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台灣事實查核中心
Taiwan FactCheck Center
【部分錯誤】網傳「台大醫師團契訊息…重症新冠肺像 “SARS+AIDS”…免疫系統也幾乎全被摧毀…多器官衰竭是新冠病毒重要死亡原因…出院的病人可能會像B型肝炎病人一樣，長期帶病毒生存」？
網傳「台大醫師團契訊息…重症新冠肺像 “SARS+AIDS”…免疫系統也幾乎全被摧毀…多器官衰竭是新冠病毒重要死亡原因…出院的病人可能會像B型肝炎病人一樣，長期帶病毒生存」，經查：
一、臺大醫院未發布此訊息。
二、專家指出，COVID-19的重症患者，通常本身有其他疾病，肺臟功能不好時連帶影響心、腎等器官，有時會引發多重器官衰竭。但不是只有COVID-19，細菌感染等其他疾病也會引發多重器官衰竭。
三、COVID-19患者體內的淋巴細胞會降低，而淋巴細胞是參與免疫反應的細胞之一。但包括SARS在內的很多病毒，患者體內的淋巴細胞也會降低。
四、新冠病毒是否會侵犯免疫系統、如何侵犯免疫系統，以及傳言指稱的「長期帶原者」的說法，有待更多科學研究釐清。
因此，傳言為「部分錯誤」訊息。
For the whole article:
https://tfc-taiwan.org.tw/articles/3721
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English translation
Fact check report
Partially false
A message from National Taiwan University Doctor Fellowship … Severe new crown and lung like “SARS + AIDS” … Almost all the immune system is destroyed … Multiple organ failure is an important cause of death of the new crown virus … discharged Patients may be living with viruses for a long time just like hepatitis B patients? “
A message from the National Taiwan University Doctor Fellowship … Severe New Coronary Pulmonary Like “SARS + AIDS” … Immune System Almost Completely Destroyed … Multiple Organ Failure Is an Important Cause of Death for New Coronavirus … Patients Discharged Like patients with hepatitis B, they survive for a long time with the virus “, after investigation:
1. The National Taiwan University Hospital has not released this message.
2. Experts point out that COVID-19’s severely ill patients usually have other diseases themselves. When the lung function is not good, it will affect the heart, kidney and other organs, and sometimes cause multiple organ failure. But not only COVID-19, other diseases such as bacterial infections can also cause multiple organ failure.
3. Lymphocytes in patients with COVID-19 will decrease, and lymphocytes are one of the cells involved in the immune response. However, for many viruses including SARS, the lymphocytes in patients will also be reduced.
4. Whether or not the new coronavirus will invade the immune system, how to invade the immune system, and the rumored allegations of “long-term carriers” need to be clarified by more scientific research.
Therefore, the rumor is a “partial error” message.
background
The messages circulating on the community platform indicate:
“The fellowship message of National Taiwan University Physicians is for your consideration: in the
past year, try to avoid close contact with people who have experienced new pneumonia, or meet or eat together. Don’t be conscious of protection, don’t let go.
1. Autopsy shows:
1. Severe new coronary lung like “SARS + AIDS”. Many doctors believe that the nucleic acid detection after discharge from the hospital is not a relapse, but not cured. This is related to the characteristics of the new coronary pneumonia.
2. The immune system is also almost completely Destroy. “SARS only attacks the lungs, not the immune system. AIDS can damage the lungs and the immune system. New coronary pneumonia damages critically ill patients like SARS plus AIDS.
3. Acute lung injury is the leading cause of death in SARS patients.
However, [multi-organ failure] is an important cause of death of the new coronavirus.
2. Dr. Peng Zhiyong, the director of the Department of Critical Care Medicine of Central South Hospital of Wuhan University, led the team to discuss the case after the autopsy results:
1. Some severely discharged patients were found through blood tests: the lymphocyte index did not return to normal levels: their The immune system has not fully recovered.
2. In the current dischargers: the
nucleic acid test is negative, but the immune system is very poor and has not recovered, it is easy to return to the sun after discharge.
3. Patients discharged from the hospital may live with the virus for a long time, just like patients with hepatitis B.
4. “What is to be considered now is whether this virus-carrying patient is infectious.” … “
Figure 1: A screenshot of the information circulating on the community platform
Figure 2: This message is widely circulated on the community platform
Check
Controversy 1. Is this message issued by the National Taiwan University Physician Fellowship?
The National Taiwan University Hospital issued a statement on April 16 to clarify that this message is not a statement from the doctors of the National Taiwan University Hospital, and the National Taiwan University Hospital does not have a “National Taiwan University Doctor Fellowship.”
Controversial point 2. Rumors refer to “Dr. Peng Zhiyong, Director of the Department of Intensive Medicine, Central South Hospital of Wuhan University”. Does Peng Zhiyong have any relevant remarks?
