Evidence map›Paper›PMID 34667895›Full record

ReviewJournal of clinical and translational research2021

Coronavirus disease 2019 morbid pulmonary pathology: What did we learn from autopsy examinations?

Azza Zulfu, Somaya T Hamid, Khalid A Elseed, Wadie M Elmadhoun, Musaab Ahmed, Mohamed H Ahmed

Open access · greenAbstract readReview
In one paragraph

Review in Journal of clinical and translational research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.1field-weighted citation impact, top 50% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

6 authors at 3 institutions in 3 countries.

Azza ZulfuDepartment of Pathology, Faculty of Medicine, Omdurman Islamic University, Khartoum, Sudan.
Somaya T HamidDepartment of Pathology, Faculty of Medicine, Omdurman Islamic University, Khartoum, Sudan.
Khalid A ElseedDepartment of Pathology, Faculty of Medicine, Omdurman Islamic University, Khartoum, Sudan.
Wadie M ElmadhounDepartment of Pathology - University of Medical Sciences and Technology, Khartoum, Sudan.
Musaab AhmedCollege of Medicine, Ajman University, Ajman, United Arab Emirates.
Mohamed H AhmedDepartment of Medicine and HIV Metabolic Clinic, Milton Keynes University Hospital NHS, Foundation Trust, Eagelstone, Milton Keynes, Buckinghamshire, UK.
Omdurman Islamic University · SDAjman University · AEMilton Keynes Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the rapidly expanding data on clinical, epidemiological and radiological aspects of coronavirus disease 2019 (COVID-19), little is known about the disease's pathological aspects. The scarcity of pathological data on COVID-19 can be explained by the limited autopsy procedures performed on deceased patients.

aimThis work aims to review and summarize the pulmonary pathological findings observed in COIVD-19 deceased individuals based on recent case series reports published in English up to September 2020.

methodsA search in Google Scholar, PubMed

resultsPulmonary autopsy hallmark findings of COVID-19 cases demonstrate the presence of diffuse alveolar damage. The presence of pulmonary thrombi was reported in the majority of patients. Cellular alterations included type 2 pneumocyte hyperplasia, inflammatory cell infiltrates predominantly by lymphocytes, other mononuclear cells, and neutrophils as evident by their specific immunohistochemical markers. Electron microscopy confirmed the presence of virus particles in different cell types, including types 1 and 2 pneumocytes.

conclusionThe few emerging autopsy reports have substantially contributed towards our understanding of COVID-19 pulmonary histopathological aspects. COVID-19 caused acute severe respiratory manifestations that are the leading cause of morbidity and mortality in infected patients. More studies and research are needed to understand the inflammatory processes and histopathological changes associated with COVID-19 in African populations. RELEVANCE FOR PATIENTS: Postmortem investigations advance important mechanistic knowledge on COVID-19 pathophysiology and clinical outcomes and could facilitate provisions for targeted therapies.

Indexed as

autopsyCOVID-19Lungpulmonary pathology

Identifiers

PMID34667895
PMCPMC8520706
OpenAlexW3207659584

What OpenQuestion holds

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LicenceCC BY
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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.