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International Journal of Infectious Diseases
International Society for Infectious Diseases
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  • Editorial4
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  • Zumla, Alimuddin7
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  • International Journal of Infectious Diseases11

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  • Editorial
    Open Access

    Emergence of new SARS-CoV-2 Variant of Concern Omicron (B.1.1.529) - highlights Africa's research capabilities, but exposes major knowledge gaps, inequities of vaccine distribution, inadequacies in global COVID-19 response and control efforts

    International Journal of Infectious Diseases
    Vol. 114p268–272Published online: December 1, 2021
    • Eskild Petersen
    • Francine Ntoumi
    • David S Hui
    • Aisha Abubakar
    • Laura D. Kramer
    • Christina Obiero
    • and others
    Cited in Scopus: 87
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      Nearly two years since the start of the SARS-CoV-2 pandemic, which has caused over 5 million deaths, the world continues to be on high COVID-19 alert. The World Health Organization (WHO), in collaboration with national authorities, public health institutions and scientists have been closely monitoring and assessing the evolution of SARS-CoV-2 since January 2020 (WHO 2021a; WHO 2021b).  The emergence of specific SARS-CoV-2 variants were characterised as Variant of Interest (VOI) and Variant of Concern (VOC), to prioritise global monitoring and research, and to inform the ongoing global response to the COVID-19 pandemic. The WHO and its international sequencing networks continuously monitor SARS-CoV-2 mutations and inform countries about any changes that may be needed to respond to the variant, and prevent its spread where feasible.
    • Research Article
      Open Access

      Role of testosterone in SARS-CoV-2 infection: A key pathogenic factor and a biomarker for severe pneumonia

      International Journal of Infectious Diseases
      Vol. 108p244–251Published online: May 19, 2021
      • Marta Camici
      • Paolo Zuppi
      • Patrizia Lorenzini
      • Liliana Scarnecchia
      • Carmela Pinnetti
      • Stefania Cicalini
      • and others
      Cited in Scopus: 17
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        Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection is characterized by a huge range of clinical manifestations. Many pathogenetic pathways and virulence mechanisms are still unknown. Nevertheless, it is known that the host’s immune system plays a key role (Blanco-Melo et al., 2020). Notably, age, comorbidities (e.g. diabetes mellitus, obesity), smoking habits and male sex (Rod et al., 2020; Wu et al., 2020) are the fundamental independent risk factors for death from coronavirus disease-19 (COVID-19) (Zhou et al., 2020).
        Role of testosterone in SARS-CoV-2 infection: A key pathogenic factor and a biomarker for severe pneumonia
      • Case Report
        Open Access

        Prolonged and severe SARS-CoV-2 infection in patients under B-cell-depleting drug successfully treated: A tailored approach

        International Journal of Infectious Diseases
        Vol. 107p247–250Published online: April 23, 2021
        • Alessandra D’Abramo
        • Serena Vita
        • Gaetano Maffongelli
        • Andrea Mariano
        • Chiara Agrati
        • Concetta Castilletti
        • and others
        Cited in Scopus: 19
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          Patients with pre-existing comorbidities and immunosuppression, including anti-CD20 monoclonal antibody, widely used to treat hematological malignancies or autoimmune disease, are at greater risk for persistent Severe Acute Respiratory Syndrome-CoronaVirus-2 (SARS-CoV-2) infection (He et al., 2020). Prolonged B-cell depletion impairs the adaptive immune response and the ability to produce neutralizing antibodies, causing severe manifestations and a prolonged course of COVID-19 (Mehta et al., 2020; Hueso et al., 2020).
          Prolonged and severe SARS-CoV-2 infection in patients under B-cell-depleting drug successfully treated: A tailored approach
        • Research Article
          Open Access

          Risk and predictive factors of prolonged viral RNA shedding in upper respiratory specimens in a large cohort of COVID-19 patients admitted to an Italian reference hospital

          International Journal of Infectious Diseases
          Vol. 105p532–539Published online: March 3, 2021
          • Annalisa Mondi
          • Patrizia Lorenzini
          • Concetta Castilletti
          • Roberta Gagliardini
          • Eleonora Lalle
          • Angela Corpolongo
          • and others
          Cited in Scopus: 14
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            The emergence and rapid spread of the COVID-19 outbreak, caused by SARS-CoV-2, has become a global health emergency and one of our century's greatest challenges. As of February 24, 2021, approximately 111 million confirmed cases and more than 2.4 million deaths had been reported worldwide (Anon, 2020).
            Risk and predictive factors of prolonged viral RNA shedding in upper respiratory specimens in a large cohort of COVID-19 patients admitted to an Italian reference hospital
          • Research Article
            Open Access

            The unbalanced p53/SIRT1 axis may impact lymphocyte homeostasis in COVID-19 patients

