Background: The rapid spread of the COVID-19 has posed complex challenges to the global public health and it was declared as a public health emergency of international concern. Understanding the histopathology of COVID-19 will be crucial to propose effective therapies. However, studies on the pathological diagnosis of COVID-19 have been relatively deficient, scattered with a few summarized evidence. Objective: The objective of this review article was to have current state of knowledge about the histopathological changes detected in major organs due to COVID-19 disease, in order to enable the current understanding of it. Methods: The literature search for this document was carried out comprehensively by accessing PubMed, Google scholar, Web-of-Science and other data bases. In addition helpful documents were added. Result and conclusion: The most histopathological findings were in the pulmonary system. The primary pathology was diffuse alveolar damage with virus located in the pneumocytes. However, other major organs including the heart, liver and kidneys may be susceptible to viral replication and impairment leading to increased mortality in those with disseminated disease. The main histopathological findings in kidney were varying degrees of acute tubular necrosis, luminal brush border sloughing and dilated capillary vessels in the glomeruli. Liver injury is more common in severe cases of COVID-19.
Published in | International Journal of Clinical and Experimental Medical Sciences (Volume 6, Issue 6) |
DOI | 10.11648/j.ijcems.20200606.12 |
Page(s) | 119-125 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2020. Published by Science Publishing Group |
COVID-19, Histopathology, Review
[1] | Zheng, Y. Y., Ma, Y. T., Zhang, J. Y. and Xie, X., 2020. COVID-19 and the cardiovascular system. Nature Reviews Cardiology, 17 (5), pp. 259-260. |
[2] | Gupta, P., Mohanty, A., Narula, H., Singh, V., Kalita, D., Varshney, S., Kabi, A. and Aggarwal, P., 2020. Concise Information for the Frontline Health care workers in the era of COVID-19. Indian Journal of Community Health, 32 (2). |
[3] | Xiao F, Tang M, Zheng X, Liu Y, Li X, Shan H. Evidence for gastrointestinal infection of SARS-CoV-2. Gastroenterology. 2020 May 1; 158 (6): 1831-3. |
[4] | Li, Q., Guan, X., Wu, P., Wang, X., Zhou, L., Tong, Y., Ren, R., Leung, K. S., Lau, E. H., Wong, J. Y. and Xing, X., 2020. Early transmission dynamics in Wuhan, China, of novel coronavirus–infected pneumonia. New England Journal of Medicine. |
[5] | Adhikari, S. P., Meng, S., Wu, Y. J., Mao, Y. P., Ye, R. X., Wang, Q. Z., Sun, C., Sylvia, S., Rozelle, S., Raat, H. and Zhou, H., 2020. Epidemiology, causes, clinical manifestation and diagnosis, prevention and control of coronavirus disease (COVID-19) during the early outbreak period: a scoping review. Infectious diseases of poverty, 9 (1), pp. 1-12. |
[6] | Shi, H., Han, X., Jiang, N., Cao, Y., Alwalid, O., Gu, J., Fan, Y. and Zheng, C., 2020. Radiological findings from 81 patients with COVID-19 pneumonia in Wuhan, China: a descriptive study. The Lancet Infectious Diseases. |
[7] | Chen, N., Zhou, M., Dong, X., Qu, J., Gong, F., Han, Y., Qiu, Y., Wang, J., Liu, Y., Wei, Y. and Yu, T., 2020. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. The Lancet, 395 (10223), pp. 507-513. |
[8] | Alsaad, K. O., Hajeer, A. H., Al Balwi, M., Al Moaiqel, M., Al Oudah, N., Al Ajlan, A., AlJohani, S., Alsolamy, S., Gmati, G. E., Balkhy, H. and Al-Jahdali, H. H., 2018. Histopathology of Middle East respiratory syndrome coronovirus (MERS-CoV) infection–clinicopathological and ultrastructural study. Histopathology, 72 (3), pp. 516-524. |
[9] | Tian, S., Hu, W., Niu, L., Liu, H., Xu, H. and Xiao, S. Y., 2020. Pulmonary pathology of early phase 2019 novel coronavirus (COVID-19) pneumonia in two patients with lung cancer. Journal of Thoracic Oncology. |
[10] | Zhang, H., Zhou, P., Wei, Y., Yue, H., Wang, Y., Hu, M., Zhang, S., Cao, T., Yang, C., Li, M. and Guo, G., 2020. Histopathologic changes and SARS-CoV-2 immunostaining in the lung of a patient with COVID-19. Annals of internal medicine, 172 (9), pp. 629-632. |
