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Severe acute respiratory syndrome associated coronavirus is detected in intestinal tissues of fatal cases

Identifieur interne : 000704 ( PascalFrancis/Corpus ); précédent : 000703; suivant : 000705

Severe acute respiratory syndrome associated coronavirus is detected in intestinal tissues of fatal cases

Auteurs : XUEYING SHI ; ENCONG GONG ; DONGXIA GAO ; BO ZHANG ; JIE ZHENG ; ZIFEN GAO ; YANFENG ZHONG ; WANZHONG ZOU ; BINGQUAN WU ; WEIGANG FANG ; SONGLIN LIAO ; SHENGLAN WANG ; ZHIGANG XIE ; MIN LU ; LIN HOU ; HAOHAO ZHONG ; HONGQUAN SHAO ; NING LI ; CONGRONG LIU ; FEI PEI ; JINGPING YANG ; YUPING WANG ; ZHIHUI HAN ; XIAOHONG SHI ; QIANYING ZHANG ; JIANGFENG YOU ; XIANG ZHU ; JIANG GU

Source :

RBID : Pascal:05-0180762

Descripteurs français

English descriptors

Abstract

OBJECTIVES: A significant percentage of confirmed severe acute respiratory syndrome (SARS) patients experienced gastrointestinal symptoms, and the viral sequence was detectable in the stool of most patients. At present, the knowledge of the pathology of the digestive system in SARS patients is limited. Because a resurgence of the SARS epidemic is constantly possible, there is an urgent need to understand the involvement of the digestive system in this new disease. METHODS: We performed seven SARS autopsies in which samples of alimentary tract and digestive glands were examined with routine pathology, electron microscopy (EM), in situ hybridization (ISH), immunohistochemistry, and real-time polymerase chain reaction (PCR). RESULTS: The main histopathological finding was atrophy of the mucosal lymphoid tissue. A few mucosal epithelial cells and lymphocytes in the intestine were positively stained for coronavirus with ISH. SARS-coronavirus (CoV)-like particles were found in the mucosal epithelial cells under EM and mild focal inflammation was detected in the alimentary tract. One patient who experienced severe diarrhea had pseudomembranous enteritis of the ileum. Fatty degeneration and central lobular necrosis were observed in the liver. No evidence of direct viral infection was found in the esophagus, the stomach, the salivary gland, the liver, or the pancreas. CONCLUSIONS: In addition to the lungs, the gastrointestinal tract is another target of SARS-CoV infection, as the intestinal epithelial cells and mucosal lymphoid tissue are infected. The findings provide possible explanations for the gastrointestinal symptoms and the presence of virus in the stool of SARS patients.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0002-9270
A03   1    @0 Am. j. gastroenterol.
A05       @2 100
A06       @2 1
A08 01  1  ENG  @1 Severe acute respiratory syndrome associated coronavirus is detected in intestinal tissues of fatal cases
A11 01  1    @1 XUEYING SHI
A11 02  1    @1 ENCONG GONG
A11 03  1    @1 DONGXIA GAO
A11 04  1    @1 BO ZHANG
A11 05  1    @1 JIE ZHENG
A11 06  1    @1 ZIFEN GAO
A11 07  1    @1 YANFENG ZHONG
A11 08  1    @1 WANZHONG ZOU
A11 09  1    @1 BINGQUAN WU
A11 10  1    @1 WEIGANG FANG
A11 11  1    @1 SONGLIN LIAO
A11 12  1    @1 SHENGLAN WANG
A11 13  1    @1 ZHIGANG XIE
A11 14  1    @1 MIN LU
A11 15  1    @1 LIN HOU
A11 16  1    @1 HAOHAO ZHONG
A11 17  1    @1 HONGQUAN SHAO
A11 18  1    @1 NING LI
A11 19  1    @1 CONGRONG LIU
A11 20  1    @1 FEI PEI
A11 21  1    @1 JINGPING YANG
A11 22  1    @1 YUPING WANG
A11 23  1    @1 ZHIHUI HAN
A11 24  1    @1 XIAOHONG SHI
