Evidence map›Paper›PMID 33316056›Full record

ArticleAmerican journal of clinical pathology2021

Pulmonary Pathology of COVID-19 Following 8 Weeks to 4 Months of Severe Disease: A Report of Three Cases, Including One With Bilateral Lung Transplantation.

Scott W Aesif, Alejandro C Bribriesco, Ruchi Yadav, Summer L Nugent, Dmitriy Zubkus, Carmela D Tan, Atul C Mehta, Sanjay Mukhopadhyay

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in American journal of clinical pathology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
1.0field-weighted citation impact, top 13% 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

27 citing papers in PubMed, 47 citations in OpenAlex.

  1. Trial
  2. Blood fibrocytes are associated with severity and prognosis in COVID-19 pneumonia.American journal of physiology. Lung cellular and molecular physiology · 2021
    Trial
  3. COVID-19 and Interstitial Lung Disease.Medicina (Kaunas, Lithuania) · 2025
    Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. Potential mechanisms for lung fibrosis associated with COVID-19 infection.QJM : monthly journal of the Association of Physicians · 2023
    Review
  9. Review
  10. Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Article
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  18. What remains in the pulmonary tissue after acute COVID-19?Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2022
    Article
  19. Article
  20. Article
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

8 authors at 2 institutions in 1 country.

Scott W AesifDepartment of Pathology, Cleveland, OH.
Alejandro C BribriescoDepartment of Thoracic and Cardiovascular Surgery, Cleveland, OH.
Ruchi YadavImaging Institute, and Cleveland Clinic, Cleveland, OH.
Summer L NugentDepartment of Pathology Critical Care, WellSpan York Hospital, York, PA.
Dmitriy ZubkusDepartment of Pulmonary and Critical Care, WellSpan York Hospital, York, PA.
Carmela D TanDepartment of Pathology, Cleveland, OH.
Atul C MehtaRespiratory Institute, Cleveland Clinic, Cleveland, OH.
Sanjay MukhopadhyayDepartment of Pathology, Cleveland, OH.
Cleveland Clinic · USWellSpan York Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesCurrent knowledge of the pulmonary pathology of coronavirus disease 2019 (COVID-19) is based largely on postmortem studies. In most, the interval between disease onset and death is relatively short (<1 month). Information regarding lung pathology in patients who survive for longer periods is scant. We describe the pathology in three patients with severe COVID-19 who underwent antemortem examination of lung tissue at least 8 weeks after initial diagnosis.

methodsWe conducted a retrospective case series.

resultsThe first patient developed acute respiratory failure and was started on extracorporeal membrane oxygenation (ECMO) on day 21, with subsequent hemothorax. Debridement (day 38) showed extensive lung infarction with diffuse alveolar damage and Candida overgrowth. The second patient developed acute respiratory failure requiring mechanical ventilation that did not improve despite ECMO. Surgical lung biopsy on day 74 showed diffuse interstitial fibrosis with focal microscopic honeycomb change. The third patient also required ECMO and underwent bilateral lung transplantation on day 126. The explanted lungs showed diffuse interstitial fibrosis with focal microscopic honeycomb change.

conclusionsThis series provides histologic confirmation that complications of COVID-19 after 8 weeks to 4 months of severe disease include lung infarction and diffuse interstitial fibrosis.

Indexed as

Severity of Illness IndexBiopsyCOVID-19COVID-19 TestingDisease ProgressionFemaleHumansLungLung TransplantationMaleMiddle AgedTime FactorsAcute respiratory distress syndromeCandidaCoronavirusCOVID-19Extracorporeal membrane oxygenationInfarctionInterstitial fibrosisLung transplantationPathologySARS-CoV-2

Identifiers

PMID33316056
PMCPMC7799292
OpenAlexW3112968681

What OpenQuestion holds

Textmetadata
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.