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COVID-19 Autopsies, Oklahoma, USA.

Identifieur interne : 003877 ( Ncbi/Merge ); précédent : 003876; suivant : 003878

COVID-19 Autopsies, Oklahoma, USA.

Auteurs : Lisa M. Barton [États-Unis] ; Eric J. Duval [États-Unis] ; Edana Stroberg [États-Unis] ; Subha Ghosh [États-Unis] ; Sanjay Mukhopadhyay [États-Unis]

Source :

RBID : pubmed:32275742

Abstract

To report the methods and findings of two complete autopsies of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) positive individuals who died in Oklahoma (United States) in March 2020.

DOI: 10.1093/ajcp/aqaa062
PubMed: 32275742

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pubmed:32275742

Le document en format XML

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<nlm:affiliation>Office of the Chief Medical Examiner, Oklahoma City, OK.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<region type="state">Oklahoma</region>
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<wicri:cityArea>Office of the Chief Medical Examiner, Oklahoma City</wicri:cityArea>
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<name sortKey="Ghosh, Subha" sort="Ghosh, Subha" uniqKey="Ghosh S" first="Subha" last="Ghosh">Subha Ghosh</name>
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<nlm:affiliation>Department of Pathology, Cleveland Clinic, Cleveland, OH.</nlm:affiliation>
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<name sortKey="Stroberg, Edana" sort="Stroberg, Edana" uniqKey="Stroberg E" first="Edana" last="Stroberg">Edana Stroberg</name>
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<AbstractText Label="METHODS" NlmCategory="METHODS">Complete postmortem examinations were performed according to standard procedures in a negative-pressure autopsy suite/isolation room using personal protective equipment, including N95 masks, eye protection, and gowns. The diagnosis of coronavirus disease 2019 (COVID-19) was confirmed by real-time reverse transcriptase polymerase chain reaction testing on postmortem swabs.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A 77-year-old obese man with a history of hypertension, splenectomy, and 6 days of fever and chills died while being transported for medical care. He tested positive for SARS-CoV-2 on postmortem nasopharyngeal and lung parenchymal swabs. Autopsy revealed diffuse alveolar damage and chronic inflammation and edema in the bronchial mucosa. A 42-year-old obese man with a history of myotonic dystrophy developed abdominal pain followed by fever, shortness of breath, and cough. Postmortem nasopharyngeal swab was positive for SARS-CoV-2; lung parenchymal swabs were negative. Autopsy showed acute bronchopneumonia with evidence of aspiration. Neither autopsy revealed viral inclusions, mucus plugging in airways, eosinophils, or myocarditis.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">SARS-CoV-2 testing can be performed at autopsy. Autopsy findings such as diffuse alveolar damage and airway inflammation reflect true virus-related pathology; other findings represent superimposed or unrelated processes.</AbstractText>
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