A11 25  1    @1 QIANYING ZHANG
A11 26  1    @1 JIANGFENG YOU
A11 27  1    @1 XIANG ZHU
A11 28  1    @1 JIANG GU
A14 01      @1 Department of Pathology, Peking University Health Science Center @2 Beijing @3 CHN
A14 02      @1 Cancer Hospital, Peking University Health Science Center @2 Beijing @3 CHN
A14 03      @1 Beijing Ditan Hospital @2 Beijing @3 CHN
A20       @1 169-176
A21       @1 2005
A23 01      @0 ENG
A43 01      @1 INIST @2 11062 @5 354000125069790270
A44       @0 0000 @1 © 2005 INIST-CNRS. All rights reserved.
A45       @0 37 ref.
A47 01  1    @0 05-0180762
A60       @1 P
A61       @0 A
A64 01  1    @0 The American journal of gastroenterology
A66 01      @0 USA
C01 01    ENG  @0 OBJECTIVES: A significant percentage of confirmed severe acute respiratory syndrome (SARS) patients experienced gastrointestinal symptoms, and the viral sequence was detectable in the stool of most patients. At present, the knowledge of the pathology of the digestive system in SARS patients is limited. Because a resurgence of the SARS epidemic is constantly possible, there is an urgent need to understand the involvement of the digestive system in this new disease. METHODS: We performed seven SARS autopsies in which samples of alimentary tract and digestive glands were examined with routine pathology, electron microscopy (EM), in situ hybridization (ISH), immunohistochemistry, and real-time polymerase chain reaction (PCR). RESULTS: The main histopathological finding was atrophy of the mucosal lymphoid tissue. A few mucosal epithelial cells and lymphocytes in the intestine were positively stained for coronavirus with ISH. SARS-coronavirus (CoV)-like particles were found in the mucosal epithelial cells under EM and mild focal inflammation was detected in the alimentary tract. One patient who experienced severe diarrhea had pseudomembranous enteritis of the ileum. Fatty degeneration and central lobular necrosis were observed in the liver. No evidence of direct viral infection was found in the esophagus, the stomach, the salivary gland, the liver, or the pancreas. CONCLUSIONS: In addition to the lungs, the gastrointestinal tract is another target of SARS-CoV infection, as the intestinal epithelial cells and mucosal lymphoid tissue are infected. The findings provide possible explanations for the gastrointestinal symptoms and the presence of virus in the stool of SARS patients.
C02 01  X    @0 002B05C02C
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C03 02  X  ENG  @0 Gut @5 07
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C03 03  X  FRE  @0 Tissu @5 08
C03 03  X  ENG  @0 Tissue @5 08
C03 03  X  SPA  @0 Tejido @5 08
C03 04  X  FRE  @0 Forme léthale @5 09
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C03 04  X  SPA  @0 Curso fatal @5 09
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C03 05  X  ENG  @0 Coronavirus @2 NW @5 10
C03 05  X  SPA  @0 Coronavirus @2 NW @5 10
C07 01  X  FRE  @0 Virose
C07 01  X  ENG  @0 Viral disease
C07 01  X  SPA  @0 Virosis
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C07 02  X  ENG  @0 Infection
C07 02  X  SPA  @0 Infección
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C07 04  X  ENG  @0 Nidovirales @2 NW
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C07 06  X  ENG  @0 Respiratory disease @5 37
C07 06  X  SPA  @0 Aparato respiratorio patología @5 37
C07 07  X  FRE  @0 Poumon pathologie @5 38
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Format Inist (serveur)

