Lung pathology of fatal severe acute respiratory syndrome.
Identifieur interne : 000134 ( Ncbi/Merge ); précédent : 000133; suivant : 000135Lung pathology of fatal severe acute respiratory syndrome.
Auteurs : John M. Nicholls [République populaire de Chine] ; Leo L M. Poon ; Kam C. Lee ; Wai F. Ng ; Sik T. Lai ; Chung Y. Leung ; Chung M. Chu ; Pak K. Hui ; Kong L. Mak ; Wilina Lim ; Kin W. Yan ; Kwok H. Chan ; Ngai C. Tsang ; Yi Guan ; Kwok Y. Yuen ; J S Malik PeirisSource :
- Lancet (London, England) [ 0140-6736 ] ; 2003.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Biopsie, Bronches (anatomopathologie), Cellules géantes (ultrastructure), Femelle, Humains, Issue fatale, Mâle, Métaplasie, Noyau de la cellule (ultrastructure), Poumon (anatomopathologie), Poumon (virologie), Syndrome respiratoire aigu sévère (), Syndrome respiratoire aigu sévère (anatomopathologie), Syndrome respiratoire aigu sévère (virologie), Taille d'organe, Virus du SRAS (isolement et purification).
- MESH :
- anatomopathologie : Bronches, Poumon, Syndrome respiratoire aigu sévère.
- isolement et purification : Virus du SRAS.
- virologie : Poumon, Syndrome respiratoire aigu sévère.
- Adulte, Adulte d'âge moyen, Biopsie, Cellules géantes, Femelle, Humains, Issue fatale, Mâle, Métaplasie, Noyau de la cellule, Syndrome respiratoire aigu sévère, Taille d'organe.
English descriptors
- KwdEn :
- Adult, Biopsy, Bronchi (pathology), Cell Nucleus (ultrastructure), Fatal Outcome, Female, Giant Cells (ultrastructure), Humans, Lung (pathology), Lung (virology), Male, Metaplasia, Middle Aged, Organ Size, SARS Virus (isolation & purification), Severe Acute Respiratory Syndrome (complications), Severe Acute Respiratory Syndrome (pathology), Severe Acute Respiratory Syndrome (virology).
- MESH :
- complications : Severe Acute Respiratory Syndrome.
- isolation & purification : SARS Virus.
- pathology : Bronchi, Lung, Severe Acute Respiratory Syndrome.
- ultrastructure : Cell Nucleus, Giant Cells.
- virology : Lung, Severe Acute Respiratory Syndrome.
- Adult, Biopsy, Fatal Outcome, Female, Humans, Male, Metaplasia, Middle Aged, Organ Size.
Abstract
Severe acute respiratory syndrome (SARS) is a novel infectious disease with global impact. A virus from the family Coronaviridae has been identified as the cause, but the pathogenesis is still unclear.
DOI: 10.1016/s0140-6736(03)13413-7
PubMed: 12781536
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 003360
- to stream PubMed, to step Curation: 003360
- to stream PubMed, to step Checkpoint: 003191
Links to Exploration step
pubmed:12781536Le document en format XML
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<term>Biopsy</term>
<term>Bronchi (pathology)</term>
<term>Cell Nucleus (ultrastructure)</term>
<term>Fatal Outcome</term>
<term>Female</term>
<term>Giant Cells (ultrastructure)</term>
<term>Humans</term>
<term>Lung (pathology)</term>
<term>Lung (virology)</term>
<term>Male</term>
<term>Metaplasia</term>
<term>Middle Aged</term>
<term>Organ Size</term>
<term>SARS Virus (isolation & purification)</term>
<term>Severe Acute Respiratory Syndrome (complications)</term>
<term>Severe Acute Respiratory Syndrome (pathology)</term>
<term>Severe Acute Respiratory Syndrome (virology)</term>
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<term>Bronches (anatomopathologie)</term>
<term>Cellules géantes (ultrastructure)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Issue fatale</term>
<term>Mâle</term>
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<term>Noyau de la cellule (ultrastructure)</term>
<term>Poumon (anatomopathologie)</term>
<term>Poumon (virologie)</term>
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<term>Syndrome respiratoire aigu sévère (anatomopathologie)</term>
<term>Syndrome respiratoire aigu sévère (virologie)</term>
<term>Taille d'organe</term>
<term>Virus du SRAS (isolement et purification)</term>
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<term>Poumon</term>
<term>Syndrome respiratoire aigu sévère</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Severe Acute Respiratory Syndrome</term>
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<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>SARS Virus</term>
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<keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Virus du SRAS</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Bronchi</term>
<term>Lung</term>
<term>Severe Acute Respiratory Syndrome</term>
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<keywords scheme="MESH" qualifier="ultrastructure" xml:lang="en"><term>Cell Nucleus</term>
<term>Giant Cells</term>
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<keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Poumon</term>
<term>Syndrome respiratoire aigu sévère</term>
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<keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Lung</term>
<term>Severe Acute Respiratory Syndrome</term>
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<term>Biopsy</term>
<term>Fatal Outcome</term>
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<term>Humans</term>
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<term>Adulte d'âge moyen</term>
<term>Biopsie</term>
<term>Cellules géantes</term>
<term>Femelle</term>
