [95% confidence interval {CI}, .16-.80], P .013; < .001) high serum albumin levels (OR, 0.40 CI, .17-.96], .040) independently associated an increased survival, while presence liver cirrhosis 2.52 1.01-6.25], .047) worse outcome. Multidrug-resistant organism (MDRO) colonization or infection did impact patients' survival.COVID-SSC CIP-SSC share same phenotype, course disease, risk for its development. UDCA may be promising therapeutic option SSC, though future prospective trials are needed confirm our findings.

Language: Английский

Citations

31

COVID-19 and liver injury: An ongoing challenge DOI Creative Commons
Ioanna Papagiouvanni, Serafeim‐Chrysovalantis Kotoulas, Athanasia Pataka

et al.

World Journal of Gastroenterology, Journal Year: 2023, Volume and Issue: 29(2), P. 257 - 271

Published: Jan. 5, 2023

The new coronavirus severe acute respiratory syndrome 2 (SARS-CoV-2) was identified in December 2019, Wuhan, China. virus rapidly spread worldwide, causing disease 2019 (COVID-19) pandemic. Although COVID-19 is presented, usually, with typical symptoms (i.e., dyspnea, cough) and fever, extrapulmonary manifestations are also encountered. Liver injury a common feature patients ranges from mild temporary elevation of liver enzymes to and, even, failure. pathogenesis damage not clearly defined; multiple mechanisms contribute disorder, including direct cytopathic viral effect, cytokine storm immune-mediated hepatitis, hypoxic injury, drug-induced toxicity. Patients underlying chronic cirrhosis, non-alcoholic fatty disease, alcohol-related hepatocellular carcinoma, etc.) may have greater risk develop both further deterioration, as consequence, certain issues should be considered during management. aim this review present the prevalence, clinical manifestation pathophysiological SARS-CoV-2 infection. Moreover, we overview association between infection briefly discuss management COVID-19.

Language: Английский

Citations

19

COVID-19 induced liver injury from a new perspective: Mitochondria DOI Open Access

Hassan Akbari,

Farzad Taghizadeh‐Hesary

Mitochondrion, Journal Year: 2023, Volume and Issue: 70, P. 103 - 110

Published: April 11, 2023

Language: Английский

Citations

17

Long-term gastrointestinal and hepatobiliary outcomes of COVID-19: A multinational population-based cohort study from South Korea, Japan, and the UK DOI Creative Commons
KJ Lee, Jaeyu Park, Jinseok Lee

et al.

Clinical and Molecular Hepatology, Journal Year: 2024, Volume and Issue: 30(4), P. 943 - 958

Published: Aug. 29, 2024

Background/Aims: Considering emerging evidence on long COVID, comprehensive analyses of the post-acute complications SARS-CoV-2 infection in gastrointestinal and hepatobiliary systems are needed. We aimed to investigate impact COVID-19 long-term risk diseases other digestive abnormalities.Methods: used three large-scale population-based cohorts: Korean cohort (discovery cohort), Japanese (validation cohort-A), UK Biobank cohort-B). A total 10,027,506 Korean, 12,218,680 Japanese, 468,617 patients aged ≥20 years who had between 2020 2021 were matched non-infected controls. Seventeen eight outcomes as well nine abnormalities following identified compared with controls.Results: The discovery revealed heightened risks (HR 1.15; 95% CI 1.08–1.22), 1.30; 1.09–1.55), 1.05; 1.01–1.10) beyond first 30 days infection, after exposure-driven propensity score-matching. was pronounced according severity. vaccination found lower but did not affect disorders. results derived from validation cohorts consistent. profile most during initial 3 months; however, it persisted for >6 months cohorts, cohort.Conclusions: incidence disease, increased phase.

Language: Английский

Citations

8

High population burden of Omicron variant (B.1.1.529) is associated with the emergence of severe hepatitis of unknown etiology in children DOI Creative Commons
Hiroshi Nishiura, Sung-mok Jung, Katsuma Hayashi

et al.

International Journal of Infectious Diseases, Journal Year: 2022, Volume and Issue: 122, P. 30 - 32

Published: May 13, 2022

To explore a potential country-based ecological link between severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron variant (B.1.1.529) infection and an apparent current global outbreak of hepatitis unknown etiology among children.We examined country-level statistical associations reported detection one or more unexplained cases in children the cumulative number 38 Organisation for Economic Co-operation Development (OECD) member countries plus Romania.At least focal case was detected 12 39 included our analysis. Numbers confirmed these ranged from 4.4 to 11.9 million. Among remaining 27 countries, this measure 0.5 5.5 million cases. Countries which experienced higher precedent population burdens relative those did not report any such (p=0.013).Prior exposure may be associated with increased risk children, indicating critical need conduct cofactor studies.

Language: Английский

Citations

28