Acute SARS-CoV-2 pneumonitis with cytotoxic CD8 positive T-lymphocytes: Case report and review of the literature.


Journal

Pathology, research and practice
ISSN: 1618-0631
Titre abrégé: Pathol Res Pract
Pays: Germany
ID NLM: 7806109

Informations de publication

Date de publication:
Apr 2021
Historique:
received: 23 12 2020
accepted: 09 02 2021
pubmed: 7 3 2021
medline: 10 4 2021
entrez: 6 3 2021
Statut: ppublish

Résumé

As of October 2020, there are over 40 million confirmed cases, and more than 1 million confirmed deaths of Covid-19 worldwide. The main cause of death in hospitalized patients is a respiratory failure due to acute respiratory distress syndrome. It has been suggested that the very intense immune response induces diffuse alveolar damage that far exceeds the harm that would have been caused by virus replication per se, resulting in lethal tissue destruction. We present a detailed report of the histopathological findings on cryo transbronchial biopsy in the patient with persistent (3 months) interstitial pneumonitis and severe CD8 positive cell infiltration in the lungs due to SARS-CoV-2 infection. CD8 positive T-lymphocytes have a great potential to damage tissue either through direct cytotoxicity or through cytokines release.

Identifiants

pubmed: 33676105
pii: S0344-0338(21)00041-8
doi: 10.1016/j.prp.2021.153380
pmc: PMC7883708
pii:
doi:

Types de publication

Case Reports Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

153380

Informations de copyright

Copyright © 2021 Elsevier GmbH. All rights reserved.

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Auteurs

Andrii Puzyrenko (A)

College of Wisconsin, Pathology & Laboratory Medicine, 9200 W. Wisconsin Avenue, Milwaukee, WI 53226, United States. Electronic address: apuzyrenko@mcw.edu.

Juan C Felix (JC)

College of Wisconsin, Pathology & Laboratory Medicine, 9200 W. Wisconsin Avenue, Milwaukee, WI 53226, United States.

Yunguang Sun (Y)

College of Wisconsin, Pathology & Laboratory Medicine, 9200 W. Wisconsin Avenue, Milwaukee, WI 53226, United States.

Hallgeir Rui (H)

College of Wisconsin, Pathology & Laboratory Medicine, 9200 W. Wisconsin Avenue, Milwaukee, WI 53226, United States.

Yuri Sheinin (Y)

College of Wisconsin, Pathology & Laboratory Medicine, 9200 W. Wisconsin Avenue, Milwaukee, WI 53226, United States.

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Classifications MeSH