NO : PASCAL 05-0180762 INIST
ET : Severe acute respiratory syndrome associated coronavirus is detected in intestinal tissues of fatal cases
AU : XUEYING SHI; ENCONG GONG; DONGXIA GAO; BO ZHANG; JIE ZHENG; ZIFEN GAO; YANFENG ZHONG; WANZHONG ZOU; BINGQUAN WU; WEIGANG FANG; SONGLIN LIAO; SHENGLAN WANG; ZHIGANG XIE; MIN LU; LIN HOU; HAOHAO ZHONG; HONGQUAN SHAO; NING LI; CONGRONG LIU; FEI PEI; JINGPING YANG; YUPING WANG; ZHIHUI HAN; XIAOHONG SHI; QIANYING ZHANG; JIANGFENG YOU; XIANG ZHU; JIANG GU
AF : Department of Pathology, Peking University Health Science Center/Beijing/Chine; Cancer Hospital, Peking University Health Science Center/Beijing/Chine; Beijing Ditan Hospital/Beijing/Chine
DT : Publication en série; Niveau analytique
SO : The American journal of gastroenterology; ISSN 0002-9270; Etats-Unis; Da. 2005; Vol. 100; No. 1; Pp. 169-176; Bibl. 37 ref.
LA : Anglais
EA : OBJECTIVES: A significant percentage of confirmed severe acute respiratory syndrome (SARS) patients experienced gastrointestinal symptoms, and the viral sequence was detectable in the stool of most patients. At present, the knowledge of the pathology of the digestive system in SARS patients is limited. Because a resurgence of the SARS epidemic is constantly possible, there is an urgent need to understand the involvement of the digestive system in this new disease. METHODS: We performed seven SARS autopsies in which samples of alimentary tract and digestive glands were examined with routine pathology, electron microscopy (EM), in situ hybridization (ISH), immunohistochemistry, and real-time polymerase chain reaction (PCR). RESULTS: The main histopathological finding was atrophy of the mucosal lymphoid tissue. A few mucosal epithelial cells and lymphocytes in the intestine were positively stained for coronavirus with ISH. SARS-coronavirus (CoV)-like particles were found in the mucosal epithelial cells under EM and mild focal inflammation was detected in the alimentary tract. One patient who experienced severe diarrhea had pseudomembranous enteritis of the ileum. Fatty degeneration and central lobular necrosis were observed in the liver. No evidence of direct viral infection was found in the esophagus, the stomach, the salivary gland, the liver, or the pancreas. CONCLUSIONS: In addition to the lungs, the gastrointestinal tract is another target of SARS-CoV infection, as the intestinal epithelial cells and mucosal lymphoid tissue are infected. The findings provide possible explanations for the gastrointestinal symptoms and the presence of virus in the stool of SARS patients.
CC : 002B05C02C
FD : Syndrome respiratoire aigu sévère; Intestin; Tissu; Forme léthale; Coronavirus
FG : Virose; Infection; Coronaviridae; Nidovirales; Virus; Appareil respiratoire pathologie; Poumon pathologie
ED : Severe acute respiratory syndrome; Gut; Tissue; Fatal course; Coronavirus
EG : Viral disease; Infection; Coronaviridae; Nidovirales; Virus; Respiratory disease; Lung disease
SD : Síndrome respiratorio agudo severo; Intestino; Tejido; Curso fatal; Coronavirus
LO : INIST-11062.354000125069790270
ID : 05-0180762

