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Published on: December 19, 2020
A Review of Postmortem Findings in Patients With COVID-19
Adenike O Eketunde1, Sai Priyanka Mellacheruvu1, Philip Oreoluwa2
1Public Health, University of Massachusetts Lowell, Lowell, USA.
Insights
This review examines postmortem findings in COVID-19 patients, focusing on pulmonary, cardiac, and hematologic effects. Understanding these histopathological changes is crucial for diagnosing and managing coronavirus disease.
Area of Science:
- Pathology
- Infectious Diseases
- Public Health
Background:
- Coronaviruses, including MERS, SARS, and COVID-19, have caused significant global health issues.
- COVID-19, a pandemic disease, has profoundly impacted global health and daily life.
- Understanding the pathology of novel viruses like COVID-19 is challenging due to limited autopsy and biopsy data.
Purpose of the Study:
- To review postmortem gross and histopathological findings in various organs affected by coronavirus.
- To focus on pulmonary, cardiac, and hematologic findings in COVID-19 patients.
- To enhance understanding of the mechanism of injury and disease pathology in coronavirus infections.
Main Methods:
- Systematic literature search using PubMed with keywords related to postmortem findings and COVID-19.
- Limiting the search to articles published within the last five years.
- Selection of 25 full-text articles relevant to postmortem findings of COVID-19 for review.
Main Results:
- The review synthesizes postmortem findings across multiple organ systems affected by COVID-19.
- Emphasis is placed on detailed pulmonary, cardiac, and hematologic histopathology.
- The study highlights the morphological changes associated with coronavirus infection.
Conclusions:
- Postmortem examination provides critical insights into the pathology of COVID-19.
- Histopathological findings are essential for understanding the systemic effects of coronavirus disease.
- Further research on autopsy and biopsy data is vital for clarifying disease mechanisms.
Abstract:
Multiple public health problems have been caused by various coronavirus strains over the last few years, such as the middle eastern respiratory syndrome (MERS), severe acute respiratory syndrome (SARS), and COVID-19. COVID-19, which is also known as coronavirus disease 2019, was first detected in Wuhan, China, and has significantly impacted people's health and lives. Additionally, it has led to a pandemic, and the virus has spread to over 121 countries worldwide. There is numerous information available regarding this virus. A detailed and extensive study of the morphological and histopathological findings will help understand and diagnose the disease. As it is a new disease, it is challenging to understand the mechanism of the action and disease pathology due to the limited availability of data from autopsies or biopsies. However, as the detailed mechanism of injury remains unclear, this paper aims to review the postmortem gross and histopathological findings of various organs that have been affected with coronavirus, focusing on the pulmonary, cardiac, and hematologic findings. This paper emphasizes the postmortem findings of the effect of the coronavirus disease on multiple organ systems. Advance search of the keywords on PubMed was used, limiting the search to the last five years. The eligible article is narrowed based on relevance containing postmortem findings of the novel virus; COVID-19. A total of 25 full-text articles were selected and used in the review of this paper.
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