Effect of COVID-19 on the Organs

被引:121
作者
Jain, Uday [1 ]
机构
[1] San Mateo Med Ctr, Anesthesiol, San Mateo, CA 94403 USA
关键词
covid-19; cytokine storm; endothelial dysfunction; hypercoagulability; acute kidney injury; acute respiratory distress syndrome; interleukin; stroke; myocarditis; anosmia;
D O I
10.7759/cureus.9540
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The COVID-19 pandemic that first became apparent in Wuhan, China, is now infecting millions all over the world. This is a review of COVID-19's extensive effects on virtually all the organs. It causes inflammation, endotheliitis, vasoconstriction, hypercoagulability, and edema. Lymphocytopenia, elevated D-dimer, elevated fibrin degradation products (FDPs), and disseminated intravascular coagulation (DIC) are observed. Deep vein thrombosis (DVT), venous thromboembolism, pulmonary embolism (PE), systemic and pulmonary arterial thrombosis and embolism, ischemic stroke, and myocardial infarction (MI) are reported. In the heart it can cause acute coronary syndrome, congestive heart failure, myocarditis, and arrhythmias. Kidney injury is usually secondary to systemic abnormalities. Stroke occurs even in young patients. Delirium and seizures are common. Anosmia and impaired sense of taste are reported. Psychological problems are common among patients as well as providers. Stool may contain virus. Lactate dehydrogenase may be elevated. Various skin manifestations including patchy erythematous rash are reported.
引用
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页数:8
相关论文
共 49 条
[1]   Pulmonary Vascular Endothelialitis, Thrombosis, and Angiogenesis in Covid-19 [J].
Ackermann, Maximilian ;
Verleden, Stijn E. ;
Kuehnel, Mark ;
Haverich, Axel ;
Welte, Tobias ;
Laenger, Florian ;
Vanstapel, Arno ;
Werlein, Christopher ;
Stark, Helge ;
Tzankov, Alexandar ;
Li, William W. ;
Li, Vincent W. ;
Mentzer, Steven J. ;
Jonigk, Danny .
NEW ENGLAND JOURNAL OF MEDICINE, 2020, 383 (02) :120-128
[2]   Covid-19 and Kidney Transplantation [J].
Akalin, Enver ;
Azzi, Yorg ;
Bartash, Rachel ;
Seethamraju, Harish ;
Parides, Michael ;
Hemmige, Vagish ;
Ross, Michael ;
Forest, Stefanie ;
Goldstein, Yitz D. ;
Ajaimy, Maria ;
Liriano-Ward, Luz ;
Pynadath, Cindy ;
Loarte-Campos, Pablo ;
Nandigam, Purna B. ;
Graham, Jay ;
Le, Marie ;
Rocca, Juan ;
Kinkhabwala, Milan .
NEW ENGLAND JOURNAL OF MEDICINE, 2020, 382 (25) :2475-2477
[3]   COVID-19 and the Heart [J].
Akhmerov, Akbarshakh ;
Marban, Eduardo .
CIRCULATION RESEARCH, 2020, 126 (10) :1443-1455
[4]   Management of Patients on Dialysis and With Kidney Transplantation During the SARS-CoV-2 (COVID-19) Pandemic in Brescia, Italy [J].
Alberici, Federico ;
Delbarba, Elisa ;
Manenti, Chiara ;
Econimo, Laura ;
Valerio, Francesca ;
Pola, Alessandra ;
Maffei, Camilla ;
Possenti, Stefano ;
Piva, Simone ;
Latronico, Nicola ;
Foca, Emanuele ;
Castelli, Francesco ;
Gaggia, Paola ;
Movilli, Ezio ;
Bove, Sergio ;
Malberti, Fabio ;
Farinas, Marco ;
Bracchi, Martina ;
Costantino, Ester Maria ;
Bossini, Nicola ;
Gaggiotti, Mario ;
Scolari, Francesco .
KIDNEY INTERNATIONAL REPORTS, 2020, 5 (05) :580-585
[5]  
Alhazzani W, 2020, INTENS CARE MED, V46, P854, DOI [10.1097/CCM.0000000000004363, 10.1007/s00134-020-06022-5]
[6]  
[Anonymous], 2020, COR DIS 2019 COVID 1
[7]  
[Anonymous], 2020, DOES CORONAVIRUS KIL
[8]  
Barton LM, 2020, AM J CLIN PATHOL, V153, P725, DOI [10.1093/ajcp/aqaa062, 10.1093/AJCP/AQAA062]
[9]   COVID-19 and Thrombotic or Thromboembolic Disease: Implications for Prevention, Antithrombotic Therapy, and Follow [J].
Bikdeli, Behnood ;
Madhavan, Mahesh V. ;
Jimenez, David ;
Chuich, Taylor ;
Dreyfus, Isaac ;
Driggin, Elissa ;
Der Nigoghossian, Caroline ;
Ageno, Walter ;
Madjid, Mohammad ;
Guo, Yutao ;
Tang, Liang V. ;
Hu, Yu ;
Giri, Jay ;
Cushman, Mary ;
Quere, Isabelle ;
Dimakakos, Evangelos P. ;
Gibson, C. Michael ;
Lippi, Giuseppe ;
Favaloro, Emmanuel J. ;
Fareed, Jawed ;
Caprini, Joseph A. ;
Tafur, Alfonso J. ;
Burton, John R. ;
Francese, Dominic P. ;
Wang, Elizabeth Y. ;
Falanga, Anna ;
McLintock, Claire ;
Hunt, Beverley J. ;
Spyropoulos, Alex C. ;
Barnes, Geoffrey D. ;
Eikelboom, John W. ;
Weinberg, Ido ;
Schulman, Sam ;
Carrier, Marc ;
Piazza, Gregory ;
Beckman, Joshua A. ;
Steg, Gabriel ;
Stone, Gregg W. ;
Rosenkranz, Stephan ;
Goldhaber, Samuel Z. ;
Parikh, Sahil A. ;
Monreal, Manuel ;
Krumholz, Harlan M. ;
Konstantinides, Stavros V. ;
Weitz, Jeffrey I. ;
Lip, Gregory Y. H. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2020, 75 (23) :2950-2973
[10]   SARS-CoV-2 Isolation From Ocular Secretions of a Patient With COVID-19 in Italy With Prolonged Viral RNA Detection [J].
Colavita, Francesca ;
Lapa, Daniele ;
Carletti, Fabrizio ;
Lalle, Eleonora ;
Bordi, Licia ;
Marsella, Patrizia ;
Nicastri, Emanuele ;
Bevilacqua, Nazario ;
Giancola, Maria Letizia ;
Corpolongo, Angela ;
Ippolito, Giuseppe ;
Capobianchi, Maria Rosaria ;
Castilletti, Concetta .
ANNALS OF INTERNAL MEDICINE, 2020, 173 (03) :242-+