Links to Exploration step

Pascal:05-0180762

Le document en format XML

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<name sortKey="Zhihui Han" sort="Zhihui Han" uniqKey="Zhihui Han" last="Zhihui Han">ZHIHUI HAN</name>
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<name sortKey="Xiaohong Shi" sort="Xiaohong Shi" uniqKey="Xiaohong Shi" last="Xiaohong Shi">XIAOHONG SHI</name>
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<name sortKey="Jiangfeng You" sort="Jiangfeng You" uniqKey="Jiangfeng You" last="Jiangfeng You">JIANGFENG YOU</name>
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<name sortKey="Xiang Zhu" sort="Xiang Zhu" uniqKey="Xiang Zhu" last="Xiang Zhu">XIANG ZHU</name>
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<name sortKey="Jiang Gu" sort="Jiang Gu" uniqKey="Jiang Gu" last="Jiang Gu">JIANG GU</name>
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<name sortKey="Bo Zhang" sort="Bo Zhang" uniqKey="Bo Zhang" last="Bo Zhang">BO ZHANG</name>
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<name sortKey="Bingquan Wu" sort="Bingquan Wu" uniqKey="Bingquan Wu" last="Bingquan Wu">BINGQUAN WU</name>
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<name sortKey="Songlin Liao" sort="Songlin Liao" uniqKey="Songlin Liao" last="Songlin Liao">SONGLIN LIAO</name>
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<name sortKey="Haohao Zhong" sort="Haohao Zhong" uniqKey="Haohao Zhong" last="Haohao Zhong">HAOHAO ZHONG</name>
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<name sortKey="Zhihui Han" sort="Zhihui Han" uniqKey="Zhihui Han" last="Zhihui Han">ZHIHUI HAN</name>
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<name sortKey="Xiang Zhu" sort="Xiang Zhu" uniqKey="Xiang Zhu" last="Xiang Zhu">XIANG ZHU</name>
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<name sortKey="Jiang Gu" sort="Jiang Gu" uniqKey="Jiang Gu" last="Jiang Gu">JIANG GU</name>
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<div type="abstract" xml:lang="en">OBJECTIVES: A significant percentage of confirmed severe acute respiratory syndrome (SARS) patients experienced gastrointestinal symptoms, and the viral sequence was detectable in the stool of most patients. At present, the knowledge of the pathology of the digestive system in SARS patients is limited. Because a resurgence of the SARS epidemic is constantly possible, there is an urgent need to understand the involvement of the digestive system in this new disease. METHODS: We performed seven SARS autopsies in which samples of alimentary tract and digestive glands were examined with routine pathology, electron microscopy (EM), in situ hybridization (ISH), immunohistochemistry, and real-time polymerase chain reaction (PCR). RESULTS: The main histopathological finding was atrophy of the mucosal lymphoid tissue. A few mucosal epithelial cells and lymphocytes in the intestine were positively stained for coronavirus with ISH. SARS-coronavirus (CoV)-like particles were found in the mucosal epithelial cells under EM and mild focal inflammation was detected in the alimentary tract. One patient who experienced severe diarrhea had pseudomembranous enteritis of the ileum. Fatty degeneration and central lobular necrosis were observed in the liver. No evidence of direct viral infection was found in the esophagus, the stomach, the salivary gland, the liver, or the pancreas. CONCLUSIONS: In addition to the lungs, the gastrointestinal tract is another target of SARS-CoV infection, as the intestinal epithelial cells and mucosal lymphoid tissue are infected. The findings provide possible explanations for the gastrointestinal symptoms and the presence of virus in the stool of SARS patients.</div>
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<fA08 i1="01" i2="1" l="ENG">
<s1>Severe acute respiratory syndrome associated coronavirus is detected in intestinal tissues of fatal cases</s1>
</fA08>
<fA11 i1="01" i2="1">
<s1>XUEYING SHI</s1>
</fA11>
<fA11 i1="02" i2="1">
<s1>ENCONG GONG</s1>
</fA11>
<fA11 i1="03" i2="1">
<s1>DONGXIA GAO</s1>
</fA11>
<fA11 i1="04" i2="1">
<s1>BO ZHANG</s1>
</fA11>
<fA11 i1="05" i2="1">
<s1>JIE ZHENG</s1>
</fA11>
<fA11 i1="06" i2="1">
<s1>ZIFEN GAO</s1>
</fA11>
<fA11 i1="07" i2="1">
<s1>YANFENG ZHONG</s1>
</fA11>
<fA11 i1="08" i2="1">
<s1>WANZHONG ZOU</s1>
</fA11>
<fA11 i1="09" i2="1">
<s1>BINGQUAN WU</s1>
</fA11>
<fA11 i1="10" i2="1">
<s1>WEIGANG FANG</s1>
</fA11>
<fA11 i1="11" i2="1">
<s1>SONGLIN LIAO</s1>
</fA11>
<fA11 i1="12" i2="1">
<s1>SHENGLAN WANG</s1>
</fA11>
<fA11 i1="13" i2="1">
<s1>ZHIGANG XIE</s1>
</fA11>
<fA11 i1="14" i2="1">
<s1>MIN LU</s1>
</fA11>
<fA11 i1="15" i2="1">
<s1>LIN HOU</s1>
