Abstract
Background: During COVID-19 pandemic a major conflict facing the clinician where to prove cure of the patients.
Aims: The idea of confirming curability is based on clinical evaluation of the symptoms, laboratory investigations, and specific IgM, IgG anti-SARS-CoV-2 antibodies.
Materials and Methods: All patients had presented with clinical features of COVID-19 positive PCR attended private clinic doctors consultant in internal medicine and infectious diseases, they did investigations in Lagash land private medical laboratory in Baghdad investigated and screened for COVID-19 by S. ferritin, D-dimer, Complete blood picture and LDH. All were reevaluated in the first month of infection by clinical examination, retesting, and screening for COVID-19 IgM IgG later to prove cure or evidence of viral infection in PCR negative cases.
Results: All patients are of different ages with maximum years affected from adulthood till the age of one hundred years. Male were 170(54.3%) patients and females were 143 (45.7%) total 313 patients (100%). Most are moderate socioeconomic status, with a significant number having comorbidities.
Conclusion: SARS-COVID-19 IgM, IgG levels can be used to confirm a cure of the infection.
Graphical Abstract
[http://dx.doi.org/10.1001/jama.2020.1097] [PMID: 31999307]
[http://dx.doi.org/10.1128/JVI.79.24.15511-15524.2005 ] [PMID: 16306622]
[http://dx.doi.org/10.1016/j.ssci.2020.104866]
[http://dx.doi.org/10.1002/JLB.3COVR0520-272R] [PMID: 32534467]
[http://dx.doi.org/10.1164/rccm.202006-2598LE]
[http://dx.doi.org/10.1373/clinchem.2005.054460] [PMID: 16195357]
[http://dx.doi.org/10.1016/j.it.2020.10.004] [PMID: 33132005]
[http://dx.doi.org/10.1080/08830185.2020.1844195] [PMID: 33191813]
[http://dx.doi.org/10.1016/j.pulmoe.2021.03.008] [PMID: 33867315]
[http://dx.doi.org/10.1007/s12026-021-09198-0] [PMID: 33928531]
[http://dx.doi.org/10.3390/ijms22031118] [PMID: 33498725]
[http://dx.doi.org/10.1016/j.jinf.2020.03.037] [PMID: 32283152]
[http://dx.doi.org/10.31838/hiv23.03.175]
[http://dx.doi.org/10.17720/2409.5834.v9.1.2023.319]
[http://dx.doi.org/10.31838/ecb/2023.12.sa1.161]
[http://dx.doi.org/10.1183/13993003.00607-2020] [PMID: 32269085]
[http://dx.doi.org/10.1038/s41423-020-0474-z] [PMID: 32467617]
[http://dx.doi.org/10.1016/S1473-3099(21)00479-5] [PMID: 34509185]
[http://dx.doi.org/10.1136/bmj.m2516] [PMID: 32611558]
[http://dx.doi.org/10.1016/j.virusres.2014.03.018] [PMID: 24670324]
[http://dx.doi.org/10.1128/JCM.43.7.3054-3058.2005 ] [PMID: 16000415]
[http://dx.doi.org/10.1128/JCM.42.5.2306-2309.2004 ] [PMID: 15131220]
[http://dx.doi.org/10.1002/jmv.25800] [PMID: 32227490]
[http://dx.doi.org/10.1097/CM9.0000000000000820] [PMID: 32221133]
[http://dx.doi.org/10.1093/cid/ciaa310] [PMID: 32198501]
[http://dx.doi.org/10.1080/22221751.2020.1729071] [PMID: 32065057]
[http://dx.doi.org/10.1093/cid/ciaa344 ] [PMID: 32221519]
[http://dx.doi.org/10.1016/j.jinf.2020.03.012] [PMID: 32209385]
[http://dx.doi.org/10.1002/jmv.25727] [PMID: 32104917]