            International Journal of Infectious Diseases
            Vol. 105p49–53Published online: February 9, 2021
            • Veronica Bordoni
            • Eleonora Tartaglia
            • Alessandra Sacchi
            • Gian Maria Fimia
            • Eleonora Cimini
            • Rita Casetti
            • and others
            Cited in Scopus: 26
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              In patients with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection, excessive inflammatory responses are considered to play a major role in the pathogenesis of severe coronavirus disease-2019 (COVID-19) disease, leading to acute respiratory distress syndrome and multiple-organ failure (Moore and June, 2020). Dysregulated inflammatory profile, defective immune responses and lymphopenia have also been identified as important features of severe disease (Del Valle et al., 2020; Bordoni et al., 2020).
              The unbalanced p53/SIRT1 axis may impact lymphocyte homeostasis in COVID-19 patients
            • Short Communication
              Open Access

              Mortality in COVID-19 disease patients: Correlating the association of major histocompatibility complex (MHC) with severe acute respiratory syndrome 2 (SARS-CoV-2) variants

              International Journal of Infectious Diseases
              Vol. 98p454–459Published online: July 18, 2020
              • Eric de Sousa
              • Dário Ligeiro
              • Joana R. Lérias
              • Chao Zhang
              • Chiara Agrati
              • Mohamed Osman
              • and others
              Cited in Scopus: 31
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                Genetic factors such as the HLA type of patients may play a role in regard to disease severity and clinical outcome of patients with COVID-19. Taking the data deposited in the GISAID database, we made predictions using the IEDB analysis resource (TepiTool) to gauge how variants in the SARS-CoV-2 genome may change peptide binding to the most frequent MHC-class I and -II alleles in Africa, Asia and Europe. We caracterized how a single mutation in the wildtype sequence of of SARS-CoV-2 could influence the peptide binding of SARS-CoV-2 variants to MHC class II, but not to MHC class I alleles.
                Mortality in COVID-19 disease patients: Correlating the association of major histocompatibility complex (MHC) with severe acute respiratory syndrome 2 (SARS-CoV-2) variants
              • Editorial
                Open Access

                Reducing mortality and morbidity in patients with severe COVID-19 disease by advancing ongoing trials of Mesenchymal Stromal (stem) Cell (MSC) therapy — Achieving global consensus and visibility for cellular host-directed therapies

                International Journal of Infectious Diseases
                Vol. 96p431–439Published online: May 17, 2020
                • Alimuddin Zumla
                • Fu-Sheng Wang
                • Giuseppe Ippolito
                • Nicola Petrosillo
                • Chiara Agrati
                • Esam I. Azhar
                • Chao Chang
                • Sherif A. El-Kafrawy
                • Mohamed Osman
                • Laurence Zitvogel
                • Peter R. Galle
                • Franco Locatelli
                • Ellen Gorman
                • Carlos Cordon-Cardo
                • Cecilia O’Kane
                • Danny McAuley
                • Markus Maeurer
                Cited in Scopus: 31
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                  As of May 17th 2020, the novel coronavirus disease 2019 (COVID-19) pandemic has caused 307,395 deaths worldwide, out of 3,917,366 cases reported to the World Health Organization. No specific treatments for reducing mortality or morbidity are yet available. Deaths from COVID-19 will continue to rise globally until effective and appropriate treatments and/or vaccines are found. In search of effective treatments, the global medical, scientific, pharma and funding communities have rapidly initiated over 500 COVID-19 clinical trials on a range of antiviral drug regimens and repurposed drugs in various combinations.
                  Reducing mortality and morbidity in patients with severe COVID-19 disease by advancing ongoing trials of Mesenchymal Stromal (stem) Cell (MSC) therapy — Achieving global consensus and visibility for cellular host-directed therapies
                • Case Report
                  Open Access

                  Usefulness of bronchoalveolar lavage in the management of patients presenting with lung infiltrates and suspect COVID-19-associated pneumonia: A case report

                  International Journal of Infectious Diseases
                  Vol. 97p174–176Published online: May 10, 2020
                  • Gina Gualano
                  • Maria Musso
                  • Silvia Mosti
                  • Paola Mencarini
                  • Annelisa Mastrobattista
                  • Carlo Pareo
                  • and others
                  Cited in Scopus: 22
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                    In December 2019, a novel coronavirus infection, named severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2), emerged in Wuhan, Hubei Province, China which the World Health Organization (WHO) has named 2019 novel coronavirus disease (COVID-19) [1]. The clinical spectrum of SARS-CoV-2 infection appears to be wide, encompassing asymptomatic infection, mild upper respiratory tract illness, and severe viral pneumonia with respiratory failure and even death [2]. It is a highly infectious disease and currently person-to-person transmission is the main source of infection; many unknowns remain regarding the virulence/pathogenicity, the effectiveness of different modes of transmission, the infectivity during the incubation period and during recovery, the impact of individual or population-based preventive measures [3].
                    Usefulness of bronchoalveolar lavage in the management of patients presenting with lung infiltrates and suspect COVID-19-associated pneumonia: A case report
                  • Editorial
                    Open Access