The verification center verified that some sources quoted the article “Tencent.com” on March 10 “ Wuhan first-line doctors explain the new crown: damage to critically ill patients like“ SARS + AIDS ”) .
However, this article alleged that “easy to reuse positive after discharge in patients with poor immune systems,” “might, like hepatitis B (Taiwan called hepatitis B) as long with the virus,” China “People’s Daily” March 14 micro-blog news and Then quote Peng Zhiyong’s opinion. Peng Zhiyong pointed out, “This is just a possibility speculation. At present, there is no scientific basis to prove that there is an inevitable connection between the immune system and Fuyang, and scientific evidence is still needed.”
Controversial point 3. Rumors allege that “serious new coronary lungs resemble” SARS + AIDS “…” SARS only attacks the lungs and does not harm the immune system. AIDS can damage the lungs and the immune system. Is the damage of new coronary pneumonia to critically ill patients like SARS plus AIDS? “Is this true?
Shi Xinru, director of the Emerging Virus Infection Research Center of Chang Gung University, pointed out that the current data shows that the serious illness of the new coronavirus is related to the original disease. It may have passed away due to the exacerbation of its own chronic disease, or it may have passed away due to pneumonia caused by the new coronavirus.
Will the new coronavirus damage the immune system? Shi Xinru said that at present, in some cell experiments, it is pointed out that the new coronavirus may invade immune cells, but there has been no relevant research in human experiments. Therefore, she believes that the rumored claims have not yet had complete scientific evidence.
He Meixiang, a researcher at the Institute of Biomedical Sciences, Academia Sinica, pointed out that infection with the new coronavirus will lower the lymphocytes in patients. Lymphocytes are one of the cells involved in the immune response. The more lymphocytes decrease, the worse the prognosis (Prognosis). But for many viruses, including SARS, the number of immune cells in patients will also be reduced.
He Meixiang said that from the current situation, the effect and mechanism of the new coronavirus on immune cells is not like the response mechanism of HIV virus to immune cells. As for how the new coronavirus affects the immune system, more research is needed to analyze it in depth.
Controversial point 4. Is it true that rumors allege that “multiple organ failure is an important cause of death in new coronary pneumonia”?
Shi Xinru pointed out that multiple organ failure is indeed the cause of death, but usually these patients have other diseases themselves, and when the lung function is not good, the heart will also be bad; when the heart and lung function is not good, even the kidney function will not be it is good. So sometimes these three very important organs will fail simultaneously.
Shi Xinru emphasized that multiple organ failure is not a feature of infection with the new coronavirus. Like elderly people who have aspiration pneumonia, because the body is already bad, the heart, lungs, and kidneys may fail at the same time. In addition, bacterial infections and sepsis may also cause multiple organ failure.
He Meixiang pointed out that multiple organ failure is indeed one of the causes of death in critically ill patients. This is more common in the elderly who suffer from heart disease, kidney disease, chronic diseases and other diseases, or young people with obesity problems. In addition, other diseases like bacterial infection can also cause multiple organ failure.
Controversial point 5. Rumors allege that “patients discharged from the hospital may live with the virus for a long time like patients with hepatitis B.” Is this true?
Shi Xinru pointed out that there are indeed some patients who have recovered, and the virus is still detected in the body, but the mechanism of coronavirus and hepatitis B virus is different. At present, the coronavirus in humans has not been found to be long-term in the recovered human body. The original phenomenon, and the part of the new coronavirus, such as how long the virus can survive in the body, will it become like hepatitis B? It needs more scientific research to confirm.
For example, Shi Xinrui said that after recovery of enterovirus patients, the virus can be measured in the gastrointestinal tract for a month or two, but enteroviruses will not survive in the body for a lifetime, and enterovirus patients will not change into the band of hepatitis B. The original.
He Meixiang pointed out that some people need a long time to remove the virus from the virus infection. As for the “long-term carrier” claim, there is not enough scientific research to support it.
in conclusion
1. The National Taiwan University Hospital has not released this message.
2. Experts point out that COVID-19’s severely ill patients usually have other diseases themselves. When the lung function is not good, it will affect the heart, kidney and other organs, and sometimes cause multiple organ failure. But not only COVID-19, other diseases such as bacterial infections can also cause multiple organ failure.
3. Lymphocytes in patients with COVID-19 will decrease, and lymphocytes are one of the cells involved in the immune response. However, for many viruses including SARS, the lymphocytes in patients will also be reduced.
4. Whether or not the new coronavirus will invade the immune system, how to invade the immune system, and the rumored allegations of “long-term carriers” need to be clarified by more scientific research.
Therefore, the rumor is a “partial error” message.
References
National Taiwan University Hospital statement “
Wuhan first-line doctors explain the new crown: damage to critically ill patients like” SARS + AIDS “
” “People’s Daily” Weibo News
https://tfc-taiwan.org.tw/articles/3721
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