Rigid respiration: fulminant pulmonary fibrosis after COVID-19.
Rigid respiration: fulminant pulmonary fibrosis after COVID-19.
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DOI:
10.1016/j.ebiom.2022.104428
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发表时间:
2023-01
期刊:
影响因子:
11.1
通讯作者:
Meyerholz DK
中科院分区:
文献类型:
--
作者:
Meyerholz DK
Coronavirus disease of 2019 (COVID-19) is an infection caused by severe acute respiratory syndromecoronavirus-2 (SARS-CoV-2), a novel, zoonotic coronavirus. COVID-19 cases in humans were first recognized near Wuhan China in late 2019, but the infection rapidly spread around the globe and was declared a pandemic by the World Health Organization only a few months later in 2020. 1, 2 Most individuals infected by SARS-CoV-2 have a mild clinical course with common cold-like respiratory tract symptoms and clinical involvement in other organ systems is not uncommon. For individuals with severe COVID-19 infection, lung disease is a common pathological feature that can progress to acute respiratory distress syndrome (ARDS) and this is associated with hospitalization, intensive care unit admission, mechanical ventilation and even mortality. 2, 3 Acute clinical manifestations of COVID-19 are generally well-defined, but the emergence of post-acute sequelae in survivors following primary infection and sequential reinfection are increasingly documented and recognized. 4, 5Within the spectrum of post-acute sequelae, pulmonary fibrosis is a major complication where diminished lung function can require lung transplantation or be a contributing factor to mortality. 5 Pulmonary fibrosis occurs when aberrant collagens are deposited in the extracellular matrix and this results in a rigid lung that lacks the compliance (" stretchability") needed for routine respiration. Reports of post-COVID-19 pulmonary fibrosis (PCPF) are more associated with clinical factors consistent with severe disease including: higher lung CT scores, ICU admission, mechanical ventilation and length of hospitalization. 6 The patho-
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