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About:
EMERGING SPECTRUM OF CARDIOPULMONARY PATHOLOGY OF THE CORONAVIRUS DISEASE 2019 (COVID-19): REPORT OF THREE AUTOPSIES FROM HOUSTON, TEXAS AND REVIEW OF AUTOPSY FINDINGS FROM OTHER UNITED STATES CITIES
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An Entity of Type :
schema:ScholarlyArticle
, within Data Space :
covidontheweb.inria.fr
associated with source
document(s)
Type:
Academic Article
research paper
schema:ScholarlyArticle
New Facet based on Instances of this Class
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
has title
EMERGING SPECTRUM OF CARDIOPULMONARY PATHOLOGY OF THE CORONAVIRUS DISEASE 2019 (COVID-19): REPORT OF THREE AUTOPSIES FROM HOUSTON, TEXAS AND REVIEW OF AUTOPSY FINDINGS FROM OTHER UNITED STATES CITIES
Creator
Madjid, Mohammad
Aisenberg, Gabriel
Akkanti, Bindu
Kar, Biswajit
Lelenwa, Laura
Ottaviani, Giulia
Trujillo, Daniel
Wolf, Dwayne
Zhao, Bihong
Buja, L
Buja, Maximilian
Do, Michelle
Do, Noah
Tarek, M
Source
Elsevier; Medline; PMC; WHO
abstract
Abstract This paper collates the pathological findings from initial published autopsy reports on 23 patients with Coronavirus Disease 2019 (COVID-19) from 5 centers in the United States of America, including 3 cases from Houston, Texas. Findings confirm that COVID-19 is a systemic disease with major involvement of the lungs and heart. Acute COVID-19 pneumonia has features of a distinctive acute interstitial pneumonia with: a diffuse alveolar damage (DAD) component, coupled with microvascular involvement with intra- and extra-vascular fibrin deposition and intravascular trapping of neutrophils, and, frequently, with formation of microthombi in arterioles. Major pulmonary thromboemboli with pulmonary infarcts and/or hemorrhage occurred in 5 of the 23 patients. Two of the Houston cases had interstitial pneumonia with DAD pattern. One of the Houston cases had multiple bilateral segmental pulmonary thromboemboli with infarcts and hemorrhages coupled with, in non-hemorrhagic areas, a distinctive interstitial lymphocytic pneumonitis with intra-alveolar fibrin deposits and no hyaline membranes, possibly representing a transition form to acute fibrinous and organizing pneumonia (AFOP). Multifocal acute injury of cardiac myocytes was frequently observed. Lymphocytic myocarditis was reported in 1 case. In addition to major pulmonary pathology, the three Houston cases had evidence of lymphocytic pericarditis, multifocal acute injury of cardiomyocytes without inflammatory cellular infiltrates, depletion of splenic white pulp, focal hepatocellular degeneration and rare glomerular capillary thrombosis. Each had evidence of chronic cardiac disease: hypertensive left ventricular hypertrophy (420 gram heart), dilated cardiomyopathy (1070 gram heart), and hypertrophic cardiomyopathy (670 gram heart). All three subjects were obese (BMIs of 33.8, 51.65 and 35.2 Kg/m2). Overall, the autopsy findings support the concept that the pathogenesis of severe COVID-19 disease involves direct viral-induced injury of multiple organs, including heart and lungs, coupled with the consequences of a procoagulant state with coagulopathy.
has issue date
2020-05-07
(
xsd:dateTime
)
bibo:doi
10.1016/j.carpath.2020.107233
bibo:pmid
32434133
has license
els-covid
sha1sum (hex)
0355b0c49d3caf6d131c5174d87a8456d54b9a55
schema:url
https://doi.org/10.1016/j.carpath.2020.107233
resource representing a document's title
EMERGING SPECTRUM OF CARDIOPULMONARY PATHOLOGY OF THE CORONAVIRUS DISEASE 2019 (COVID-19): REPORT OF THREE AUTOPSIES FROM HOUSTON, TEXAS AND REVIEW OF AUTOPSY FINDINGS FROM OTHER UNITED STATES CITIES
has PubMed Central identifier
PMC7204762
has PubMed identifier
32434133
schema:publication
Cardiovasc Pathol
resource representing a document's body
covid:0355b0c49d3caf6d131c5174d87a8456d54b9a55#body_text
is
schema:about
of
named entity 'thrombotic microangiopathy'
named entity 'DAD'
named entity 'coagulopathy'
named entity 'autopsy studies'
named entity 'CD68+ macrophages'
named entity 'pathology'
named entity 'D-dimer'
named entity 'TEXAS'
named entity 'Endothelial cell'
named entity 'acute febrile respiratory illness'
named entity 'postmortem'
named entity 'cardiomyocyte'
named entity 'China'
named entity 'membrane oxygenator'
named entity 'cytopathic effect'
named entity 'obesity'
named entity 'chronic inflammation'
named entity 'parenchyma'
named entity 'obesity'
named entity 'exudate'
named entity 'autopsies'
named entity 'fibrin'
named entity 'cardiomyocyte'
named entity 'dilated cardiomyopathy'
named entity 'medicolegal'
named entity 'alveolar spaces'
named entity 'fever'
named entity 'heart strain'
named entity 'myocardium'
named entity 'COVID'
named entity 'ARDS'
named entity 'pulmonary disease'
named entity 'thrombosis'
named entity 'liver'
named entity 'pathogenesis'
named entity 'renal injury'
named entity 'inflammatory reaction'
named entity 'Occupational Safety and Health Administration'
named entity 'COVID'
named entity 'red pulp'
named entity 'Prognostic'
named entity 'viral particles'
named entity 'troponin'
named entity 'OSHA'
named entity 'autopsy'
named entity 'COVID'
named entity 'DAD'
named entity 'chills'
named entity 'pathology'
named entity 'inflammation'
named entity 'splenectomy'
named entity 'CD4+'
named entity 'autopsies'
named entity 'hyaline'
named entity 'fibrin'
named entity 'COVID'
named entity 'autopsy'
named entity 'CDC'
named entity 'thrombotic events'
named entity 'pneumonia'
named entity 'COVID'
named entity 'anticoagulants'
named entity 'fever'
named entity 'COVID'
named entity 'Influenza infection'
named entity 'cryptogenic organizing pneumonia'
named entity 'COVID'
named entity 'thrombi'
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