Autopsy findings in cancer patients infected with SARS-CoV-2 show a milder presentation of COVID-19 compared to non-cancer patients.

COVID-19, caused by SARS-CoV-2, manifests with differing severity across distinct patient subgroups, with outcomes influenced by underlying comorbidities such as cancer, which may cause functional and compositional alterations of the immune system during tumor progression. We aimed to investigate th...

Teljes leírás

Elmentve itt :
Bibliográfiai részletek
Szerzők: Kocsmár Éva
Kocsmár Ildikó
Elamin Flóra
Pápai Laura
Jakab Ákos
Várkonyi Tibor
Glasz Tibor
Rácz Gergely
Pesti Adrián István
Danics Krisztina
Kiss András
Röst Gergely
Belicza Éva
Schaff Zsuzsa
Lotz Gábor
Dokumentumtípus: Cikk
Megjelent: 2024
Sorozat:GEROSCIENCE: OFFICIAL JOURNAL OF THE AMERICAN AGING ASSOCIATION (AGE) 46 No. 6
Tárgyszavak:
doi:10.1007/s11357-024-01163-7

mtmt:34833220
Online Access:http://publicatio.bibl.u-szeged.hu/35544
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520 3 |a COVID-19, caused by SARS-CoV-2, manifests with differing severity across distinct patient subgroups, with outcomes influenced by underlying comorbidities such as cancer, which may cause functional and compositional alterations of the immune system during tumor progression. We aimed to investigate the association of SARS-CoV-2 infection and its complications with cancer in a large autopsy series and the role of COVID-19 in the fatal sequence leading to death. A total of 2641 adult autopsies were investigated, 539 of these were positive for SARS-CoV-2. Among the total number of patients analyzed, 829 had active cancer. Overall, the cohort included 100 patients who simultaneously had cancer and SARS-CoV-2 infection. The course of COVID-19 was less severe in cancer patients, including a significantly lower incidence of viral and bacterial pneumonia, occurring more frequently as a contributory disease or coexisting morbidity, or as SARS-CoV-2 positivity without viral disease. SARS-CoV-2 positivity was more frequent among non-metastatic than metastatic cancer cases, and in specific tumor types including hematologic malignancies. COVID-19 was more frequently found to be directly involved in the fatal sequence in patients undergoing active anticancer therapy, but less frequently in perioperative status, suggesting that the underlying malignancy and consequent surgery are more important factors leading to death perioperatively than viral disease. The course of COVID-19 in cancer patients was milder and balanced during the pandemic. This may be due to relative immunosuppressed status, and the fact that even early/mild viral infections can easily upset their condition, leading to death from their underlying cancer or its complications. 
650 4 |a Matematika 
650 4 |a Általános orvostudomány 
700 0 1 |a Kocsmár Ildikó  |e aut 
700 0 1 |a Elamin Flóra  |e aut 
700 0 1 |a Pápai Laura  |e aut 
700 0 1 |a Jakab Ákos  |e aut 
700 0 1 |a Várkonyi Tibor  |e aut 
700 0 1 |a Glasz Tibor  |e aut 
700 0 1 |a Rácz Gergely  |e aut 
700 0 1 |a Pesti Adrián István  |e aut 
700 0 1 |a Danics Krisztina  |e aut 
700 0 1 |a Kiss András  |e aut 
700 0 1 |a Röst Gergely  |e aut 
700 0 1 |a Belicza Éva  |e aut 
700 0 1 |a Schaff Zsuzsa  |e aut 
700 0 1 |a Lotz Gábor  |e aut 
856 4 0 |u http://publicatio.bibl.u-szeged.hu/35544/1/s11357-024-01163-7.pdf  |z Dokumentum-elérés