Evidence map›Paper›PMID 34164762›Full record

ArticleJournal of clinical immunology2021

Outcome of SARS-CoV-2 Infection in 121 Patients with Inborn Errors of Immunity: A Cross-Sectional Study.

Ekaterini Simões Goudouris, Fernanda Pinto-Mariz, Leonardo Oliveira Mendonça, Carolina Sanchez Aranda, Rafaela Rolla Guimarães, Cristina Kokron, Myrthes Toledo Barros, Flávia Anísio, Maria Luiza Oliva Alonso, Fernanda Marcelino and 29 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Journal of clinical immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Review
  7. Pre-existing Immunocompromising Conditions and Outcomes of Acute COVID-19 Patients Admitted for Pediatric Intensive Care.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Article
  8. A single-center experience of COVID-19 infection in patients with primary immunodeficiency.The journal of allergy and clinical immunology. Global · 2024
    Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Observational
  16. Severity of SARS-CoV-2 infection in children with inborn errors of immunity (primary immunodeficiencies): a systematic review.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2023
    Article
  17. Article
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

39 authors at 20 institutions in 1 country.

Ekaterini Simões GoudourisIPPMG-Universidade Federal Do Rio de Janeiro (UFRJ), Rua Professor Luis Cantanhede, 77 ap 101, Rio de Janeiro, RJ, 22245-040, Brazil. egoudouris@gmail.com.ORCID http://orcid.org/0000-0002-1937-9124
Fernanda Pinto-MarizIPPMG-Universidade Federal Do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0000-0002-6981-2352
Leonardo Oliveira MendonçaClinica Croce and Center for Rare Diseases At "Hospital 9 de Julho", Sao Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-7533-1937
Carolina Sanchez ArandaUniversidade Federal de São Paulo (UNIFESP), Sao Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-2187-8192
Rafaela Rolla GuimarãesUniversidade Federal de São Paulo (UNIFESP), Sao Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-8997-671X
Cristina KokronDivision of Clinical Immunology and Allergy-Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (FMUSP), Sao Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-9080-0305
Myrthes Toledo BarrosDivision of Clinical Immunology and Allergy-Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (FMUSP), Sao Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-5563-9747
Flávia AnísioInstituto Fernandes Figueira (IFF-Fiocruz), Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0000-0001-6135-4927
Maria Luiza Oliva AlonsoServiço de Imunologia, Hospital Universitário Clementino Fraga Filho (HUCFF-UFRJ), Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0000-0001-7879-7134
Fernanda MarcelinoDepartamento de Alergia E Imunologia-Hospital Regional da Asa Norte (HRAN), Brasília, DF, Brazil.ORCID http://orcid.org/0000-0003-3316-9526
Solange Oliveira Rodrigues ValleServiço de Imunologia, Hospital Universitário Clementino Fraga Filho (HUCFF-UFRJ), Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0000-0001-5512-7349
Sergio Dortas JuniorServiço de Imunologia, Hospital Universitário Clementino Fraga Filho (HUCFF-UFRJ), Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0000-0003-0188-4656
Irma Douglas Paes BarretoUniversidade Estadual Do Pará, Belem, PA, Brazil.ORCID http://orcid.org/0000-0001-6847-9546
Janáira Fernandes Severo FerreiraHospital Infantil Albert Sabin/Universidade Estadual Do Ceará, Fortaleza, CE, Brazil.ORCID http://orcid.org/0000-0002-3999-6939
Pérsio Roxo-JuniorServiço de Alergia E Imunologia Pediátrica Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (USP RP), Ribeirao Preto, SP, Brazil.ORCID http://orcid.org/0000-0001-6318-4132
Almerinda Maria do Rego SilvaUniversidade Federal de Pernambuco, Recife, PE, Brazil.
Fernanda Lugão CampinhosAsthma, Allergy and Immunology Reference Center, Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória, Vitoria, ES, Brazil.ORCID http://orcid.org/0000-0001-7772-3248
Carmem BonfimPediatric Bone Marrow Transplantation Unit, Hospital Pequeno Príncipe, Curitiba, PR, Brazil.ORCID http://orcid.org/0000-0003-0343-2610
Gisele LothPediatric Bone Marrow Transplantation Unit, Hospital de Clinicas, Universidade Federal do Parana, Curitiba, PR, Brazil.ORCID http://orcid.org/0000-0003-2378-5026
Juliana Folloni FernandesInstituto Do Tratamento Do Cancer Infantil Instituto da Criança, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (USP) and Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Julia Lopes GarciaInstituto Do Tratamento Do Cancer Infantil Instituto da Criança, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (USP) and Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Albertina CapeloUniversidade Federal Do Estado Do Rio de Janeiro (UNIRIO), Rio de Janeiro, RJ, Brazil.
Olga Akiko TakanoHospital Universitário Júlio Müller, Universidade Federal Do Mato Grosso (UFMT), Cuiaba, MT, Brazil.ORCID http://orcid.org/0000-0001-8480-5815
Maria Isabel Valdomir NadafHospital Universitário Júlio Müller, Universidade Federal Do Mato Grosso (UFMT), Cuiaba, MT, Brazil.ORCID http://orcid.org/0000-0002-3125-0665
Eliana C ToledoDivision of Allergy and Clinical Immunology, FAMERP, Faculdade de Medicina de São José Do Rio Preto , São José Do Rio Preto, SP, Brazil.ORCID http://orcid.org/0000-0002-7454-8541
Luciana Araújo Oliveira CunhaUniversidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.ORCID http://orcid.org/0000-0003-0650-1802
Regina Sumiko Watanabe Di GesuDivision of Allergy and Clinical Immunology, Department of Pediatrics, Hospital Criança Conceição, Porto Alegre, RS, Brazil.ORCID http://orcid.org/0000-0002-2262-1970
Laire SchidlowskiFaculdades Pequeno Príncipe, Instituto de Pesquisa Pelé Pequeno Príncipe, Curitiba, PR, Brasil.ORCID http://orcid.org/0000-0002-0452-0164
Priscila FillipoHospital Municipal Jesus, Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0000-0003-4104-6884
Daniélli C Bichuetti-SilvaUniversidade Federal de Goias (UFG), Goiânia, GO, Brazil.ORCID http://orcid.org/0000-0002-7902-0471
Gustavo SoldateliHospital Infantil Joana de Gusmão, Florianópolis, SC, Brazil.ORCID http://orcid.org/0000-0003-0063-636X
Natasha Rebouças FerraroniClínica Ferraroni, Brasília, DF, Brazil.ORCID http://orcid.org/0000-0002-5549-2394
Ellen de Oliveira DantasHospital Israelita Albert Einstein, Sao Paulo, SP, Brazil.
Simone PestanaUniversidade Federal Fluminense (UFF), Rio de Janeiro, RJ, Brazil.
Eli MansourAlergia E Imunologia, Departamento de Clínica Médica, Universidade de Campinas (UNICAMP), Campinas, SP, Brazil.ORCID http://orcid.org/0000-0001-6450-6930
Raisa Gusso UlafAlergia E Imunologia, Departamento de Clínica Médica, Universidade de Campinas (UNICAMP), Campinas, SP, Brazil.ORCID http://orcid.org/0000-0003-0013-2831
Carolina PrandoHospital Pequeno Príncipe, Curitiba, Brazil.ORCID http://orcid.org/0000-0002-9570-9770
Antonio Condino-NetoDepartment of Immunology, Institute of Biomedical Sciences, Universidade de Sao Paulo (USP), Sao Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-1069-3117
Anete Sevciovic GrumachFaculdade de Medicina, Centro Universitario Saude ABC, Santo Andre, SP, Brazil.ORCID http://orcid.org/0000-0002-9803-0309
Hospital Israelita Albert Einstein · BRHospital Universitário Clementino Fraga Filho · BRHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRHospital Erasto Gaertner · BRUniversidade de São Paulo · BRUniversidade Estadual de Campinas (UNICAMP) · BRUniversidade Federal de Mato Grosso · BRUniversidade Federal de São Paulo · BRUniversidade Federal do Rio de Janeiro · BREscola Superior de Ciências da Santa Casa de Misericórdia de Vitória · BRFaculdade de Medicina de São José do Rio Preto · BRFaculdade de Medicina do ABC · BRHospital de Clínicas Universidade Federal do Paraná · BRHospital Geral de Bonsucesso · BRHospital Infantil Albert Sabin · BRHospital Infantil Joana de Gusmão · BRHospital Nossa Senhora da Conceição · BRUniversidade do Estado do Pará · BRUniversidade Federal de Goiás · BRUniversidade Federal de Minas Gerais · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere is still scarce data on SARS-CoV-2 infection in patients with Inborn Errors of Immunity (IEI) and many unresolved questions. We aimed to describe the clinical outcome of SARS-CoV-2 infection in Brazilian IEI patients and identify factors influencing the infection.

