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10.1038/s41598-021-95694-0

http://scihub22266oqcxt.onion/10.1038/s41598-021-95694-0
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34362979!8346507!34362979
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suck abstract from ncbi


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pmid34362979      Sci+Rep 2021 ; 11 (1): 16039
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  • Evidence for a thromboembolic pathogenesis of lung cavitations in severely ill COVID-19 patients #MMPMID34362979
  • Kruse JM; Zickler D; Ludemann WM; Piper SK; Gotthardt I; Ihlow J; Greuel S; Horst D; Kahl A; Eckardt KU; Elezkurtaj S
  • Sci Rep 2021[Aug]; 11 (1): 16039 PMID34362979show ga
  • Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causing coronavirus disease 2019 (COVID-19) induces lung injury of varying severity, potentially causing severe acute respiratory distress syndrome (ARDS). Pulmonary injury patterns in COVID-19 patients differ from those in patients with other causes of ARDS. We aimed to explore the frequency and pathogenesis of cavitary lung lesions in critically ill patients with COVID-19. Retrospective study in 39 critically ill adult patients hospitalized with severe acute respiratory syndrome coronavirus 2 including lung injury of varying severity in a tertiary care referral center during March and May 2020, Berlin/Germany. We observed lung cavitations in an unusually large proportion of 22/39 (56%) COVID-19 patients treated on intensive care units (ICU), including 3/5 patients without mechanical ventilation. Median interquartile range (IQR) time between onset of symptoms and ICU admission was 11.5 (6.25-17.75) days. In 15 patients, lung cavitations were already present on the first CT scan, performed after ICU admission; in seven patients they developed during a subsequent median (IQR) observation period of 48 (35-58) days. In seven patients we found at least one cavitation with a diameter > 2 cm (maximum 10 cm). Patients who developed cavitations were older and had a higher body mass index. Autopsy findings in three patients revealed that the cavitations reflected lung infarcts undergoing liquefaction, secondary to thrombotic pulmonary artery branch occlusions. Lung cavitations appear to be a frequent complication of severely ill COVID-19 patients, probably related to the prothrombotic state associated with COVID-19.
  • |Aged[MESH]
  • |COVID-19/complications/*pathology[MESH]
  • |Critical Illness[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Intensive Care Units[MESH]
  • |Lung/*pathology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pulmonary Embolism/etiology/*pathology[MESH]
  • |Retrospective Studies[MESH]


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