Tuberculosis and COVID-19: Lessons from the Past Viral Outbreaks and Possible Future Outcomes
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 sup...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Canadian Respiratory Journal |
| Online Access: | http://dx.doi.org/10.1155/2020/1401053 |
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| author | Radu Crisan-Dabija Cristina Grigorescu Cristina-Alice Pavel Bogdan Artene Iolanda Valentina Popa Andrei Cernomaz Alexandru Burlacu |
| author_facet | Radu Crisan-Dabija Cristina Grigorescu Cristina-Alice Pavel Bogdan Artene Iolanda Valentina Popa Andrei Cernomaz Alexandru Burlacu |
| author_sort | Radu Crisan-Dabija |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-101ca2d5c76d4fb680b11dac43069388 |
| institution | Kabale University |
| issn | 1198-2241 1916-7245 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Respiratory Journal |
| spelling | doaj-art-101ca2d5c76d4fb680b11dac430693882025-02-03T01:05:13ZengWileyCanadian Respiratory Journal1198-22411916-72452020-01-01202010.1155/2020/14010531401053Tuberculosis and COVID-19: Lessons from the Past Viral Outbreaks and Possible Future OutcomesRadu Crisan-Dabija0Cristina Grigorescu1Cristina-Alice Pavel2Bogdan Artene3Iolanda Valentina Popa4Andrei Cernomaz5Alexandru Burlacu6University of Medicine and Pharmacy “Grigore T. Popa” Iași, Pulmonology Department, Head of Clinic of Pulmonary Diseases, Iasi, RomaniaUniversity of Medicine and Pharmacy “Grigore T. Popa” Iași, Department Thoracic Surgery, Clinic of Thoracic Surgery Iași, Hospital of Pulmonary Diseases Iasi, Iasi, RomaniaClinic of Pulmonary Diseases, Iasi, RomaniaDepartment of Interventional Cardiology-Cardiovascular Diseases Institute, Iasi, RomaniaInstitute of Gastroenterology and Hepatology, Iași, RomaniaUniversity of Medicine and Pharmacy “Grigore T. Popa” Iași, Pulmonology Department, Institute of Oncology, Iași, RomaniaDepartment of Interventional Cardiology-Cardiovascular Diseases Institute, Iasi, RomaniaBackground. 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.http://dx.doi.org/10.1155/2020/1401053 |
| spellingShingle | Radu Crisan-Dabija Cristina Grigorescu Cristina-Alice Pavel Bogdan Artene Iolanda Valentina Popa Andrei Cernomaz Alexandru Burlacu Tuberculosis and COVID-19: Lessons from the Past Viral Outbreaks and Possible Future Outcomes Canadian Respiratory Journal |
| title | Tuberculosis and COVID-19: Lessons from the Past Viral Outbreaks and Possible Future Outcomes |
| title_full | Tuberculosis and COVID-19: Lessons from the Past Viral Outbreaks and Possible Future Outcomes |
| title_fullStr | Tuberculosis and COVID-19: Lessons from the Past Viral Outbreaks and Possible Future Outcomes |
| title_full_unstemmed | Tuberculosis and COVID-19: Lessons from the Past Viral Outbreaks and Possible Future Outcomes |
| title_short | Tuberculosis and COVID-19: Lessons from the Past Viral Outbreaks and Possible Future Outcomes |
| title_sort | tuberculosis and covid 19 lessons from the past viral outbreaks and possible future outcomes |
| url | http://dx.doi.org/10.1155/2020/1401053 |
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