Preview

Modern Rheumatology Journal

Advanced search

Organ changes after SARS-CoV-2 infection in a patient with systemic sclerosis according to autopsy

https://doi.org/10.14412/1996-7012-2022-2-69-73

Abstract

The article presents a description of a clinical case with a fatal outcome due to SARS-CoV-2 coronavirus-induced bilateral viral pneumonia with areas of pneumofibrosis, complicated by acute respiratory failure. The presence of systemic sclerosis in this patient aggravated the course of the disease and became one of the causes of death. Autopsy revealed signs of bilateral pneumonia with lesions in both lungs and areas of pneumofibrosis.

Histological examination revealed alveoli with rupture of interalveolar septa, areas of atelectasis, serous-purulent exudate with desquamated alveolocytes, places with organization of exudate, zones of pneumofibrosis. Scleroderma cardiosclerosis, linear necrosis of cardiomyocytes were present in the heart. There were signs of multiple organ failure – pulmonary edema, cerebral edema.

About the Authors

O. V. Vorobeva
I.N. Ulyanov Chuvash State University
Russian Federation

Olga Vasilievna Vorobeva

15, Moskovsky prospect, Cheboksary 428015, Russia



L. P. Romanova
I.N. Ulyanov Chuvash State University
Russian Federation

15, Moskovsky prospect, Cheboksary 428015, Russia



References

1. Vorob'eva OV, Lastochkin AV. Changes in the brain, lungs and heart with COVID-19 against the background of cerebrovascular pathology. Profilakticheskaya meditsina. 2020;23(7):43-6. (In Russ.).

2. Vorob'eva OV, Lastochkin AV. Аcute myocardial infarction and coronavirus infection (COVID-19). Infektsionnye bolezni: novosti, mneniya, obuchenie. 2021;(1):93-7. (In Russ.).

3. Anan'eva LP. Interstitial lung lesion associated with systemic scleroderma (progressive systemic sclerosis). Nauchno-prakticheskaya revmatologiya. 2017;55(1):87-95. (In Russ.).

4. Nasonov EL, Lila AM, Mazurov VI. Coronavirus disease 2019 (COVID-19) and immuneinflammatory (autoimmune) rheumatic diseases. Draft recommendations of the All-Russian public organization «Association of Rheumatologists of Russia» 07/08/2020.

5. Li G, Fan Y, Lai Y, et al. Coronavirus infections and immune responses. J Med Virol. 2020 Apr;92(4):424-32. doi: 10.1002/jmv.25685. Epub 2020 Feb 7.

6. Yang J, Sheng Y, Gou X, et al. Prevalence of comorbidities in the novel Wuhan coronavirus (COVID-19) infection: a systemic reviews and meta-analysis. Int J Infect Dis. 2020 May;94:91-5. doi: 10.1016/j.ijid.2020.03.017. Epub 2020 Mar 12.


Review

For citations:


Vorobeva OV, Romanova LP. Organ changes after SARS-CoV-2 infection in a patient with systemic sclerosis according to autopsy. Sovremennaya Revmatologiya=Modern Rheumatology Journal. 2022;16(2):69-73. (In Russ.) https://doi.org/10.14412/1996-7012-2022-2-69-73

Views: 420


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1996-7012 (Print)
ISSN 2310-158X (Online)