Autopsy experiences of deceased by COVID-19
Keywords:
autopsy, COVID-19, SARS-CoV-2.Abstract
Introduction: A case of a patient who died from COVID-19 is presented, which the authors consider to be the prototype of most of those who died from this condition, which was performed at autopsy.Objective: Disseminate the experiences in the study of the autopsy of this type of patients and contribute to its application in clinical and scientific practice.
Clinical case: A 78-year-old male patient is presented, with arterial hypertension, diabetes mellitus and obesity, who began with cough, fever, runny nose, who was admitted with a diagnosis of COVID-19, progressed to severity and died 10 days later. of his admittance. The fundamental elements of the clinical history, the diagnoses of causes of death pre-mortem and post-mortem are presented. Autopsy diagnoses and quality assessment results of clinical cause of death diagnoses are specified.
Conclusions: The experiences of the study of this autopsy as a prototype, reaffirm the damage caused by SARS-CoV-2 and contribute to the knowledge of this field.
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References
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2. Beigee F, Toutkaboni M, Khalili N, Nadji S, Dorudinia A, Rezaei M, et al. Diffuse alveolar damage and thrombotic microangiopathy are the main histopathological findings in lung tissue biopsy samples of COVID-19 patients. Pathology - Research and Practice. 2020; 216:1 53228. DOI: 10.1016/j.prp.2020.153228
3. Kao K, Hu H, Chang CH, Hung CY, Chiu L, Li S, et al. Diffuse alveolar damage associated mortality in selected acute respiratory distress syndrome patients with open lung biopsy Critical Care 2015; 19(228): 1-10. DOI 10.1186/s13054-015-0949-y
4. Romanova ES, Vasilyev VV, Startseva G, Karev V, Rybakova MG, PG P. Cause of death based on systematic post-mortem studies in patients with positive SARS-CoV-2 tissue PCR during the COVID-19 pandemic. J Intern Med. 2021; 290(3): 655-65. DOI: 10.1111/joim.13300
5. Hurtado de Mendoza Amat J. Autopsia. Garantía de calidad en la medicina. 2da. ed. La Habana: Editorial Ciencias Médicas; 2014. [acceso: 09/12/2021]. Disponible en: http://www.bvs.sld.cu/libros/autopsia_garantia_2daedicion/autopsia_completo.pdf
6. Capó de Paz V, Borrajero Martínez I, Montero González T, Hurtado de Mendoza Amat J, de Armas Rodriguez Y, Domínguez Álvarez C. Hallazgos de autopsias de 50 fallecidos con SARS-CoV-2 en Cuba entre abril y septiembre de 2020. Anales de la Academia de Ciencias de Cuba. 2021 [acceso: 09/12/2021]; 11(2):e994. Disponible en: http://www.revistaccuba.cu/index.php/revacc/article/view/994
7. Montero González T, Hurtado de Mendoza Amat J, Fraga Martínez Y, Torres Gómez Y, Laguna Oliva L. Metodología para realizar autopsias en el proceso de enfrentamiento a la COVID-19. Rev Cub Med Mil. 2020 [acceso: 09/12/2021]; 49(3): e0200840. Disponible en: http://www.revmedmilitar.sld.cu/index.php/mil/article/view/840/562
8. Rusu S, Lavis P, Domingues Salgado V, Van Craynest MP, Creteur J, Salmon I, et al. Comparison of antemortem clinical diagnosis and post-mortem findings in intensive care unit patients Virchows Archiv. 2021; 479: 385–92. DOI: 10.1007/s00428-020-03016-y
9. Hurtado de Mendoza Amat J, Montero González T, Borrajero Martínez I, Capó de Paz V, López Marín L, Domínguez Álvarez C. Respuesta inflamatoria sistémica de la COVID-19 y su expresión morfológica, el daño múltiple de órganos. Rev Cub Med Mil. 2021 [acceso: 09/12/2021]; 50(3): e02101592. Disponible en: http://www.revmedmilitar.sld.cu/index.php/mil/article/view/1592/1038
Published
2022-04-02
How to Cite
1.
Hurtado de Mendoza Amat JD, Montero González T, Borrajero Martínez I, Capó de Paz V, López Marín L, Domínguez Álvarez C. Autopsy experiences of deceased by COVID-19. Rev Cubana Med Milit [Internet]. 2022 Apr. 2 [cited 2025 Apr. 4];51(2):e02201819. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/1819
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