[http://dx.doi.org/10.1093/infdis/jiaa243] [PMID: 32382737]
[http://dx.doi.org/10.3389/fmed.2020.00348] [PMID: 32671082]
[http://dx.doi.org/10.3389/fpubh.2022.1029190] [PMID: 36466473]
[http://dx.doi.org/10.1038/s41577-020-0348-8] [PMID: 32528136]
[http://dx.doi.org/10.1016/j.socscimed.2022.114716] [PMID: 35042136]
[http://dx.doi.org/10.3389/fmed.2021.607059 ] [PMID: 33644092]
[http://dx.doi.org/10.1136/bmjopen-2020-040129] [PMID: 33028563]
[http://dx.doi.org/10.2139/ssrn.3576790]
[http://dx.doi.org/10.1093/geronb/gbaa074 ] [PMID: 32470120]
[http://dx.doi.org/10.1136/bmj.m1366] [PMID: 32245830]
[http://dx.doi.org/10.1001/jamainternmed.2020.0994 ] [PMID: 32167524]
[http://dx.doi.org/10.1001/jama.2020.4683 ] [PMID: 32203977]
[http://dx.doi.org/10.1016/S0140-6736(20)30211-7] [PMID: 32007143]
[http://dx.doi.org/10.1016/j.ijid.2020.05.055]
[http://dx.doi.org/10.1016/j.ajem.2020.12.076] [PMID: 33418211]
[http://dx.doi.org/10.1016/j.jcv.2020.104370] [PMID: 32344321]
[http://dx.doi.org/10.1182/blood-2009-11-253815] [PMID: 20472835]
[http://dx.doi.org/10.1002/jmv.25770] [PMID: 32181911]
[http://dx.doi.org/10.1038/s41577-020-0311-8 ] [PMID: 32346093]
[http://dx.doi.org/10.35366/112161]
[http://dx.doi.org/10.1186/s13613-021-00820-w] [PMID: 33604873]
[http://dx.doi.org/10.1016/j.ijid.2020.04.061] [PMID: 32344011]
[http://dx.doi.org/10.1002/jmv.25930]
[http://dx.doi.org/10.1111/j.1469-0691.2004.01009.x]
[http://dx.doi.org/10.4269/ajtmh.22-0448 ] [PMID: 36509045]
[http://dx.doi.org/10.3390/v12121390]
[http://dx.doi.org/10.1080/22221751.2020.1762515 ] [PMID: 32357808]
[http://dx.doi.org/10.1093/cid/ciaa344] [PMID: 32221519]
[http://dx.doi.org/10.1016/j.ejim.2021.05.010 ] [PMID: 34053848]
[http://dx.doi.org/10.1038/s41564-020-00813-8 ] [PMID: 33106674]
[http://dx.doi.org/10.1016/j.medcli.2020.07.043]
[http://dx.doi.org/10.1016/j.medcli.2020.05.012 ] [PMID: 32586669]
[http://dx.doi.org/10.1128/Spectrum.00590-21] [PMID: 34550000]
[http://dx.doi.org/10.1038/s41467-020-19943-y] [PMID: 33247152]
[http://dx.doi.org/10.1093/infdis/jiaa737] [PMID: 33247924]
[http://dx.doi.org/10.3390/tropicalmed8050260 ] [PMID: 37235308]
[http://dx.doi.org/10.1093/bib/bbab191 ] [PMID: 34015823]
[http://dx.doi.org/10.3389/fped.2020.607647 ] [PMID: 33859967]
[http://dx.doi.org/10.1515/cclm-2020-0369 ] [PMID: 32286245]
[http://dx.doi.org/10.1016/j.ejim.2020.04.043 ] [PMID: 32345526]
[http://dx.doi.org/10.1093/ofid/ofaa152 ] [PMID: 32457924]
[http://dx.doi.org/10.3390/s22207886] [PMID: 36298235]
[http://dx.doi.org/10.3389/fimmu.2022.857573] [PMID: 35572561]
[http://dx.doi.org/10.1172/JCI138759 ] [PMID: 32634129]
[http://dx.doi.org/10.1093/jalm/jfaa079 ] [PMID: 32428207]
[http://dx.doi.org/10.1128/mSphere.00827-20] [PMID: 33177214]
[http://dx.doi.org/10.1016/j.jcv.2022.105167] [PMID: 35523105]
[http://dx.doi.org/10.1093/ajcp/aqaa123] [PMID: 32666092]
[http://dx.doi.org/10.1001/jama.2020.8259] [PMID: 32374370]
[http://dx.doi.org/10.1128/mBio.00722-20] [PMID: 32217609]