</fA11>
<fA11 i1="16" i2="1">
<s1>HAOHAO ZHONG</s1>
</fA11>
<fA11 i1="17" i2="1">
<s1>HONGQUAN SHAO</s1>
</fA11>
<fA11 i1="18" i2="1">
<s1>NING LI</s1>
</fA11>
<fA11 i1="19" i2="1">
<s1>CONGRONG LIU</s1>
</fA11>
<fA11 i1="20" i2="1">
<s1>FEI PEI</s1>
</fA11>
<fA11 i1="21" i2="1">
<s1>JINGPING YANG</s1>
</fA11>
<fA11 i1="22" i2="1">
<s1>YUPING WANG</s1>
</fA11>
<fA11 i1="23" i2="1">
<s1>ZHIHUI HAN</s1>
</fA11>
<fA11 i1="24" i2="1">
<s1>XIAOHONG SHI</s1>
</fA11>
<fA11 i1="25" i2="1">
<s1>QIANYING ZHANG</s1>
</fA11>
<fA11 i1="26" i2="1">
<s1>JIANGFENG YOU</s1>
</fA11>
<fA11 i1="27" i2="1">
<s1>XIANG ZHU</s1>
</fA11>
<fA11 i1="28" i2="1">
<s1>JIANG GU</s1>
</fA11>
<fA14 i1="01">
<s1>Department of Pathology, Peking University Health Science Center</s1>
<s2>Beijing</s2>
<s3>CHN</s3>
</fA14>
<fA14 i1="02">
<s1>Cancer Hospital, Peking University Health Science Center</s1>
<s2>Beijing</s2>
<s3>CHN</s3>
</fA14>
<fA14 i1="03">
<s1>Beijing Ditan Hospital</s1>
<s2>Beijing</s2>
<s3>CHN</s3>
</fA14>
<fA20>
<s1>169-176</s1>
</fA20>
<fA21>
<s1>2005</s1>
</fA21>
<fA23 i1="01">
<s0>ENG</s0>
</fA23>
<fA43 i1="01">
<s1>INIST</s1>
<s2>11062</s2>
<s5>354000125069790270</s5>
</fA43>
<fA44>
<s0>0000</s0>
<s1>© 2005 INIST-CNRS. All rights reserved.</s1>
</fA44>
<fA45>
<s0>37 ref.</s0>
</fA45>
<fA47 i1="01" i2="1">
<s0>05-0180762</s0>
</fA47>
<fA60>
<s1>P</s1>
</fA60>
<fA61>
<s0>A</s0>
</fA61>
<fA64 i1="01" i2="1">
<s0>The American journal of gastroenterology</s0>
</fA64>
<fA66 i1="01">
<s0>USA</s0>
</fA66>
<fC01 i1="01" l="ENG">
<s0>OBJECTIVES: A significant percentage of confirmed severe acute respiratory syndrome (SARS) patients experienced gastrointestinal symptoms, and the viral sequence was detectable in the stool of most patients. At present, the knowledge of the pathology of the digestive system in SARS patients is limited. Because a resurgence of the SARS epidemic is constantly possible, there is an urgent need to understand the involvement of the digestive system in this new disease. METHODS: We performed seven SARS autopsies in which samples of alimentary tract and digestive glands were examined with routine pathology, electron microscopy (EM), in situ hybridization (ISH), immunohistochemistry, and real-time polymerase chain reaction (PCR). RESULTS: The main histopathological finding was atrophy of the mucosal lymphoid tissue. A few mucosal epithelial cells and lymphocytes in the intestine were positively stained for coronavirus with ISH. SARS-coronavirus (CoV)-like particles were found in the mucosal epithelial cells under EM and mild focal inflammation was detected in the alimentary tract. One patient who experienced severe diarrhea had pseudomembranous enteritis of the ileum. Fatty degeneration and central lobular necrosis were observed in the liver. No evidence of direct viral infection was found in the esophagus, the stomach, the salivary gland, the liver, or the pancreas. CONCLUSIONS: In addition to the lungs, the gastrointestinal tract is another target of SARS-CoV infection, as the intestinal epithelial cells and mucosal lymphoid tissue are infected. The findings provide possible explanations for the gastrointestinal symptoms and the presence of virus in the stool of SARS patients.</s0>
</fC01>
<fC02 i1="01" i2="X">
<s0>002B05C02C</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE">
<s0>Syndrome respiratoire aigu sévère</s0>
<s2>NM</s2>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG">
<s0>Severe acute respiratory syndrome</s0>
<s2>NM</s2>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA">
<s0>Síndrome respiratorio agudo severo</s0>
<s2>NM</s2>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE">
<s0>Intestin</s0>
<s5>07</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Gut</s0>
<s5>07</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Intestino</s0>
<s5>07</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Tissu</s0>
<s5>08</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Tissue</s0>
<s5>08</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Tejido</s0>
<s5>08</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Forme léthale</s0>
<s5>09</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Fatal course</s0>
<s5>09</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Curso fatal</s0>
<s5>09</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Coronavirus</s0>
<s2>NW</s2>
<s5>10</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Coronavirus</s0>
<s2>NW</s2>
<s5>10</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Coronavirus</s0>
<s2>NW</s2>
