Post-mortem biopsy of a patient with late exacerbation of COVID-19 pneumonia.

COVID‐19 PCR late exacerbation post‐mortem biopsy

Journal

Respirology case reports
ISSN: 2051-3380
Titre abrégé: Respirol Case Rep
Pays: United States
ID NLM: 101631052

Informations de publication

Date de publication:
Apr 2021
Historique:
received: 23 12 2020
revised: 17 01 2021
accepted: 29 01 2021
entrez: 5 3 2021
pubmed: 6 3 2021
medline: 6 3 2021
Statut: epublish

Résumé

Pathological findings of coronavirus disease (COVID-19) have rarely been reported owing to its contagious nature. Here, we treated an 82-year-old man whose condition was diagnosed as COVID-19 pneumonia, which exacerbated approximately 25 days after the initial onset. The patient died despite receiving intensive care. Post-mortem percutaneous needle biopsy of the lungs and liver tissue was performed, including genomic analysis, immunochemical tests, and pathological studies. Histopathology of the lungs showed both exudative and organizing diffuse alveolar damage. Supposedly, the organizing phase of acute respiratory distress syndrome (ARDS) induced COVID-19. Polymerase chain reaction (PCR) test and immunostaining of biopsy specimens showed negative results for COVID-19. Post-mortem percutaneous needle biopsy was more effective in reducing the risk of contagiousness than autopsy.

Identifiants

pubmed: 33664958
doi: 10.1002/rcr2.724
pii: RCR2724
pmc: PMC7900585
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e00724

Informations de copyright

© 2021 The Authors. Respirology Case Reports published by John Wiley & Sons Australia, Ltd on behalf of The Asian Pacific Society of Respirology.

Références

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pubmed: 32198191
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pubmed: 31986264

Auteurs

Kuniko Takahashi (K)

Department of Emergency and Critical Care Medicine Urasoe General Hospital Okinawa Japan.

Koichiro Kajiura (K)

Department of Thoracic Center Urasoe General Hospital Okinawa Japan.

Michitaka Nasu (M)

Department of Emergency and Critical Care Medicine Urasoe General Hospital Okinawa Japan.

Kei Nakamura (K)

Department of Thoracic Center Urasoe General Hospital Okinawa Japan.

Kazuki Sugata (K)

Department of Thoracic Center Urasoe General Hospital Okinawa Japan.

Akiko Matsuzaki (A)

Department of Pathology Urasoe General Hospital Okinawa Japan.

Classifications MeSH