Rachel J Beryl, Gururaj N, Smitha T, Daniel T Divyna, Harishini B S, Rosaian Adlin Saroja
Department of Oral Pathology and Microbiology, CSI College of Dental Sciences and Research, Madurai, Tamil Nadu, India.
Department of Oral Pathology and Microbiology, Vokkaligara Sangha Dental College and Hosipital, Bengaluru, Karnataka, India.
J Oral Maxillofac Pathol. 2020 Sep-Dec;24(3):421-436. doi: 10.4103/jomfp.jomfp_395_20. Epub 2021 Jan 9.
A highly contagious viral infection emerged in Wuhan city; China had increased mortality with uncertain pathogenesis spreads throughout the world to become a pandemic. It is reported to be caused by a member of β coronaviruses and named it as COVID-19 by the World Health Organization (WHO). The disease is caused by a mutant strain of coronavirus SARS-COV-2 that affects the respiratory tract causing mild to severe respiratory tract illness. The clinical manifestation ranges from mild, moderate, severe and very severe signs and symptoms result in death due to severe hypoxia or multi-organ dysfunction. Also, the affected persons were capable of infecting others through various modes of transmission through respiratory droplets (aerosol spread). A definite investigation protocol has followed to diagnose COVID 19 disease but mainly confirmed with reverse transcription polymerase chain reaction. Computerized tomography scan plays a significant role in the diagnosis and prognosis of affected individuals. The major problem with COVID-19 is due to its novelty and lack of vaccination or treatment. This review focuses on the mutation, pathogenesis, various diagnostic tests adopted and autopsy findings in patients affected with COVID-19.
一种高传染性的病毒感染在武汉市出现;中国的死亡率上升,其发病机制不明,传播到世界各地,成为一场大流行病。据报道,它是由β冠状病毒的一个成员引起的,世界卫生组织(WHO)将其命名为COVID-19。该疾病由冠状病毒SARS-COV-2的一个突变株引起,影响呼吸道,导致轻度至重度呼吸道疾病。临床表现从轻度、中度、重度到极重度,体征和症状会因严重缺氧或多器官功能障碍而导致死亡。此外,感染者能够通过呼吸道飞沫(气溶胶传播)等多种传播方式感染他人。已经遵循了明确的调查方案来诊断COVID-19疾病,但主要通过逆转录聚合酶链反应来确诊。计算机断层扫描在受影响个体的诊断和预后中起着重要作用。COVID-19的主要问题在于其新颖性以及缺乏疫苗或治疗方法。本综述重点关注COVID-19患者的突变、发病机制、采用的各种诊断测试以及尸检结果。