Clinical characteristics of COVID-19 severity and dysbiosis effect [12]
COVID-19 severity type | Criteria | Dysbiosis effect |
---|---|---|
Mild | Clinical symptoms minimal, no imaging consistent for pneumonia | Had viral clearance as evidenced by their fecal samples and these patients showed symptomatic recovery |
Moderate | Fever, upper respiratory symptoms, and imaging evidence of pneumonia | |
Severe | (1) Respiratory distress (i.e., RR > 30) (2) SpO2 less than 93% at rest (3) PaO2/FiO2 < 300 mmHg (1 kPa ≈ 7.50 mmHg) | Depletion of beneficial commensals, affecting the breakdown of SCFAs and L-isoleucine biosynthesis, which in turn impaired viral clearance and symptomatic recovery resulting in persistent metabolic dysfunction |
Critically ill | (1) Respiratory failure requiring intubation and ventilation (2) Shock (3) Organ failure, requiring ICU monitoring and treatment |
KVH and DAJ: Methodology, Writing—original draft, Writing—review & editing. AP, MS, AV, ARVS, SMD, and BSY: Writing—original draft, Writing—review & editing.
The authors declare that they have no conflicts of interest.
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© The Author(s) 2023.