Laboratory of Molecular Virology & Immunology, Technology Innovation Center, Haid Research Institute, Guangdong Haid Group Co., Ltd, Guangzhou, 511400, China; School of Life Sciences, Bengbu Medical College, Bengbu, Anhui, 233030, China.
State Key Laboratory of Organ Failure Research, Guangdong Provincial Key Laboratory of New Drug Screening, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, 510515, China.
Microbes Infect. 2020 Jul-Aug;22(6-7):236-244. doi: 10.1016/j.micinf.2020.05.005. Epub 2020 May 13.
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) continues to sweep the world, causing infection of millions and death of hundreds of thousands. The respiratory disease that it caused, COVID-19 (stands for coronavirus disease in 2019), has similar clinical symptoms with other two CoV diseases, severe acute respiratory syndrome and Middle East respiratory syndrome (SARS and MERS), of which causative viruses are SARS-CoV and MERS-CoV, respectively. These three CoVs resulting diseases also share many clinical symptoms with other respiratory diseases caused by influenza A viruses (IAVs). Since both CoVs and IAVs are general pathogens responsible for seasonal cold, in the next few months, during the changing of seasons, clinicians and public heath may have to distinguish COVID-19 pneumonia from other kinds of viral pneumonia. This is a discussion and comparison of the virus structures, transmission characteristics, clinical symptoms, diagnosis, pathological changes, treatment and prevention of the two kinds of viruses, CoVs and IAVs. It hopes to provide information for practitioners in the medical field during the epidemic season.
严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)继续在全球范围内肆虐,导致数百万人感染,数十万人死亡。它引起的呼吸道疾病,即 2019 年冠状病毒病(COVID-19),与另外两种冠状病毒疾病——严重急性呼吸综合征和中东呼吸综合征(SARS 和 MERS)具有相似的临床症状,其致病病毒分别为 SARS-CoV 和 MERS-CoV。这三种冠状病毒引起的疾病也与由甲型流感病毒(IAV)引起的其他呼吸道疾病具有许多共同的临床症状。由于冠状病毒和 IAV 都是引起季节性感冒的常见病原体,在接下来的几个月里,随着季节的变化,临床医生和公共卫生部门可能不得不将 COVID-19 肺炎与其他类型的病毒性肺炎区分开来。本文讨论并比较了这两种病毒——冠状病毒和 IAV 的病毒结构、传播特点、临床症状、诊断、病理变化、治疗和预防。希望能为传染病流行季节的医疗工作者提供信息。