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Abbreviations: AST, aspartate aminotransferase; ALT, alanine
aminotransferase; ALP, Alkaline Phosphatase; Baso, Basophil; BS,
Blood Sugar; CRP, C-reactive protein; COVID-19, severe acute
respiratory syndrome coronavirus 2; CPK, Creatine Phosphokinase;
Hb, Hemoglobin; Hct, hematocrit; ICU, intensive care unit; Lymph,
Lymphocyte; LDH, lactate dehydrogenase; Mono, Monocyte; Neut,
neutrophil; PLT, platelet; RBC Red, blood cell; WBC, white blood
cell
Introduction
COVID-19 as a member of Coronaviridae family has a single-
stranded, relatively enveloped, and positive-sense RNA, and leads
to some acute diseases in animal species, particularly humans.
1
Coronaviruses are responsible for several diseases such as neurological,
hepatic diseases, enteric, common cold and most importantly
respiratory disorders in human species, though CoV-2 (SARS-CoV-2)
or COVID-19 as the third zoonotic coronavirus in 21
st
century is the
most dangerous virus that causes severe acute respiratory syndrome
with high spread and fatality rates in the globe.
2-4
The frst report of
an infected case with COVID-19 was recorded in 2019 (December)
in Wuhan, China. This disease then extensively and rapidly spread
throughout worldwide through human-to-human transmission and
quickly converted to be a disaster and pandemic disease in the world
due to the lack of efective therapeutic strategies. It has been reported
that approximately 50 million of people were infected by this virus in
more than 200 countries and near to 1 million lost their life. However,
it is predicated that the more mortality will be probably high in
low-income countries due to the inadequate laboratories and health
facilities. Thus, this epidemic is introduced as a serious public health
concern by the World Health Organization (WHO).
5
There are mainly four structural proteins in this virus; (i)
nucleocapsid protein, (ii) envelope protein, (iii) glycoprotein and
(iv) matrix protein. It is demonstrated that the spike protein has
an important role in invading of the virus to the host cells though
the interaction with angiotensin-converting enzyme 2 (ACE2) as a
common receptor in diferent human organs such as respiratory system,
spleen, brain, kidney, lymph nodes, thymus and liver.
6
The symptoms
of COVID-19, similar to the other viral infection are non-specifc and
variable at initial stage, and commonly appear at the frst or second
week after the infection. In most infected patients, mild type of fever,
fatigue, dyspnea and dry cough are common symptoms, though the
sever and advanced respiratory disorders are marked for this virus
in sensitive cases, therefore, it requires rapid and selective detection,
intensive treatment and management. Although the mortality rate of
high-risk group such as immunocompromised, elderly, hypertensive
and diabetic is more than healthy people, young and healthy people
are present in the fatality statistic. Therefore, early diagnosis of the
infected cases not only can help to control its spread, but also the pre-
treatment can be begun.
7
Though molecular diagnosis is known as a gold-standard technique
for COVID-19 detection, clinical characterization, and diferent
laboratory parameters-hematological and biochemical factors- can be
fundamental for the detection, monitoring of the treatment process and
its related response to control this pandemic. Furthermore, obtaining
these parameters in the infected cases can provide information to
distinguish the high or low risk group for mortality and also enhance
the awareness of clinical and epidemiological situational. Complete
blood counts (CBC) is an example for hematological parameters that
can be monitored as an infammatory marker for the detection. This
study aimed to study clinical, biochemical and hematological data in
the infected patients with COVID-19.
8,9
Biom Biostat Int J. 2021;10(2):68‒73. 68
©2021 Vahidian et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which
permits unrestricted use, distribution, and build upon your work non-commercially.
Determining the clinical and experimental fndings of
people with COVID-19
Volume 10 Issue 2 - 2021
Fatemeh Vahidian,
1,2,3
Souzan Najaf,
2
Vahid
Khaze Shahgoli,
2,4
Elham Safarzadeh,
5
Moloud
Akbarzadeh,
6,7
Seyed Isaac Hashemy
1
1
Department of Clinical Biochemistry, Faculty of Medicine,
Mashhad University of Medical Sciences, Iran
2
Immunology Research Center, Tabriz University of Medical
Sciences, Iran
3
Department of Immunology, Faculty of medicine, Tabriz
University of Medical Sciences, Iran
4
Department of Cancer and Infammation, Southern Denmark
University, Denmark
5
Department of Microbiology& Immunology, School of Medicine,
Ardabil University of Medical Sciences, Iran
6
Stem Cell and Regenerative Medicine Institute, Tabriz
University of Medical Sciences, Iran
7
Department of Cellular and Molecular Biology, Faculty of
Biological Science, Azarbaijan Shahid Madani University, Iran
Correspondence: Seyed Isaac Hashemy, Department of
Clinical Biochemistry, Faculty of Medicine, Mashhad University
of Medical Sciences, Mashhad, Iran, Email
Received: April 24, 2021 | Published: June 17, 2021
Abstract
Introduction: Coronavirus disease 2019 (COVID-19) is responsible for severe acute
respiratory syndrome. The present study planned to evaluate the accuracy of laboratory
parameters and clinical fndings in predication of the infected cases through RT-PCR.
Methods: All related laboratory tests of 180 cases (62.8% male and 37.2% female) with
an average of 62 years old (45.3-69) were performed by several laboratory techniques. The
obtained results as well as other clinical and biography fndings of the patients during the
treatment and recovery were compared and analyzed to fnd out the possible relationship
among the considered parameters.
Results: The considered hematological and biochemistry factors were completely diferent
in all cases regardless to their health and lifestyle condition, including being at ICU, being
addict or not, whether having previous diseases or not and others.
Conclusion: COVID-19 has brought a huge burden to the health system and infected
patients, especially those who have a background of chronic diseases or addicted to some
drugs.
Keywords: COVID-19, laboratory experiments, clinical fnding, ICU
Biometrics & Biostatistics International Journal
Research Article
Open Access