SARS-COV-2: more than a respiratory virus

Background: the SARS-CoV-2 virus is responsible for the second pandemic of the 21st century. Since its appearance in China at the end of 2019, it has been associated with pneumonia and considered to be just another respiratory virus. However, during its global spread, it shows its ability to damage...

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Main Authors: Franklin Rómulo Aguilar-Gamboa, Jorge Arturo Vega-Fernández, Danny Omar Suclupe-Campos
Format: Article
Language:Spanish
Published: Universidad de Ciencias Médicas de Camagüey 2021-03-01
Series:Archivo Médico de Camagüey
Subjects:
Online Access:http://www.revistaamc.sld.cu/index.php/amc/article/view/8018
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author Franklin Rómulo Aguilar-Gamboa
Jorge Arturo Vega-Fernández
Danny Omar Suclupe-Campos
author_facet Franklin Rómulo Aguilar-Gamboa
Jorge Arturo Vega-Fernández
Danny Omar Suclupe-Campos
author_sort Franklin Rómulo Aguilar-Gamboa
collection DOAJ
description Background: the SARS-CoV-2 virus is responsible for the second pandemic of the 21st century. Since its appearance in China at the end of 2019, it has been associated with pneumonia and considered to be just another respiratory virus. However, during its global spread, it shows its ability to damage other organs with clinical manifestations never before described for other respiratory viruses. Objective: to describe the scientific evidence that supports the direct extra-pulmonary damage produced by the SARS-CoV-2 virus in late stages of infection, which supports its biphasic nature and different from other respiratory viruses. Methods: a search of the articles was carried out in the MEDLINE databases accessed from PubMed, SciELO and LILACS. Articles published in prepress repositories such as medRxiv, BioRxiv were also taken into account. Using the Mendeley reference manager and search manager, duplicates and those that did not meet the objective of the study were eliminated, selecting 63 articles for the present review. Results: the evidence suggests that SARS-CoV-2 has a tropism not only limited to the respiratory tract. The clinical progression of COVID-19 presents a biphasic course, with flu-like manifestations in the first phase and post-acute and persistent episodes in the late phase, caused by direct damage to the central nervous, cardiovascular, endocrine and renal systems. Conclusions: SARS-CoV-2 infection should not be considered only as an acute infection limited to the respiratory tract. DeCS: SARS VIRUS/pathogenicity; CORONAVIRUS INFECTIONS/transmission; RESPIRATORY TRACT INFECTIONS/prevention & control; VIRAL TROPISM/physiology; VIRUS REPLICATION.
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spelling doaj.art-dde837455bb04a39a6dd1fb80bdb85072022-12-21T22:28:41ZspaUniversidad de Ciencias Médicas de CamagüeyArchivo Médico de Camagüey1025-02552021-03-012522993152384SARS-COV-2: more than a respiratory virusFranklin Rómulo Aguilar-Gamboa0Jorge Arturo Vega-FernándezDanny Omar Suclupe-CamposHOSPITAL REGIONAL LAMBAYEQUEBackground: the SARS-CoV-2 virus is responsible for the second pandemic of the 21st century. Since its appearance in China at the end of 2019, it has been associated with pneumonia and considered to be just another respiratory virus. However, during its global spread, it shows its ability to damage other organs with clinical manifestations never before described for other respiratory viruses. Objective: to describe the scientific evidence that supports the direct extra-pulmonary damage produced by the SARS-CoV-2 virus in late stages of infection, which supports its biphasic nature and different from other respiratory viruses. Methods: a search of the articles was carried out in the MEDLINE databases accessed from PubMed, SciELO and LILACS. Articles published in prepress repositories such as medRxiv, BioRxiv were also taken into account. Using the Mendeley reference manager and search manager, duplicates and those that did not meet the objective of the study were eliminated, selecting 63 articles for the present review. Results: the evidence suggests that SARS-CoV-2 has a tropism not only limited to the respiratory tract. The clinical progression of COVID-19 presents a biphasic course, with flu-like manifestations in the first phase and post-acute and persistent episodes in the late phase, caused by direct damage to the central nervous, cardiovascular, endocrine and renal systems. Conclusions: SARS-CoV-2 infection should not be considered only as an acute infection limited to the respiratory tract. DeCS: SARS VIRUS/pathogenicity; CORONAVIRUS INFECTIONS/transmission; RESPIRATORY TRACT INFECTIONS/prevention & control; VIRAL TROPISM/physiology; VIRUS REPLICATION.http://www.revistaamc.sld.cu/index.php/amc/article/view/8018coronavirus, covid-19, sars-cov-2, fisiopatología, manifestaciones neurológicas, enfermedades cardiovasculares,
spellingShingle Franklin Rómulo Aguilar-Gamboa
Jorge Arturo Vega-Fernández
Danny Omar Suclupe-Campos
SARS-COV-2: more than a respiratory virus
Archivo Médico de Camagüey
coronavirus, covid-19, sars-cov-2, fisiopatología, manifestaciones neurológicas, enfermedades cardiovasculares,
title SARS-COV-2: more than a respiratory virus
title_full SARS-COV-2: more than a respiratory virus
title_fullStr SARS-COV-2: more than a respiratory virus
title_full_unstemmed SARS-COV-2: more than a respiratory virus
title_short SARS-COV-2: more than a respiratory virus
title_sort sars cov 2 more than a respiratory virus
topic coronavirus, covid-19, sars-cov-2, fisiopatología, manifestaciones neurológicas, enfermedades cardiovasculares,
url http://www.revistaamc.sld.cu/index.php/amc/article/view/8018
work_keys_str_mv AT franklinromuloaguilargamboa sarscov2morethanarespiratoryvirus
AT jorgearturovegafernandez sarscov2morethanarespiratoryvirus
AT dannyomarsuclupecampos sarscov2morethanarespiratoryvirus