Tags

Type your tag names separated by a space and hit enter

Tuberculosis and COVID-19: Lessons from the Past Viral Outbreaks and Possible Future Outcomes.
Can Respir J. 2020; 2020:1401053.CR

Abstract

Background

The threat of contagious infectious diseases is constantly evolving as demographic explosion, travel globalization, and changes in human lifestyle increase the risk of spreading pathogens, leading to accelerated changes in disease landscape. Of particular interest is the aftermath of superimposing viral epidemics (especially SARS-CoV-2) over long-standing diseases, such as tuberculosis (TB), which remains a significant disease for public health worldwide and especially in emerging economies.

Methods and Results

The PubMed electronic database was systematically searched for relevant articles linking TB, influenza, and SARS-CoV viruses and subsequently assessed eligibility according to inclusion criteria. Using a data mining approach, we also queried the COVID-19 Open Research Dataset (CORD-19). We aimed to answer the following questions: What can be learned from other coronavirus outbreaks (focusing on TB patients)? Is coinfection (TB and SARS-CoV-2) more severe? Is there a vaccine for SARS-CoV-2? How does the TB vaccine affect COVID-19? How does one diagnosis affect the other? Discussions. Few essential elements about TB and SARS-CoV coinfections were discussed. First, lessons from past outbreaks (other coronaviruses) and influenza pandemic/seasonal outbreaks have taught the importance of infection control to avoid the severe impact on TB patients. Second, although challenging due to data scarcity, investigating the pathological pathways linking TB and SARS-CoV-2 leads to the idea that their coexistence might yield a more severe clinical evolution. Finally, we addressed the issues of vaccination and diagnostic reliability in the context of coinfection.

Conclusions

Because viral respiratory infections and TB impede the host's immune responses, it can be assumed that their lethal synergism may contribute to more severe clinical evolution. Despite the rapidly growing number of cases, the data needed to predict the impact of the COVID-19 pandemic on patients with latent TB and TB sequelae still lies ahead. The trial is registered with NCT04327206, NCT01829490, and NCT04121494.

Authors+Show Affiliations

University of Medicine and Pharmacy "Grigore T. Popa" Iași, Pulmonology Department, Head of Clinic of Pulmonary Diseases, Iasi, Romania.University of Medicine and Pharmacy "Grigore T. Popa" Iași, Department Thoracic Surgery, Clinic of Thoracic Surgery Iași, Hospital of Pulmonary Diseases Iasi, Iasi, Romania.Clinic of Pulmonary Diseases, Iasi, Romania.Department of Interventional Cardiology-Cardiovascular Diseases Institute, Iasi, Romania.Institute of Gastroenterology and Hepatology, Iași, Romania. "Grigore T. Popa" University of Medicine, Iasi, Romania.University of Medicine and Pharmacy "Grigore T. Popa" Iași, Pulmonology Department, Institute of Oncology, Iași, Romania.Department of Interventional Cardiology-Cardiovascular Diseases Institute, Iasi, Romania. "Grigore T. Popa" University of Medicine, Iasi, Romania.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Review

Language

eng

PubMed ID

32934758

Citation

Crisan-Dabija, Radu, et al. "Tuberculosis and COVID-19: Lessons From the Past Viral Outbreaks and Possible Future Outcomes." Canadian Respiratory Journal, vol. 2020, 2020, p. 1401053.
Crisan-Dabija R, Grigorescu C, Pavel CA, et al. Tuberculosis and COVID-19: Lessons from the Past Viral Outbreaks and Possible Future Outcomes. Can Respir J. 2020;2020:1401053.
Crisan-Dabija, R., Grigorescu, C., Pavel, C. A., Artene, B., Popa, I. V., Cernomaz, A., & Burlacu, A. (2020). Tuberculosis and COVID-19: Lessons from the Past Viral Outbreaks and Possible Future Outcomes. Canadian Respiratory Journal, 2020, 1401053. https://doi.org/10.1155/2020/1401053
Crisan-Dabija R, et al. Tuberculosis and COVID-19: Lessons From the Past Viral Outbreaks and Possible Future Outcomes. Can Respir J. 2020;2020:1401053. PubMed PMID: 32934758.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tuberculosis and COVID-19: Lessons from the Past Viral Outbreaks and Possible Future Outcomes. AU - Crisan-Dabija,Radu, AU - Grigorescu,Cristina, AU - Pavel,Cristina-Alice, AU - Artene,Bogdan, AU - Popa,Iolanda Valentina, AU - Cernomaz,Andrei, AU - Burlacu,Alexandru, Y1 - 2020/09/05/ PY - 2020/04/05/received PY - 2020/07/29/revised PY - 2020/08/28/accepted PY - 2020/9/16/entrez PY - 2020/9/17/pubmed PY - 2020/9/25/medline SP - 1401053 EP - 1401053 JF - Canadian respiratory journal JO - Can Respir J VL - 2020 N2 - Background: The threat of contagious infectious diseases is constantly evolving as demographic explosion, travel globalization, and changes in human lifestyle increase the risk of spreading pathogens, leading to accelerated changes in disease landscape. Of particular interest is the aftermath of superimposing viral epidemics (especially SARS-CoV-2) over long-standing diseases, such as tuberculosis (TB), which remains a significant disease for public health worldwide and especially in emerging economies. Methods and Results: The PubMed electronic database was systematically searched for relevant articles linking TB, influenza, and SARS-CoV viruses and subsequently assessed eligibility according to inclusion criteria. Using a data mining approach, we also queried the COVID-19 Open Research Dataset (CORD-19). We aimed to answer the following questions: What can be learned from other coronavirus outbreaks (focusing on TB patients)? Is coinfection (TB and SARS-CoV-2) more severe? Is there a vaccine for SARS-CoV-2? How does the TB vaccine affect COVID-19? How does one diagnosis affect the other? Discussions. Few essential elements about TB and SARS-CoV coinfections were discussed. First, lessons from past outbreaks (other coronaviruses) and influenza pandemic/seasonal outbreaks have taught the importance of infection control to avoid the severe impact on TB patients. Second, although challenging due to data scarcity, investigating the pathological pathways linking TB and SARS-CoV-2 leads to the idea that their coexistence might yield a more severe clinical evolution. Finally, we addressed the issues of vaccination and diagnostic reliability in the context of coinfection. Conclusions: Because viral respiratory infections and TB impede the host's immune responses, it can be assumed that their lethal synergism may contribute to more severe clinical evolution. Despite the rapidly growing number of cases, the data needed to predict the impact of the COVID-19 pandemic on patients with latent TB and TB sequelae still lies ahead. The trial is registered with NCT04327206, NCT01829490, and NCT04121494. SN - 1916-7245 UR - https://www.unboundmedicine.com/medline/citation/32934758/Tuberculosis_and_COVID_19:_Lessons_from_the_Past_Viral_Outbreaks_and_Possible_Future_Outcomes_ L2 - https://doi.org/10.1155/2020/1401053 DB - PRIME DP - Unbound Medicine ER -