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Lung CT Segmentation to Identify Consolidations and Ground Glass Areas for Quantitative Assesment of SARS-CoV Pneumonia
Published on: December 19, 2020
A review of the main histopathological findings in coronavirus disease 2019
Walter O Vasquez-Bonilla1, Roberto Orozco2, Víctor Argueta2
1Department of Pathology, Hospital General San Juan de Dios, Guatemala City (Ciudad de Guatemala), 01001, Guatemala; Latin American Network of Coronavirus Disease 2019-COVID-19 Research (LANCOVID-19), Pereira, Risaralda, 660003, Colombia.
Insights
This study reviews the histopathologic findings of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Understanding these histologic details is crucial for comprehending COVID-19
Area of Science:
- Pathology
- Virology
- Public Health
Background:
- Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, is a global pandemic.
- SARS-CoV-2 infection affects multiple organs, including lungs, heart, kidneys, and the central nervous system.
Purpose of the Study:
- To systematically analyze and review histopathologic findings in COVID-19.
- To enhance understanding of COVID-19 pathophysiology and its public health impact.
Main Methods:
- Systematic meta-analysis of histopathologic observations.
- Review of reported findings on SARS-CoV-2 infection.
Main Results:
- Detailed histopathologic findings in various organs: lungs (diffuse alveolar damage, pneumonia), heart (myocarditis), kidneys (acute tubular injury), CNS (thrombi, infarction), lymph nodes (hemophagocytosis), bone marrow (hemophagocytosis), and vasculature (thrombosis).
Conclusions:
- Histopathologic analysis is essential for understanding the diverse pathology of COVID-19.
- Comprehensive review of histologic data aids in grasping disease mechanisms and outcomes.
Abstract:
Coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus, has been declared by the World Health Organization as an emerging public health problem of global importance and classified as a pandemic. SARS-CoV-2 infection can result in diverse, multiorgan pathology, the most significant being in the lungs (diffuse alveolar damage in its different phases, microthrombi, bronchopneumonia, necrotizing bronchiolitis, viral pneumonia), heart (lymphocytic myocarditis), kidney (acute tubular injury), central nervous system (microthrombi, ischemic necrosis, acute hemorrhagic infarction, congestion, and vascular edema), lymph nodes (hemophagocytosis and histiocytosis), bone marrow (hemophagocytosis), and vasculature (deep vein thrombosis). An understanding of the spectrum and frequency of histologic findings in COVID-19 is essential for gaining a better understanding of disease pathophysiology and its ongoing impact on public health. To this end, we conducted a systematic meta-analysis of histopathologic observations to date and review the reported findings.
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