Статья

Clinical and anatomical features of SARS-CoV-2 with acute hemorrhagic necrotizing encephalopathy

V. Ermilov, V. Barkanov, O. Barkanova, N. Dorofeev, V. Filatov,
2021

Autopsy material and medical history were studied and analyzed in a 20-year-old male patient who had died from COVID-19 infection with the development of acute SARS-CoV-2-associated hemorrhagic necrotizing encephalopathy in adults with obvious endothelial dysfunction confirmed by virological examination of the autopsy material. In this case, the brain structures displayed the main found histopathologic signs: widespread vasculitis (endotheliitis) with varying degrees of segmental and total endothelial destruction; thrombosis mainly of the vessels of the microcirculatory bed; parenchymal hemorrhagic necrosis and inflammation (encephalitis); severe necrobiotic damage to neurons. Cerebrovascular immune damages and hypercoagulable states, which were observed in some acute viral neuroinfections, are the basis for the neurological complications of COVID-19. In this case of bicausal diagnosis (the presence of a comorbidity), the primary disease contributed to the acute progression of the background disease (secondary infiltrative tuberculosis with the development of specific pleuritis and pneumothorax with the addition of acute bilateral focal confluent bronchopneumonia with a history of undifferentiated immunodeficiency syndrome. Emphasis is laid on the possibility and importance of involving the brain structures in the process in COVID-19 for the timely diagnosis of emerging neurological disorders. A brief literature review is given.

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Версии

  • 1. Version of Record от 2021-01-01

Метаданные

Об авторах
  • V. Ermilov
    Volgograd State Medical University
  • V. Barkanov
    Volgograd State Medical University
  • O. Barkanova
    Volgograd Regional Bureau of Anatomical Pathology
  • N. Dorofeev
    Volgograd State Medical University
  • V. Filatov
    Volgograd Regional Bureau of Anatomical Pathology
Название журнала
  • Arkhiv Patologii
Том
  • 83
Выпуск
  • 1
Страницы
  • 35-43
Номер гранта
  • undefined
Тип документа
  • journal article
Тип лицензии Creative Commons
  • CC BY
Правовой статус документа
  • Свободная лицензия
Источник
  • scopus