methodsWe did a cross-sectional, multicenter study that included patients of any age affected by IEI and SARS-CoV-2 infection. The variables studied were sex, age, type of IEI, comorbidities (number and type), treatment in use for IEI, clinical manifestations and severity of SARS-CoV-2 infection.

results121 patients were included: 55.4% female, ages from six months to 74 yo (median age = 25.1 yo). Most patients had predominantly antibody deficiency (n = 53). The infection was mostly asymptomatic (n = 21) and mild (n = 66), and one child had multisystem inflammatory syndrome (MIS-C). We could not observe sex-related susceptibility, and there was a weak correlation between age and severity of infection. The number of comorbidities was higher in severe cases, particularly bronchiectasis and cardiopathy. There were no severe cases in hereditary angioedema patients. Six patients aged 2 to 74 years died, three of them with antibody deficiency.

conclusionThe outcome was mild in most patients, but the Case Fatality Ratio was higher than in the general population. However, the type of IEI was not a determining factor for severity, except for complement deficiencies linked to milder COVID-19. The severity of SARS-CoV-2 infection seems to be more related to older age, a higher number of comorbidities and type of comorbidities (bronchiectasis and cardiopathy).

Indexed as

AdultAsymptomatic DiseasesBrazilCOVID-19Cross-Sectional StudiesDisease ProgressionFemaleHumansMaleMiddle AgedPrimary Immunodeficiency DiseasesSARS-CoV-2Severity of Illness IndexSurvival AnalysisSystemic Inflammatory Response SyndromeYoung AdultCoronavirusCOVID-19ImmunodeficiencyInborn errors of immunityPrimary immunodeficiencySARS-CoV-2

Identifiers

PMID34164762
PMCPMC8221557
OpenAlexW3172793935

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.