关键词: angiopoietin 2 endothelial damage yellow fever

Mesh : Humans Case-Control Studies Yellow Fever / mortality blood virology Male Female Middle Aged Adult Angiopoietin-2 / blood Biomarkers / blood Yellow fever virus Brazil / epidemiology Aged Young Adult

来  源:   DOI:10.1093/infdis/jiad389   PDF(Pubmed)

Abstract:
In 2018 there was a large yellow fever outbreak in São Paulo, Brazil, with a high fatality rate. Yellow fever virus can cause, among other symptoms, hemorrhage and disseminated intravascular coagulation, indicating a role for endothelial cells in disease pathogenesis. Here, we conducted a case-control study and measured markers related to endothelial damage in plasma and its association with mortality. We found that angiopoietin 2 is strongly associated with a fatal outcome and could serve as a predictive marker for mortality. This could be used to monitor severe cases and provide care to improve disease outcome.
摘要:
2018年,圣保罗爆发了大规模的黄热病疫情,巴西,死亡率很高。黄热病病毒可以引起,在其他症状中,出血和弥散性血管内凝血,表明内皮细胞在疾病发病机制中的作用。这里,我们进行了一项病例对照研究,并测定了血浆中与内皮损伤相关的标志物及其与死亡率的关系.我们发现血管生成素2与致命结局密切相关,可以作为死亡率的预测指标。这可用于监测严重病例并提供护理以改善疾病结果。
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