[11] | Pernazza A, Mancini M, Rullo E, Bassi M, De Giacomo T, Della Rocca C, d’Amati G. Early histologic findings of pulmonary SARS-CoV-2 infection detected in a surgical specimen. Virchows Archiv. 2020 Apr 30: 1. |
[12] | Tian, S., Xiong, Y., Liu, H., Niu, L., Guo, J., Liao, M. and Xiao, S. Y., 2020. Pathological study of the 2019 novel coronavirus disease (COVID-19) through postmortem core biopsies. Modern Pathology, pp. 1-8. |
[13] | Luo, W., Yu, H., Gou, J., Li, X., Sun, Y., Li, J. and Liu, L., 2020. Clinical pathology of critical patient with novel coronavirus pneumonia (COVID-19). Preprints, 2020, p. 2020020407 |
[14] | Bradley, B. T., Maioli, H., Johnston, R., Chaudhry, I., Fink, S. L., Xu, H., Najafian, B., Marshall, D., Lacy, J. M., Williams, T. and Yarid, N., 2020. Histopathology and ultrastructural findings of fatal COVID-19 infections. MedRxiv. |
[15] | Wang, D., Hu, B., Hu, C., Zhu, F., Liu, X., Zhang, J., Wang, B., Xiang, H., Cheng, Z., Xiong, Y. and Zhao, Y., 2020. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in Wuhan, China. Jama, 323 (11), pp. 1061-1069. |
[16] | Su, H., Yang, M., Wan, C., Yi, L. X., Tang, F., Zhu, H. Y., Yi, F., Yang, H. C., Fogo, A. B., Nie, X. and Zhang, C., 2020. Renal histopathological analysis of 26 postmortem findings of patients with COVID-19 in China. Kidney international. |
[17] | Tietäväinen, J., Mantula, P., Outinen, T., Huhtala, H., Pörsti, I. H., Niemelä, O., Vaheri, A., Mäkelä, S. and Mustonen, J., 2019. Glucosuria predicts the severity of Puumala hantavirus infection. Kidney international reports, 4 (9), pp. 1296-1303. |
[18] | Diao, B., Feng, Z., Wang, C., Wang, H., Liu, L., Wang, C., Wang, R., Liu, Y., Liu, Y., Wang, G. and Yuan, Z., 2020. Human kidney is a target for novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. MedRxiv. |
[19] | Huang, C., Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y., Zhang, L., Fan, G., Xu, J., Gu, X. and Cheng, Z., 2020. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The lancet, 395 (10223), pp. 497-506. |
[20] | Kumar, A., Zarychanski, R., Pinto, R., Cook, D. J., Marshall, J., Lacroix, J., Stelfox, T., Bagshaw, S., Choong, K., Lamontagne, F. and Turgeon, A. F., 2009. Critically ill patients with 2009 influenza A (H1N1) infection in Canada. Jama, 302 (17), pp. 1872-1879. |
[21] | Xu, Z., Shi, L., Wang, Y., Zhang, J., Huang, L., Zhang, C., Liu, S., Zhao, P., Liu, H., Zhu, L. and Tai, Y., 2020. Pathological findings of COVID-19 associated with acute respiratory distress syndrome. The Lancet respiratory medicine, 8 (4), pp. 420-422. |
[22] | Zhang, C., Shi, L. and Wang, F. S., 2020. Liver injury in COVID-19: management and challenges. The lancet Gastroenterology & hepatology, 5 (5), pp. 428-430. |
[23] | Zhang, Y., Zheng, L., Liu, L., Zhao, M., Xiao, J. and Zhao, Q., 2020. Liver impairment in COVID-19 patients: A retrospective analysis of 115 cases from a single centre in Wuhan city, China. Liver International. |
[24] | Guan, W. J., Ni, Z. Y., Hu, Y., Liang, W. H., Ou, C. Q., He, J. X., Liu, L., Shan, H., Lei, C. L., Hui, D. S. and Du, B., 2020. Clinical characteristics of coronavirus disease 2019 in China. New England journal of medicine, 382 (18), pp. 1708-1720. |
[25] | Alsaad, K. O., Arabi, Y. M. and Hajeer, A. H., 2020. Spectrum of histopathological findings in coronavirus disease-19, Middle East respiratory syndrome and severe acute respiratory syndrome. Annals of Thoracic Medicine, 15 (2), p. 52. |
[26] | Arentz, M., Yim, E., Klaff, L., Lokhandwala, S., Riedo, F. X., Chong, M. and Lee, M., 2020. Characteristics and outcomes of 21 critically ill patients with COVID-19 in Washington State. Jama, 323 (16), pp. 1612-1614 |
[27] | Chu, K. H., Tsang, W. K., Tang, C. S., Lam, M. F., Lai, F. M., To, K. F., Fung, K. S., Tang, H. L., Yan, W. W., Chan, H. W. and Lai, T. S., 2005. Acute renal impairment in coronavirus-associated severe acute respiratory syndrome. Kidney international, 67 (2), pp. 698-705. |
APA Style
Daba Abdissa. (2020). Histopathologic Findings of COVID-19: A Review Article. International Journal of Clinical and Experimental Medical Sciences, 6(6), 119-125. https://doi.org/10.11648/j.ijcems.20200606.12
