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Table 2 Plasma concentration of immune and endothelial dysfunction markers at clinical presentation according to the diagnosis

From: Clinical sign and biomarker-based algorithm to identify bacterial pneumonia among outpatients with lower respiratory tract infection in Tanzania

 

All (n = 110)

Bacterial community-acquired pneumonia (n = 17)

Viral community-acquired pneumonia (n = 8)

Unknown origin community-acquired pneumonia (n = 7)

Bronchitis (n = 78)

P value

Common biomarkers

CRP mg/l

22 (8–85)

17 (10–144)

14 (8–29)

43 (8–50)

23 (8–86)

0.661

PCT µg/l

0.09 (0.05–0.21)

2.62 (0.22–4.64)

0.06 (0.05–0.17)

0.05 (0.05–0.16)

0.05 (0.05–0.16)

0.000

Biomarkers of immune activation

sTREM-1 pg/ml

378 (240–566)

624 (513–1154)

437 (244–1164)

348 (222–471)

337 (221–479)

0.000

IL-6, pg/ml

17 (6–71)

582 (36–1677)

9 (8–190)

10 (1–15)

14 (5–41)

0.000

sTNFR-1, pg/ml

4791 (3036–7541)

9618 (5647–19,722)

6923 (3604–8385)

4242 (2964–9908)

4445 (2794–5961)

0.002

CHI3L-1, ng/ml

41 (13–137)

116 (40–538)

80 (17–378)

56 (12–80)

30 (12–110)

0.018

IL-8, pg/ml

15 (8–39)

16 (12–51)

18 (12–34)

11 (5–21)

14 (7–42)

0.556

IP-10, pg/ml

397 (104–915)

473 (265–915)

761 (177–2096)

276 (45–916)

380 (94–874)

0.411

Biomarkers of endothelial activation

Angpt-2, pg/ml

1795 (929–3396)

3181 (544–7719)

1130 (338–2887)

1728 (1120–2870)

1876 (940–2701)

0.345

sVCAM-1, ng/ml

1804 (1109–3257)

2998 (1934–4494)

1934 (1093–2248)

1549 (869–3640)

1575 (1035–2743)

0.038

sICAM-1, ng/ml

481 (229–880)

767 (370–933)

297 (250–1063)

165 (105–577)

481 (214–882)

0.132

Angpt-1, pg/ml

3529 (1262–9276)

3381 (944–9963)

13,389 (3103–22,903)

3157 (1622–7932)

3438 (1242–8267)

0.197

sVEGFR-1, pg/ml

183 (106–275)

233 (156–335)

172 (105–224)

83 (58–244)

183 (104–277)

0.116

  1. Bold values indicate a significant difference between the groups
  2. Data are median (interquartile range)
  3. Angpt-1 angiopoietin-1, Angpt-2 angiopoietin-2, CAP community-acquired pneumonia, CHI3L1 chitinase-3-like protein-1, CRP C-reactive protein, IL-6 interleukin-6, IL-8 interleukin-8, IP-10 interferon-gamma-inducible protein-10, LRTI lower respiratory tract infection, PCT procalcitonin, sICAM1 soluble intercellular adhesion molecule-1, sTNFR-1 soluble tumor necrosis factor-1, sTREM-1 soluble trigger receptor expressed on myeloid cells, sVCAM-1 soluble vascular cell adhesion molecule-1, sVEGFR1 soluble variant of vascular endothelial growth factor receptor 1