<s5>10</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Virose</s0>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Viral disease</s0>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Virosis</s0>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Infection</s0>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Infection</s0>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Infección</s0>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Coronaviridae</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Coronaviridae</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Coronaviridae</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Nidovirales</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Nidovirales</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Nidovirales</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Virus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Virus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Virus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Appareil respiratoire pathologie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Respiratory disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Aparato respiratorio patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="07" i2="X" l="FRE">
<s0>Poumon pathologie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG">
<s0>Lung disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA">
<s0>Pulmón patología</s0>
<s5>38</s5>
</fC07>
<fN21>
<s1>122</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
<server>
<NO>PASCAL 05-0180762 INIST</NO>
<ET>Severe acute respiratory syndrome associated coronavirus is detected in intestinal tissues of fatal cases</ET>
<AU>XUEYING SHI; ENCONG GONG; DONGXIA GAO; BO ZHANG; JIE ZHENG; ZIFEN GAO; YANFENG ZHONG; WANZHONG ZOU; BINGQUAN WU; WEIGANG FANG; SONGLIN LIAO; SHENGLAN WANG; ZHIGANG XIE; MIN LU; LIN HOU; HAOHAO ZHONG; HONGQUAN SHAO; NING LI; CONGRONG LIU; FEI PEI; JINGPING YANG; YUPING WANG; ZHIHUI HAN; XIAOHONG SHI; QIANYING ZHANG; JIANGFENG YOU; XIANG ZHU; JIANG GU</AU>
<AF>Department of Pathology, Peking University Health Science Center/Beijing/Chine; Cancer Hospital, Peking University Health Science Center/Beijing/Chine; Beijing Ditan Hospital/Beijing/Chine</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>The American journal of gastroenterology; ISSN 0002-9270; Etats-Unis; Da. 2005; Vol. 100; No. 1; Pp. 169-176; Bibl. 37 ref.</SO>
<LA>Anglais</LA>
<EA>OBJECTIVES: A significant percentage of confirmed severe acute respiratory syndrome (SARS) patients experienced gastrointestinal symptoms, and the viral sequence was detectable in the stool of most patients. At present, the knowledge of the pathology of the digestive system in SARS patients is limited. Because a resurgence of the SARS epidemic is constantly possible, there is an urgent need to understand the involvement of the digestive system in this new disease. METHODS: We performed seven SARS autopsies in which samples of alimentary tract and digestive glands were examined with routine pathology, electron microscopy (EM), in situ hybridization (ISH), immunohistochemistry, and real-time polymerase chain reaction (PCR). RESULTS: The main histopathological finding was atrophy of the mucosal lymphoid tissue. A few mucosal epithelial cells and lymphocytes in the intestine were positively stained for coronavirus with ISH. SARS-coronavirus (CoV)-like particles were found in the mucosal epithelial cells under EM and mild focal inflammation was detected in the alimentary tract. One patient who experienced severe diarrhea had pseudomembranous enteritis of the ileum. Fatty degeneration and central lobular necrosis were observed in the liver. No evidence of direct viral infection was found in the esophagus, the stomach, the salivary gland, the liver, or the pancreas. CONCLUSIONS: In addition to the lungs, the gastrointestinal tract is another target of SARS-CoV infection, as the intestinal epithelial cells and mucosal lymphoid tissue are infected. The findings provide possible explanations for the gastrointestinal symptoms and the presence of virus in the stool of SARS patients.</EA>
<CC>002B05C02C</CC>
<FD>Syndrome respiratoire aigu sévère; Intestin; Tissu; Forme léthale; Coronavirus</FD>
<FG>Virose; Infection; Coronaviridae; Nidovirales; Virus; Appareil respiratoire pathologie; Poumon pathologie</FG>
<ED>Severe acute respiratory syndrome; Gut; Tissue; Fatal course; Coronavirus</ED>
<EG>Viral disease; Infection; Coronaviridae; Nidovirales; Virus; Respiratory disease; Lung disease</EG>
<SD>Síndrome respiratorio agudo severo; Intestino; Tejido; Curso fatal; Coronavirus</SD>
<LO>INIST-11062.354000125069790270</LO>
<ID>05-0180762</ID>
</server>
</inist>
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