ACS Style
Daba Abdissa. Histopathologic Findings of COVID-19: A Review Article. Int. J. Clin. Exp. Med. Sci. 2020, 6(6), 119-125. doi: 10.11648/j.ijcems.20200606.12
AMA Style
Daba Abdissa. Histopathologic Findings of COVID-19: A Review Article. Int J Clin Exp Med Sci. 2020;6(6):119-125. doi: 10.11648/j.ijcems.20200606.12
@article{10.11648/j.ijcems.20200606.12, author = {Daba Abdissa}, title = {Histopathologic Findings of COVID-19: A Review Article}, journal = {International Journal of Clinical and Experimental Medical Sciences}, volume = {6}, number = {6}, pages = {119-125}, doi = {10.11648/j.ijcems.20200606.12}, url = {https://doi.org/10.11648/j.ijcems.20200606.12}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcems.20200606.12}, abstract = {Background: The rapid spread of the COVID-19 has posed complex challenges to the global public health and it was declared as a public health emergency of international concern. Understanding the histopathology of COVID-19 will be crucial to propose effective therapies. However, studies on the pathological diagnosis of COVID-19 have been relatively deficient, scattered with a few summarized evidence. Objective: The objective of this review article was to have current state of knowledge about the histopathological changes detected in major organs due to COVID-19 disease, in order to enable the current understanding of it. Methods: The literature search for this document was carried out comprehensively by accessing PubMed, Google scholar, Web-of-Science and other data bases. In addition helpful documents were added. Result and conclusion: The most histopathological findings were in the pulmonary system. The primary pathology was diffuse alveolar damage with virus located in the pneumocytes. However, other major organs including the heart, liver and kidneys may be susceptible to viral replication and impairment leading to increased mortality in those with disseminated disease. The main histopathological findings in kidney were varying degrees of acute tubular necrosis, luminal brush border sloughing and dilated capillary vessels in the glomeruli. Liver injury is more common in severe cases of COVID-19.}, year = {2020} }
TY - JOUR T1 - Histopathologic Findings of COVID-19: A Review Article AU - Daba Abdissa Y1 - 2020/11/23 PY - 2020 N1 - https://doi.org/10.11648/j.ijcems.20200606.12 DO - 10.11648/j.ijcems.20200606.12 T2 - International Journal of Clinical and Experimental Medical Sciences JF - International Journal of Clinical and Experimental Medical Sciences JO - International Journal of Clinical and Experimental Medical Sciences SP - 119 EP - 125 PB - Science Publishing Group SN - 2469-8032 UR - https://doi.org/10.11648/j.ijcems.20200606.12 AB - Background: The rapid spread of the COVID-19 has posed complex challenges to the global public health and it was declared as a public health emergency of international concern. Understanding the histopathology of COVID-19 will be crucial to propose effective therapies. However, studies on the pathological diagnosis of COVID-19 have been relatively deficient, scattered with a few summarized evidence. Objective: The objective of this review article was to have current state of knowledge about the histopathological changes detected in major organs due to COVID-19 disease, in order to enable the current understanding of it. Methods: The literature search for this document was carried out comprehensively by accessing PubMed, Google scholar, Web-of-Science and other data bases. In addition helpful documents were added. Result and conclusion: The most histopathological findings were in the pulmonary system. The primary pathology was diffuse alveolar damage with virus located in the pneumocytes. However, other major organs including the heart, liver and kidneys may be susceptible to viral replication and impairment leading to increased mortality in those with disseminated disease. The main histopathological findings in kidney were varying degrees of acute tubular necrosis, luminal brush border sloughing and dilated capillary vessels in the glomeruli. Liver injury is more common in severe cases of COVID-19. VL - 6 IS - 6 ER -