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Rev Esp Patol . Autopsy Findings From the First Known Death From Severe Acute Respiratory Syndrome SARS-CoV-2 in Spain

tetano

Editor, Senior Moderator
Rev Esp Patol


. Jul-Sep 2020;53(3):188-192.
doi: 10.1016/j.patol.2020.04.002. Epub 2020 May 11.
Autopsy Findings From the First Known Death From Severe Acute Respiratory Syndrome SARS-CoV-2 in Spain


Pedro Navarro Conde[SUP] 1 [/SUP], Pilar Alemany Monraval[SUP] 2 [/SUP], Carmen Medina Medina[SUP] 2 [/SUP], Ana Jim?nez S?nchez[SUP] 2 [/SUP], Juan Carlos Andr?s Teruel[SUP] 3 [/SUP], Jos? Ferrando Marco[SUP] 2 [/SUP], V?ctor Puglia Santos[SUP] 2 [/SUP], Empar Mayordomo Aranda[SUP] 4 [/SUP]



Affiliations

Abstract

The new coronavirus SARS-CoV-2, first identified in Wuhan, China in December, 2019, can cause Severe Acute Respiratory Syndrome (SARS) with massive alveolar damage and progressive respiratory failure. We present the relevant autopsy findings of the first patient known to have died from COVID19 pneumonia in Spain, carried out on the 14[SUP]th[/SUP] of February, 2020, in our hospital (Hospital Arnau de Vilanova-Lliria, Valencia). Histological examination revealed typical changes of diffuse alveolar damage (DAD) in both the exudative and proliferative phase of acute lung injury. Intra-alveolar multinucleated giant cells, smudge cells and vascular thrombosis were present. The diagnosis was confirmed by reverse real-time PCR assay on a throat swab sample taken during the patient's admission. The positive result was reported fifteen days subsequent to autopsy.

Keywords: Autopsia; Autopsy; COVID-19; Da?o alveolar difuso; Diffuse alveolar damage; SARS-CoV-2.
 
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