Reported interview with Wuhan Doctor: COVID-19 can attack the immune system like AIDS, may enable chronic infection like hepatitis-b (translated from Chinese)
Postmortem examination showed severe pneumonia damage like "SARS+AIDS" Recently, the detection of nucleic acid in newly diagnosed patients after discharge has attracted much attention. In the Central South Hospital, Wuhan People's Hospital and some other hospitals, as early as late December has been found that the infection of the new crown discharged medical staff there are reexamined when the situation. Is it a case of untreated or relapsed?A number of doctors believe that the release of nucleic acid detection of the situation, not relapse, but not cure. This is associated with the characteristics of new crown pneumonia.
After the autopsy results came out, a doctor involved in the autopsy revealed that the severe patients 'lung function was badly damaged, and the immune system was almost completely destroyed. “SARS attacks only the lungs and does not harm the immune system. AIDS only damages the immune system, and new crown pneumonia damages critically ill patients like SARS plus AIDS. ” Said the doctor. Acute lung injury (ALI) is the main cause of death in SARS patients, but multiple organ failure (MOf) is the major cause of death of new coronavirus.
Peng Zhiyong after the autopsy results, led the team to discuss the case, autopsy results confirmed some of their treatment in the process of speculation. Some critically ill patients who have been discharged from the hospital have had their lymphocyte count not restored to normal levels, which means their immune systems have not fully recovered, according to blood tests. However, the absence of clinical signs in the current discharge criteria does not include the results of blood tests. "Some patients who had a negative nucleic acid test at the time of discharge, had a poor immune system and did not recover, and were more likely to return to positive after discharge." Peng Zhiyong said. He is concerned that patients discharged from hospitals may live with the virus for as long as patients with hepatitis B. "What we have to consider now is whether the patients who have the virus are infectious."
"We'll follow up for a year to see what happens to new patients when they come out of the hospital, whether the virus is contagious and whether the people around them are affected." Peng Zhiyong said. In this sense, the battle over New Champion pneumonia is far from over.
Posted Mar 12, 2020, 6:14 AM UTC · edited