Evidence map›Paper›PMID 32876012›Full record

ArticleThe American journal of tropical medicine and hygiene2020

Case Report: Adrenal Pathology Findings in Severe COVID-19: An Autopsy Study.

Monique Freire Santana, Mayla Gabriela Silva Borba, Djane Clarys Baía-da-Silva, Fernando Val, Márcia Almeida Araújo Alexandre, Jose Diego Brito-Sousa, Gisely Cardoso Melo, Marcos Vinícius Oliveira Queiroga, Maria Eduarda Leão Farias, Cecília Cunha Camilo and 8 more

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in The American journal of tropical medicine and hygiene, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 2 pooled it
12.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 2 syntheses or guidelines pooled it, 99 citations in OpenAlex.

  1. Pediatric endocrinopathies related to COVID-19: an update.World journal of pediatrics : WJP · 2023
    Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Translating insights into therapies for Long Covid.Science translational medicine · 2024
    Review
  9. Article
  10. Adrenal Cysts: To Operate or Not to Operate?Journal of clinical medicine · 2024
    Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Fatigue in Post-Acute Sequelae of Coronavirus Disease 2019.Physical medicine and rehabilitation clinics of North America · 2023
    Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 6 institutions in 2 countries.

Monique Freire Santana1Departamento de Ensino e Pesquisa, Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Brazil.
Mayla Gabriela Silva Borba2Programa de Pós-Graduação em Medicina Tropical, Universidade do Estado do Amazonas, Manaus, Brazil.
Djane Clarys Baía-da-Silva1Departamento de Ensino e Pesquisa, Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Brazil.
Fernando Val1Departamento de Ensino e Pesquisa, Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Brazil.
Márcia Almeida Araújo Alexandre1Departamento de Ensino e Pesquisa, Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Brazil.
Jose Diego Brito-Sousa1Departamento de Ensino e Pesquisa, Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Brazil.
Gisely Cardoso Melo1Departamento de Ensino e Pesquisa, Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Brazil.
Marcos Vinícius Oliveira Queiroga4Hospital e Pronto Socorro Delphina Rinaldi Abdel Aziz, Manaus, Brazil.
Maria Eduarda Leão Farias5Fundação Oswaldo Cruz, Instituto de Pesquisas Leônidas and Maria Deane, Manaus, Brazil.
Cecília Cunha Camilo6CDL - Laboratórios Santos e Vidal, Manaus, Brazil.
Felipe Gomes Naveca5Fundação Oswaldo Cruz, Instituto de Pesquisas Leônidas and Maria Deane, Manaus, Brazil.
Mariana Simão Xavier2Programa de Pós-Graduação em Medicina Tropical, Universidade do Estado do Amazonas, Manaus, Brazil.
Wuelton Marcelo Monteiro1Departamento de Ensino e Pesquisa, Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Brazil.
Guilherme Augusto Pivoto João7Universidade de São Paulo - USP, São Paulo, Brazil.
Ludhmila Abrahão Hajjar7Universidade de São Paulo - USP, São Paulo, Brazil.
Jaume Ordi8Hospital Clínic de Barcelona, Barcelona, Spain.
Marcus Vinícius Guimarães Lacerda1Departamento de Ensino e Pesquisa, Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Brazil.
Luiz Carlos Lima Ferreira1Departamento de Ensino e Pesquisa, Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Brazil.
Universidade do Estado do Amazonas · BRFundação de Medicina Tropical · BRFundação Oswaldo Cruz · BRUniversidade Federal do Amazonas · BRHospital Universitário da Universidade de São Paulo · BRHospital Clínic de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although high mortality has been reported in many COVID-19 studies, very limited postmortem information from complete autopsies is available. We report the findings in the adrenal glands in 28 autopsies with confirmed SARS-CoV-2 infection. Microscopic lesions were identified in the adrenal glands in 12/28 patients (46%). Seven cases showed necrosis, generally ischemic; four showed cortical lipid degeneration; two showed hemorrhage; and one unspecific focal adrenalitis. Vascular thrombosis in one patient and focal inflammation in association with other findings in three patients were observed. No case presented adrenal insufficiency. In conclusion, adrenal lesions are frequent in patients with severe COVID-19. The lesions are mild but could contribute to the lethal outcome.

Indexed as

BetacoronavirusAdrenal GlandsAdultAgedAutopsyCoronavirus InfectionsCOVID-19FemaleHumansHydrocortisoneMaleMiddle AgedPandemicsPneumonia, ViralSARS-CoV-2Hydrocortisone

Identifiers

PMID32876012
PMCPMC7543860
OpenAlexW3082040113

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.