Publications by authors named "Jun Won Seo"

Severe fever with thrombocytopenia syndrome (SFTS) is an acute febrile illness caused by the SFTS virus (SFTSV). We conducted this study to propose a scientific evidence-based treatment that can improve prognosis through changes in viral load and inflammatory cytokines according to the specific treatment of SFTS patients. This prospective and observational study was conducted at 14 tertiary referral hospitals, which are located in SFTS endemic areas in Korea, from 1 May 2018 to 31 October 2020.

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Hemorrhagic fever with renal syndrome (HFRS) is caused by hantaviruses. Data of 34 patients with HFRS hospitalized at Chosun University Hospital, South Korea, between 2010 and 2021 were retrospectively analyzed. Nested reverse transcription polymerase chain reaction (RT-nPCR) targeting the L segment of hantavirus and sequencing were used for diagnosis.

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Background: Thromboembolic events are a well-recognized cause of in-hospital deaths of patients with infectious diseases. However, thromboembolic events in patients with scrub typhus, caused by Orientia tsutsugamushi have rarely been reported. This study aimed to assess risk factors associated with thromboembolic events in patients with scrub typhus.

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The spread of COVID-19 has significantly increased research on antiviral drugs and measures such as case isolation and contact tracing. This study compared the effects of lopinavir/ritonavir and remdesivir on COVID-19 patients with a control group receiving no antiviral drugs. Patients confirmed to have a SARS-CoV-2 infection via real-time RT-PCR were divided into three groups: lopinavir/ritonavir, remdesivir, and control.

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We aimed to identify the risk factors for impaired cellular and humoral immunity after three doses of the SARS-CoV-2 vaccine. Six months after the third vaccine dose, T-cell immunity was evaluated using interferon-gamma release assays (IGRAs) in 60 healthy and 139 immunocompromised (IC) individuals, including patients with hematologic malignancy (HM), solid malignancy (SM), rheumatic disease (RD), and kidney transplantation (KT). Neutralizing antibody titers were measured using the plaque reduction neutralization test (PRNT) and surrogate virus neutralization test (sVNT).

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Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus responsible for COVID-19, causes a spectrum of symptoms ranging from mild upper to severe lower respiratory tract infections. However, the dynamics of nucleocapsid (N) protein antigenemia and RNAemia are not fully understood. We conducted a cohort study involving 117 patients with clinically confirmed COVID-19, focusing on the kinetics of antigenemia and RNAemia and their association with various clinical characteristics.

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Article Synopsis
  • "Long COVID" refers to ongoing symptoms from COVID-19 that last over three months, creating a significant public health challenge worldwide.
  • The guidelines for diagnosis and treatment of long COVID are based on recent research and expert consensus, addressing 32 key questions related to the condition.
  • Comprehensive evaluations for long COVID patients should include medical history and tests, and vaccination plus antiviral treatment during the acute phase are recommended to lower the risk of long COVID.
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  • Antiviral treatments can lessen the severity and death from COVID-19, but their impact on long COVID-19 remains uncertain.
  • This study examined if these antiviral drugs could prevent long COVID and reduce related hospitalizations and deaths by analyzing observational studies from 2020 to 2023.
  • The findings revealed that early antiviral therapy led to a 27.5% lower occurrence of long COVID symptoms and a 29.7% reduced risk of hospitalization and mortality compared to just supportive treatments, suggesting it's beneficial for at-risk individuals.*
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Background: Scrub typhus and severe fever with thrombocytopenia syndrome (SFTS) are the 2 most common tick-borne infectious diseases in Korea. Every year, an increasing number of cases are reported, which is a public health concern. Therefore, we aimed to investigate the prevalence of SFTS-scrub typhus coinfection in patients with SFTS.

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Article Synopsis
  • COVID-19, caused by SARS-CoV-2, was studied to understand the antibody response in patients over a year after symptoms appeared, involving 314 serum samples from 97 patients.
  • The study used various tests to assess neutralizing antibodies, revealing that positivity rates were high shortly after infection but differed between asymptomatic and symptomatic patients over time.
  • While neutralizing antibodies appeared quicker in asymptomatic patients, they lasted longer in symptomatic and severe cases, highlighting differences in immune response based on the severity of the disease.
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Objective: The clinical implications of SARS-CoV-2 RNA viremia in blood (RNAemia) remain uncertain despite gaining more prognostic implications for coronavirus disease 2019 (COVID-19). However, the clinical relevance of SARS-CoV-2 RNAemia has not been well documented.

Methods: We conducted a cohort study on 95 confirmed COVID-19 patients and explored the prospects with evidence of SARS-CoV-2 RNAemia in association with various clinical characteristics.

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Nocardiosis is an infectious disease caused by Gram-positive rod-shaped bacteria and presents as a suppurative granulomatous disease in patients with compromised immune systems. Few studies have investigated the clinical utility of the universal 16S rRNA polymerase chain reaction (PCR) method using sterile body fluids for diagnosing nocardiosis. A 64-year-old female patient was admitted to Chosun University Hospital with the complaint of fever.