<term>Humains</term>
<term>Issue fatale</term>
<term>Mâle</term>
<term>Métaplasie</term>
<term>Noyau de la cellule</term>
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<front><div type="abstract" xml:lang="en">Severe acute respiratory syndrome (SARS) is a novel infectious disease with global impact. A virus from the family Coronaviridae has been identified as the cause, but the pathogenesis is still unclear.</div>
</front>
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<DateCompleted><Year>2003</Year>
<Month>06</Month>
<Day>13</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>04</Month>
<Day>07</Day>
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<Article PubModel="Print"><Journal><ISSN IssnType="Print">0140-6736</ISSN>
<JournalIssue CitedMedium="Print"><Volume>361</Volume>
<Issue>9371</Issue>
<PubDate><Year>2003</Year>
<Month>May</Month>
<Day>24</Day>
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<Title>Lancet (London, England)</Title>
<ISOAbbreviation>Lancet</ISOAbbreviation>
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<ArticleTitle>Lung pathology of fatal severe acute respiratory syndrome.</ArticleTitle>
<Pagination><MedlinePgn>1773-8</MedlinePgn>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Severe acute respiratory syndrome (SARS) is a novel infectious disease with global impact. A virus from the family Coronaviridae has been identified as the cause, but the pathogenesis is still unclear.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Post-mortem tissue samples from six patients who died from SARS in February and March, 2003, and an open lung biopsy from one of these patients were studied by histology and virology. Only one full autopsy was done. Evidence of infection with the SARS-associated coronavirus (SARS-CoV) and human metapneumovirus was sought by reverse-transcriptase PCR and serology. Pathological samples were examined by light and electron microscopy and immunohistochemistry.</AbstractText>
<AbstractText Label="FINDINGS" NlmCategory="RESULTS">All six patients had serological evidence of recent infection with SARS-CoV. Diffuse alveolar damage was common but not universal. Morphological changes identified were bronchial epithelial denudation, loss of cilia, and squamous metaplasia. Secondary bacterial pneumonia was present in one case. A giant-cell infiltrate was seen in four patients, with a pronounced increase in macrophages in the alveoli and the interstitium of the lung. Haemophagocytosis was present in two patients. The alveolar pneumocytes also showed cytomegaly with granular amphophilic cytoplasm. The patient for whom full autopsy was done had atrophy of the white pulp of the spleen. Electron microscopy revealed viral particles in the cytoplasm of epithelial cells corresponding to coronavirus.</AbstractText>
<AbstractText Label="INTERPRETATION" NlmCategory="CONCLUSIONS">SARS is associated with epithelial-cell proliferation and an increase in macrophages in the lung. The presence of haemophagocytosis supports the contention that cytokine dysregulation may account, at least partly, for the severity of the clinical disease. The case definition of SARS should acknowledge the range of lung pathology associated with this disease.</AbstractText>
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<ForeName>Kam C</ForeName>
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<ForeName>Chung Y</ForeName>
<Initials>CY</Initials>
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<ForeName>Chung M</ForeName>
<Initials>CM</Initials>
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<ForeName>Pak K</ForeName>
<Initials>PK</Initials>
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<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading><DescriptorName UI="D008168" MajorTopicYN="N">Lung</DescriptorName>
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<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
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<MeshHeading><DescriptorName UI="D008679" MajorTopicYN="N">Metaplasia</DescriptorName>
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<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<MeshHeading><DescriptorName UI="D009929" MajorTopicYN="N">Organ Size</DescriptorName>
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<MeshHeading><DescriptorName UI="D045169" MajorTopicYN="N">Severe Acute Respiratory Syndrome</DescriptorName>
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<affiliations><list><country><li>République populaire de Chine</li>
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<name sortKey="Chu, Chung M" sort="Chu, Chung M" uniqKey="Chu C" first="Chung M" last="Chu">Chung M. Chu</name>
<name sortKey="Guan, Yi" sort="Guan, Yi" uniqKey="Guan Y" first="Yi" last="Guan">Yi Guan</name>
<name sortKey="Hui, Pak K" sort="Hui, Pak K" uniqKey="Hui P" first="Pak K" last="Hui">Pak K. Hui</name>
<name sortKey="Lai, Sik T" sort="Lai, Sik T" uniqKey="Lai S" first="Sik T" last="Lai">Sik T. Lai</name>
<name sortKey="Lee, Kam C" sort="Lee, Kam C" uniqKey="Lee K" first="Kam C" last="Lee">Kam C. Lee</name>
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<name sortKey="Ng, Wai F" sort="Ng, Wai F" uniqKey="Ng W" first="Wai F" last="Ng">Wai F. Ng</name>
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