Evidence map›Paper›PMID 36582579›Full record

ArticleCureus2022

Ultrastructural Changes in Autopsy Tissues of COVID-19 Patients.

Aasma Nalwa, Vikarn Vishwajeet, Deepak Kumar, Abhishek Purohit, Mayank Garg, Dr Tanuj Kanchan, Naveen Dutt, Nikhil Kothari, Suryanarayanan Bhaskar, Poonam Elhence and 6 more

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2022. 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
0.2field-weighted citation impact, top 48% 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. Review
  2. 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

16 authors at 4 institutions in 1 country.

Aasma NalwaPathology and Lab Medicine, All India Institute of Medical Sciences, Jodhpur, IND.
Vikarn VishwajeetPathology, All India Institute of Medical Sciences, Jodhpur, Jodhpur, IND.
Deepak KumarMedicine, All India Institute of Medical Sciences, Jodhpur, IND.
Abhishek PurohitPathology and Hematopathology, All India Institute of Medical Sciences, Jodhpur, IND.
Mayank GargNeurological Surgery, All India Institute of Medical Sciences, Jodhpur, IND.
Dr Tanuj KanchanForensic Medicine and Toxicology, All India Institute of Medical Sciences, Jodhpur, IND.
Naveen DuttPulmonary and Critical Care Medicine, All India Institute of Medical Sciences, Jodhpur, IND.
Nikhil KothariAnesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, IND.
Suryanarayanan BhaskarNeurological Surgery, All India Institute of Medical Sciences, Jodhpur, IND.
Poonam ElhencePathology, All India Institute of Medical Sciences, Jodhpur, IND.
Pradeep BhatiaAnesthesiology, All India Institute of Medical Sciences, Jodhpur, IND.
Vijaya L NagMicrobiology, All India Institute of Medical Sciences, Jodhpur, IND.
Mahendra Kumar GargMedicine, All India Institute of Medical Sciences, Jodhpur, IND.
Sanjeev MisraSurgical Oncology, All India Institute of Medical Sciences, Jodhpur, IND.
Alok PandeyNanomaterial Toxicology Laboratory, Council of Scientific & Industrial Research (CSIR) - Indian Institute of Toxicology Research, Lucknow, IND.
Alok DhawanResearch and Development, Centre for Biomedical Research, Lucknow, IND.
All India Institute of Medical Sciences Jodhpur · INCentre of Biomedical Research · INIndian Institute of Toxicology Research · INSawai ManSingh Medical College and Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe COVID-19 pandemic resulted in substantial morbidity and mortality across the world. The prognosis was found to be poor in patients with co-morbidities such as diabetes, hypertension, interstitial lung disease, etc. Although biochemical studies were done in patient samples, no study has been reported from the Indian subcontinent about ultrastructural changes in the vital organs of COVID-19 patients. The present study was, therefore, conducted to understand the ultrastructural changes in the lung, liver, and brain of the deceased patients.

methodsThe present study was conducted on samples obtained from reverse transcription-polymerase chain reaction (RT-PCR)-positive patients who were admitted to a tertiary care hospital in Western India. Core needle biopsies were done in eight fatal cases of COVID-19. The samples were taken from the lungs, liver, and brain and subjected to light microscopy, immunohistochemistry (IHC), and transmission electron microscopy (TEM). Clinical details and biochemical findings were also collected.  Results: The study participants included seven males and one female. The presenting complaints included fever, breathlessness, and cough. Light microscopy revealed diffuse alveolar damage in the lungs. Further, a positive expression of SARS-CoV-2 nucleocapsid protein was observed in the pulmonary parenchyma of five patients. Also, the TEM microphotograph showed viral particles of size up to 80nm localized in alveolar epithelial cells. However, no viral particles were found in liver or brain samples. In the liver, macrovesicular steatosis and centrizonal congestion with loss of hepatocytes were observed in light microscopy.

conclusionThis is the first study in the Indian population showing the

Indexed as

autopsycovid-19immunohistochemistrylungtransmission electron microscopy

Identifiers

PMID36582579
PMCPMC9794915
OpenAlexW4310268139

What OpenQuestion holds

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Registered trials

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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.