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新冠肺炎合并弥漫性肺骨化病 1 例尸检报告

An Autopsy Case of COVID-19 with New Diffuse Pulmonary Ossification.

机构信息

Department of Respiratory Medicine, Graduate School of Medical Sciences, Kyushu University, Japan.

Department of Respiratory Medicine, National Hospital Organization Fukuokahigashi Medical Center, Japan.

出版信息

Intern Med. 2024 May 15;63(10):1459-1463. doi: 10.2169/internalmedicine.3096-23. Epub 2024 Mar 4.


DOI:10.2169/internalmedicine.3096-23
PMID:38432960
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11157320/
Abstract

We present the case of a 61-year-old man who developed coronavirus disease 2019 (COVID-19) and died during treatment for relapsing polychondritis. The patient was intubated and treated with steroid pulse therapy, remdecivir, antibacterial agents, baricitinib, and tocilizumab. However, his respiratory condition worsened, and he died 108 days after disease onset. An autopsy revealed diffuse alveolar damage in the fibrotic phase in all lung lobes, diffuse pulmonary ossification, and cytomegalovirus-infected cells in the middle lobe of the right lung. We herein discuss the clinical features and pathological findings of COVID-19 in immunosuppressed patients.

摘要

我们报告了 1 例 61 岁男性 COVID-19 患者,该患者在治疗复发性多软骨炎时死亡。患者接受了气管插管和类固醇脉冲治疗、瑞德西韦、抗菌药物、巴瑞替尼和托珠单抗治疗。然而,他的呼吸状况恶化,发病后 108 天死亡。尸检显示所有肺叶均存在纤维化期弥漫性肺泡损伤、弥漫性肺骨化和右肺中叶巨细胞病毒感染细胞。本文讨论了免疫抑制患者 COVID-19 的临床特征和病理发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efe8/11157320/d72fdd48fab6/1349-7235-63-1459-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efe8/11157320/d13116b9b50a/1349-7235-63-1459-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efe8/11157320/e6be091915dc/1349-7235-63-1459-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efe8/11157320/d6eedff65e35/1349-7235-63-1459-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efe8/11157320/466fbb91cc2c/1349-7235-63-1459-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efe8/11157320/d72fdd48fab6/1349-7235-63-1459-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efe8/11157320/d13116b9b50a/1349-7235-63-1459-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efe8/11157320/e6be091915dc/1349-7235-63-1459-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efe8/11157320/d6eedff65e35/1349-7235-63-1459-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efe8/11157320/466fbb91cc2c/1349-7235-63-1459-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efe8/11157320/d72fdd48fab6/1349-7235-63-1459-g005.jpg

相似文献

[1]
An Autopsy Case of COVID-19 with New Diffuse Pulmonary Ossification.

Intern Med. 2024-5-15

[2]
Postmortem Lung Findings in a Patient With Asthma and Coronavirus Disease 2019.

Chest. 2020-4-28

[3]
COVID-19 Autopsies, Oklahoma, USA.

Am J Clin Pathol. 2020-5-5

[4]
[Findings in post-mortem CT and autopsy in a 53-year-old-man with COVID-19].

Ugeskr Laeger. 2020-7-6

[5]
Complete post-mortem data in a fatal case of COVID-19: clinical, radiological and pathological correlations.

Int J Legal Med. 2020-8-6

[6]
Diffuse alveolar damage (DAD) resulting from coronavirus disease 2019 Infection is Morphologically Indistinguishable from Other Causes of DAD.

Histopathology. 2020-9-12

[7]
Autopsy findings from the first known death from Severe Acute Respiratory Syndrome SARS-CoV-2 in Spain.

Rev Esp Patol. 2020

[8]
The emerging spectrum of cardiopulmonary pathology of the coronavirus disease 2019 (COVID-19): Report of 3 autopsies from Houston, Texas, and review of autopsy findings from other United States cities.

Cardiovasc Pathol. 2020-5-7

[9]
Germany's first COVID-19 deceased: a 59-year-old man presenting with diffuse alveolar damage due to SARS-CoV-2 infection.

Virchows Arch. 2020-7-4

[10]
SARS-CoV-2 Infection-Associated Hemophagocytic Lymphohistiocytosis.

Am J Clin Pathol. 2020-9-8

本文引用的文献

[1]
Interstitial Pulmonary Fibrosis and Extensive Dendriform Ossification with Persistent Viral Load: A Rare Presentation of Post-COVID-19 Condition in Need of Lung Transplantation.

Pathobiology. 2023

[2]
Dendriform pulmonary ossification in coronavirus disease 2019 pneumonia.

Rev Soc Bras Med Trop. 2022-3-14

[3]
Update on Pulmonary Ossifications in the Differential Diagnosis of Solitary Pulmonary Nodules.

J Clin Med. 2021-10-19

[4]
Accelerated Pulmonary Ossification as a Sequela of SARS-CoV-2 Pneumonia.

Radiol Cardiothorac Imaging. 2021-4-1

[5]
SARS-CoV-2 in severe COVID-19 induces a TGF-β-dominated chronic immune response that does not target itself.

Nat Commun. 2021-3-30

[6]
In situ detection of SARS-CoV-2 in lungs and airways of patients with COVID-19.

Mod Pathol. 2020-6-19

[7]
Dying with SARS-CoV-2 infection-an autopsy study of the first consecutive 80 cases in Hamburg, Germany.

Int J Legal Med. 2020-6-4

[8]
Postmortem Examination of Patients With COVID-19.

JAMA. 2020-6-23

[9]
Coronavirus Disease 2019 Pneumonia in Immunosuppressed Renal Transplant Recipients: A Summary of 10 Confirmed Cases in Wuhan, China.

Eur Urol. 2020-4-18

[10]
Clinical Characteristics of Coronavirus Disease 2019 in China.

N Engl J Med. 2020-2-28

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