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Comparative clinical analysis of fever in tumor patients, normal patients, and those infected with new coronavirus pneumonia

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机构: [1]Hebei Med Univ, Hosp 4, Dept Oncol, Shijiazhuang, Hebei, Peoples R China [2]Shijiazhuang Fifth Hosp, Dept Internal Med, Shijiazhuang, Hebei, Peoples R China [3]Hebei Chest Hosp, Dept Oncol, Shijiazhuang, Hebei, Peoples R China [4]Hebei Med Univ, Hosp 4, Dept Orthoped, Shijiazhuang, Hebei, Peoples R China [5]Hebei Med Univ, Hosp 4, Dept Thorac Surg, 12 Jiankang Rd, Shijiazhuang 050000, Hebei, Peoples R China
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关键词: Fever malignant tumor 2019 novel coronavirus epidemic situation (2019-nCoV epidemic situation) blood laboratory index

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Background: Under the current epidemic of the coronavirus disease of 2019 (COVID-19), there is a need to distinguish the differences between the laboratory examinations of COVID-19-infected patients, tumor patients with fever, and those with normal fever patients. We aimed to investigate the temperature of tumor patients with different tumor burdens, stages, and cancer types. Methods: We recruited 3 groups of patients to this study: fever patients with malignant tumors, ordinary fever patients, and confirmed cases of COVID-19, with 31, 55, and 28 cases in each group, respectively. Results: The levels of leukocytes and neutrophils were the highest among non-tumor patients, and the count of COVID-19 was the lowest, with a P value of 0.000. Among the leukocytosis group, non-tumor patients had the highest proportion (43.6%), while that of COVID-19 was only 3.6% (P=0.000). Similarly, there were significant differences in the grading of neutrophils, where most of the infected patients were in the normal group and the P value was 0.000. The lymphocyte count of the tumor group was significantly reduced, with an average of (0.97 +/- 0.66) x109/L (P=0.004). In the lymphocyte grades, most of the infected patients were the normal group (71.4%), while tumor patients in the lymphocytopenia group accounted for 63.1% (P=0.006). There were also significant differences in the neutrophil to lymphocyte ratio (NLR) (P=0.006). There was a significant difference in temperature between different tumor burden groups (P=0.014). Conclusions: The normal fever group had the highest count of leukocyte and neutrophils, whereas the infected group had the lowest relative count. The NLR was the lowest in the infected group. The NLR was higher in the bigger tumor load group.

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大类 | 4 区 医学
小类 | 4 区 卫生保健与服务
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第一作者机构: [1]Hebei Med Univ, Hosp 4, Dept Oncol, Shijiazhuang, Hebei, Peoples R China
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通讯机构: [5]Hebei Med Univ, Hosp 4, Dept Thorac Surg, 12 Jiankang Rd, Shijiazhuang 050000, Hebei, Peoples R China [*1]Department of Thoracic surgery, The Fourth Hospital of Hebei Medical University, 12 Jiankang Road, Shijiazhuang 050000, China.
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