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Coronavirus disease 2019 (COVID-19) is a novel infectious respiratory disease caused by SARS-CoV-2. We evaluated the efficacy of a plant-based human recombinant angiotensin-converting enzyme 2 (hrACE2) and hrACE2-foldon (hrACE2-Fd) protein against COVID-19. In addition, we analyzed the antiviral activity of hrACE2 and hrACE2-Fd against SARS-CoV-2 using real-time reverse-transcription PCR and plaque assays.

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This study analyzed HGA and SFTS in patients with suspected tick-borne infection by focusing on key differences that clinicians can easily recognize. A retrospective analysis was performed on confirmed patients with HGA or SFTS in 21 Korean hospitals from 2013 to 2020. A scoring system was developed by multivariate regression analysis and accuracy assessment of clinically easily discriminable parameters was performed.

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Article Synopsis
  • - Severe fever with thrombocytopenia syndrome (SFTS) is a tick-borne disease caused by the SFTS virus, with limited research on its prevalence among veterinary staff and their awareness levels.
  • - A study analyzed serum samples from 103 veterinary hospital employees, finding that a small number tested positive for SFTS, with a notable correlation between lower awareness of transmission risks and higher positivity rates.
  • - There is a significant gap in SFTS awareness among veterinary staff compared to veterinarians, highlighting the need for better training on safety precautions and personal protective equipment usage.
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  • - The research studied viral loads and diagnostic accuracy of upper and lower respiratory specimens for SARS-CoV-2 variants (wild-type, delta, and omicron) in 78 COVID-19 patients, finding omicron saliva samples had higher sensitivity than the other variants.
  • - Statistical analysis showed the omicron variant's sensitivity in saliva was significantly better compared to wild-type nasopharynx and sputum samples, while the viral loads among the different variants did not show significant differences.
  • - No significant difference in viral loads was found between vaccinated and nonvaccinated patients infected with the omicron variant, indicating that more research is needed to understand the causes of sensitivity variations in testing.
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Background: Transverse myelitis (TM) is characterized by sudden lower extremity progressive weakness and sensory impairment, and most patients have a history of advanced viral infection symptoms. A variety of disorders can cause TM in association with viral or nonviral infection, vascular, neoplasia, collagen vascular, and iatrogenic, such as vaccination. Vaccination has become common through the global implementation against coronavirus disease 2019 (COVID-19) and reported complications like herpes zoster (HZ) activation has increased.

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Long-lasting coronavirus disease 2019 (COVID-19) symptoms beyond 12 weeks, the so-called 'long COVID' have been increasingly reported worldwide. Long COVID can be manifested in various forms, and there is an increasing demand for proper assessment and management. However, it is challenging when trying to determine the best-practice standards of care based on the current evidence because there is no internationally agreed clinical definition or clear treatment pathway.

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Coronavirus disease 2019 (COVID-19)-associated coagulopathy is an acute illness characterized by thrombosis with or without hemorrhage after COVID-19 infection. Clinical symptoms of COVID-19-associated coagulopathy can occur at any anatomical site. Various forms of venous thromboembolism, including deep vein thrombosis and pulmonary embolism, are common in acutely ill patients with COVID-19.

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Article Synopsis
  • Whole-genome sequences of SARS-CoV-2 from 18 COVID-19 patients were analyzed to investigate genomic features and mutation patterns using next-generation sequencing techniques.
  • The study identified a total of 51 missense point mutations and deletions in key genomic regions, highlighting significant variations in protein-coding regions.
  • Phylogenetic analysis showed that clades V and GH are the most prevalent in the Gwangju region, with a correlation between high viral load and increased mutations, suggesting the need for further research on the virus's evolution and implications for treatment strategies.
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The clinical characteristics and the effect of viral RNA loads on fatality in 56 patients with severe fever with thrombocytopenia syndrome (SFTS) were analyzed. The non-survival group (12 patients) demonstrated a significantly higher mean age (77 years) than the survival group (44 patients, 65 years) (p = 0.003).

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The risk factors of environmental contamination by SARS-CoV-2 are largely unknown. We analyzed 1,320 environmental samples obtained from COVID-19 patients over 1 year. The risk factors for contamination of COVID-19 patients' surrounding environment were higher viral load in the respiratory tract and shorter duration from symptom onset to sample collection.

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Article Synopsis
  • - COVID-19, caused by the SARS-CoV-2 virus, has varying diagnostic accuracy for PCR tests recommended by the CDC and WHO, which is explored in a study involving 12 confirmed patients and 590 samples.
  • - The study found that a newly designed in-house RT-qPCR primer set (iNP) demonstrated significantly better sensitivity (94.8%) and specificity (100%) compared to WHO and CDC primers, especially in sputum samples.
  • - Results highlight the need for ongoing improvements in viral detection methods, emphasizing that sputum tests are the most effective, followed by nasopharyngeal and self-collected saliva samples.
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