期刊
VIRCHOWS ARCHIV
卷 479, 期 1, 页码 97-108出版社
SPRINGER
DOI: 10.1007/s00428-020-03014-0
关键词
COVID-19; Autopsy; Fungal infection; Mycosis; Macrophage activation syndrome
类别
资金
- Projekt DEAL
- Bavarian Ministry of Science and Art
- German Registry of COVID-19 Autopsies (DeRegCOVID)
- German Registry of COVID-19 Autopsies (Federal Ministry of Health) [ZMVI1-2520COR201]
- Federal Ministry of Education and Research as part of the Network of University Medicine (DEFEAT PANDEMIcs) [01KX2021]
During the first wave of the COVID-19 pandemic, 55 patients received long-term treatment in the intensive care unit at the University Hospital of Regensburg. Autopsy results revealed severe diffuse alveolar damage, fungal coinfections, and macrophage activation syndrome in the later stages of the disease. Fungal infections were identified as a leading cause of death in severely ill patients, potentially impacting clinical management during prolonged treatment periods.
Between April and June 2020, i.e., during the first wave of pandemic coronavirus disease 2019 (COVID-19), 55 patients underwent long-term treatment in the intensive care unit at the University Hospital of Regensburg. Most of them were transferred from smaller hospitals, often due to the need for an extracorporeal membrane oxygenation system. Autopsy was performed in 8/17 COVID-19-proven patients after long-term treatment (mean: 33.6 days). Autopsy revealed that the typical pathological changes occurring during the early stages of the disease (e.g., thrombosis, endothelitis, capillaritis) are less prevalent at this stage, while severe diffuse alveolar damage and especially coinfection with different fungal species were the most conspicuous finding. In addition, signs of macrophage activation syndrome was detected in 7 of 8 patients. Thus, fungal infections were a leading cause of death in our cohort of severely ill patients and may alter clinical management of patients, particularly in long-term periods of treatment.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据