                    Is Africa prepared for tackling the COVID-19 (SARS-CoV-2) epidemic. Lessons from past outbreaks, ongoing pan-African public health efforts, and implications for the future

                    International Journal of Infectious Diseases
                    Vol. 93p233–236Published online: February 28, 2020
                    • Nathan Kapata
                    • Chikwe Ihekweazu
                    • Francine Ntoumi
                    • Tajudeen Raji
                    • Pascalina Chanda-Kapata
                    • Peter Mwaba
                    • Victor Mukonka
                    • Matthew Bates
                    • John Tembo
                    • Victor Corman
                    • Sayoki Mfinanga
                    • Danny Asogun
                    • Linzy Elton
                    • Liã Bárbara Arruda
                    • Margaret J. Thomason
                    • Leonard Mboera
                    • Alexei Yavlinsky
                    • Najmul Haider
                    • David Simons
                    • Lara Hollmann
                    • Swaib A. Lule
                    • Francisco Veas
                    • Muzamil Mahdi Abdel Hamid
                    • Osman Dar
                    • Sarah Edwards
                    • Francesco Vairo
                    • Timothy D. McHugh
                    • Christian Drosten
                    • Richard Kock
                    • Giuseppe Ippolito
                    • Alimuddin Zumla
                    Cited in Scopus: 112
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                      Soon after the novel coronavirus, SARS-CoV-2 (2019-nCoV), was first identified in a cluster of patients with pneumonia (Li et al., 2020), in the Chinese city of Wuhan on 31 December 2019, rapid human to human transmission was anticipated (Hui et al., 2020). The fast pace of transmission is wreaking havoc and stirring media hype and public health concern (Ippolito et al., 2020) globally. When the World Health Organization (WHO) declared the disease, (now officially named COVID-19) a Public Health Emergency of International Concern (PHEIC) on 31st January 2020 (WHO, 2020a), the Director General Dr Tedros Ghebreyesus justified the decision by stating that WHOs greatest concern was the potential for the virus to spread to countries with weaker health systems.
                    • Research Article
                      Open Access

                      2019-novel Coronavirus severe adult respiratory distress syndrome in two cases in Italy: An uncommon radiological presentation

                      International Journal of Infectious Diseases
                      Vol. 93p192–197Published online: February 26, 2020
                      • Fabrizio Albarello
                      • Elisa Pianura
                      • Federica Di Stefano
                      • Massimo Cristofaro
                      • Ada Petrone
                      • Luisa Marchioni
                      • and others
                      Cited in Scopus: 115
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                        On December 31, 2019, aggregate cases of an apparently new respiratory syndrome were reported in the city of Wuhan, China by Chinese national health authorities to the World Health Organization (WHO) (Huang et al., 2020; Organization WH, 2020a). As of 13h February 2020, there have been 45 171 cases reported to the World Health Organization with 1104 deaths (Organization WH, 2020a). Outside China there have been 441 confirmed cases reported from 24 countries (Organization WH, 2020a; Organization WH, 2020b).
                        2019-novel Coronavirus severe adult respiratory distress syndrome in two cases in Italy: An uncommon radiological presentation
                      • Editorial
                        Open Access

                        The continuing 2019-nCoV epidemic threat of novel coronaviruses to global health — The latest 2019 novel coronavirus outbreak in Wuhan, China

                        International Journal of Infectious Diseases
                        Vol. 91p264–266Published online: January 14, 2020
                        • David S. Hui
                        • Esam I Azhar
                        • Tariq A. Madani
                        • Francine Ntoumi
                        • Richard Kock
                        • Osman Dar
                        • Giuseppe Ippolito
                        • Timothy D. Mchugh
                        • Ziad A. Memish
                        • Christian Drosten
                        • Alimuddin Zumla
                        • Eskild Petersen
                        Cited in Scopus: 2016
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                          The city of Wuhan in China is the focus of global attention due to an outbreak of a febrile respiratory illness due to a coronavirus 2019-nCoV. In December 2019, there was an outbreak of pneumonia of unknown cause in Wuhan, Hubei province in China, with an epidemiological link to the Huanan Seafood Wholesale Market where there was also sale of live animals. Notification of the WHO on 31 Dec 2019 by the Chinese Health Authorities has prompted health authorities in Hong Kong, Macau, and Taiwan to step up border surveillance, and generated concern and fears that it could mark the emergence of a novel and serious threat to public health (WHO, 2020a; Parr, 2020).
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