COVID-19-Induced Cytokine Release Syndrome Associated with Pulmonary Vein Thromboses, Atrial Cardiomyopathy, and Arterial Intima Inflammation
Coronavirus disease 2019 (COVID-19) is a viral disease induced by severe acute respiratory syndrome–coronavirus-2 (SARS-CoV-2), which may cause an acute respiratory distress syndrome (ARDS). First reports have shown that elevated levels of inflammatory cytokines might be involved in the development...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Georg Thieme Verlag KG
2020-07-01
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| Series: | TH Open |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1716717 |
| _version_ | 1818840214935699456 |
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| author | Andreas Goette Markus Patscheke Frank Henschke Matthias Hammwöhner |
| author_facet | Andreas Goette Markus Patscheke Frank Henschke Matthias Hammwöhner |
| author_sort | Andreas Goette |
| collection | DOAJ |
| description | Coronavirus disease 2019 (COVID-19) is a viral disease induced by severe acute respiratory syndrome–coronavirus-2 (SARS-CoV-2), which may cause an acute respiratory distress syndrome (ARDS). First reports have shown that elevated levels of inflammatory cytokines might be involved in the development of organ dysfunction in COVID-19. Here, we can present a case of cytokine release syndrome induced by SARS–CoV-2 causing multiorgan failure and death. Of note, we can report on pulmonary vein thromboses as potential source of cerebrovascular embolic events. Furthermore, we present a specific form of an isolated inflammatory atrial cardiomyopathy encompassing atrial myocardium, perivascular matrix, as well as atrial autonomic nerve ganglia, causing atrial fibrillation, sinus node arrest, as well as atrial clot formation in the right atrial appendage. An associated acute glomerulonephritis caused acute kidney failure. Furthermore, all the described pathologies of organs and vessels were associated with increased local expression of interleukin-6 and monocyte chemoattractant protein-1 (MCP-1). This report provides new evidence about fatal pathologies and summarizes the current knowledge about organ manifestations observed in COVID-19. |
| first_indexed | 2024-12-19T04:06:38Z |
| format | Article |
| id | doaj.art-1a56b38522d0415d9aa3f1e230e4da2a |
| institution | Directory Open Access Journal |
| issn | 2512-9465 |
| language | English |
| last_indexed | 2024-12-19T04:06:38Z |
| publishDate | 2020-07-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | TH Open |
| spelling | doaj.art-1a56b38522d0415d9aa3f1e230e4da2a2022-12-21T20:36:31ZengGeorg Thieme Verlag KGTH Open2512-94652020-07-010403e271e27910.1055/s-0040-1716717COVID-19-Induced Cytokine Release Syndrome Associated with Pulmonary Vein Thromboses, Atrial Cardiomyopathy, and Arterial Intima InflammationAndreas Goette0Markus Patscheke1Frank Henschke2Matthias Hammwöhner3Department of Cardiology and Intensive Care Medicine, St. Vincenz Hospital, Paderborn, GermanyDepartment of Cardiology and Intensive Care Medicine, St. Vincenz Hospital, Paderborn, GermanyCenter for Pathology, Paderborn, GermanyDepartment of Cardiology and Intensive Care Medicine, St. Vincenz Hospital, Paderborn, GermanyCoronavirus disease 2019 (COVID-19) is a viral disease induced by severe acute respiratory syndrome–coronavirus-2 (SARS-CoV-2), which may cause an acute respiratory distress syndrome (ARDS). First reports have shown that elevated levels of inflammatory cytokines might be involved in the development of organ dysfunction in COVID-19. Here, we can present a case of cytokine release syndrome induced by SARS–CoV-2 causing multiorgan failure and death. Of note, we can report on pulmonary vein thromboses as potential source of cerebrovascular embolic events. Furthermore, we present a specific form of an isolated inflammatory atrial cardiomyopathy encompassing atrial myocardium, perivascular matrix, as well as atrial autonomic nerve ganglia, causing atrial fibrillation, sinus node arrest, as well as atrial clot formation in the right atrial appendage. An associated acute glomerulonephritis caused acute kidney failure. Furthermore, all the described pathologies of organs and vessels were associated with increased local expression of interleukin-6 and monocyte chemoattractant protein-1 (MCP-1). This report provides new evidence about fatal pathologies and summarizes the current knowledge about organ manifestations observed in COVID-19.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1716717atriacovid19fibrillationpathologystroke |
| spellingShingle | Andreas Goette Markus Patscheke Frank Henschke Matthias Hammwöhner COVID-19-Induced Cytokine Release Syndrome Associated with Pulmonary Vein Thromboses, Atrial Cardiomyopathy, and Arterial Intima Inflammation TH Open atria covid19 fibrillation pathology stroke |
| title | COVID-19-Induced Cytokine Release Syndrome Associated with Pulmonary Vein Thromboses, Atrial Cardiomyopathy, and Arterial Intima Inflammation |
| title_full | COVID-19-Induced Cytokine Release Syndrome Associated with Pulmonary Vein Thromboses, Atrial Cardiomyopathy, and Arterial Intima Inflammation |
| title_fullStr | COVID-19-Induced Cytokine Release Syndrome Associated with Pulmonary Vein Thromboses, Atrial Cardiomyopathy, and Arterial Intima Inflammation |
| title_full_unstemmed | COVID-19-Induced Cytokine Release Syndrome Associated with Pulmonary Vein Thromboses, Atrial Cardiomyopathy, and Arterial Intima Inflammation |
| title_short | COVID-19-Induced Cytokine Release Syndrome Associated with Pulmonary Vein Thromboses, Atrial Cardiomyopathy, and Arterial Intima Inflammation |
| title_sort | covid 19 induced cytokine release syndrome associated with pulmonary vein thromboses atrial cardiomyopathy and arterial intima inflammation |
| topic | atria covid19 fibrillation pathology stroke |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1716717 |
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