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Table 3 Histopathological changes in the organs of deceased patients

From: Multi-organ dysfunction and outcomes in pregnancy associated COVID-19 infection – descriptive review of pathological findings

Lungs

Brain

Intestine

Heart

Liver

Spleen

Kidneys

Uterus

Placenta

1

DAD, proliferative type; interstitial infiltrates of lymphocytes and histiocytes, acute bacterial pneumonia, alveolar/capillary megakaryocytes, vasculitis, microthrombi

Edema, perivascular hemorrhage, karyolysis of neurons, vasculitis, microthrombi

Edema, erosion, necrosis, microvasculitis

Perivascular sclerosis, focal necrosis

Cholestasis, mild steatosis, centrilobular necrosis, lymphocytic infiltrates, microvasculitis

Lymphoid depletion, reduction of lymphoid follicles

Partial necronephrosis, vacuolation of the tubular epithelium, microthrombi

Myonecrosis, microthrombi

Placental abruption, acute intervillusitis, necrosis of the villous trophoblast, thrombi of the interstitial space, meconium in amniotic membranes, severe MVM

2

DAD, mixed type; interstitial infiltrates of lymphocytes, acute bacterial pneumonia, hemorrhages, alveolar megakaryocytes, microthrombi

Edema, neuronal karyolysis, microthrombi, vasculitis

Edema, necrosis, microvasculitis

Hypertrophy of cardiomyocytes, vasculitis

Severe steatosis, microvasculitis

Lymphoid depletion, reduction of lymphoid follicles

Partial necronephrosis, vacuolation of the tubular epithelium

Myonecrosis, microthrombi

Necrosis of the villous trophoblast, thrombosis of the interstitial space, severe MVM

3

DAD, mixed type; infiltrates of lymphocytes and histiocytes, alveolar/capillary megakaryocytes, vasculitis

Edema, microthrombi

Edema, erosion, vasculitis

Perivascular sclerosis

Mild steatosis, vasculitis

No significant changes

Arterionephrosclerosis, lymphocytic infiltration, focal segmental glomerulosclerosis, microthrombi

Edema, vasculitis

Mild FVM

4

DAD, mixed type; alveolar/capillary megakaryocytes, vasculitis

Edema, neuron karyolysis

Edema, erosion, vasculitis

Hypertrophy of cardiomyocytes, focal necrosis of cardiomyocytes

Mild steatosis, vasculitis

No significant changes

Mild arterionephrosclerosis, lymphocytic infiltration, microthrombi

Myonecrosis, vasculitis

Severe MVM, mild FVM

5

DAD, mixed type; interstitial infiltrates of lymphocytes and histiocytes, alveolar/capillary megakaryocytes, vasculitis, microthrombi

Edema, swelling, karyolysis of neurons, microthrombi, vasculitis

Edema, necrosis, erosion, vasculitis

Lymphocytic infiltrate, microthrombi

Moderate steatosis, lymphocytic infiltrates, cholestasis

Lymphoid depletion, reduction of lymphoid follicles

Mild arterionephrosclerosis, lymphocytic infiltration, microthrombi

Myonecrosis, vasculitis, microthrombi

Necrosis of the extracellular trophoblast, thrombosis of the intercellular space, severe MVM

6

DAD, mixed type; alveolar/capillary megakaryocytes, vasculitis, microthrombi

Edema, karyolysis of neurons, microthrombi, vasculitis

Edema, dystrophic changes

Focal necrosis of cardiomyocytes

Moderate steatosis

No significant changes

No significant changes

Vasculitis, microthrombi

Necrosis of the villous trophoblast, severe MVM

7

DAD, proliferative type; interstitial infiltrates of lymphocytes and histiocytes, alveolar/capillary megakaryocytes, vasculitis, microthrombi

Edema, swelling, karyolysis of neurons, microthrombi, vasculitis

Edema, necrosis, vasculitis

Subendocardial thrombi, focal necrosis, lymphocytic infiltration, microthrombi, vasculitis

Mild steatosis, focal centrilobular necrosis, vasculitis

Lymphoid depletion, reduction of lymphoid follicles

General necronephrosis, microthrombs

Myonecrosis, vasculitis, microthrombi

Placental abruption

8

DAD, mixed type; vasculitis, microthrombi

Edema, vasculitis

Edema, dystrophic changes, necrosis

No significant changes

Mild steatosis, cholestasis

No significant changes

Subtotal necronephrosis, microvasculitis

-

-

9

DAD, mixed type; vasculitis, microthrombi

Edema, microthrombi, vasculitis

Edema, hemorrhages

No significant changes

Mild steatosis, necrosis, reactive hepatitis

Reduction of lymphoid follicles

Partial necronephrosis, vacuolation of the tubular epithelium

Thrombosis of the uterine arteries

Mild chorioamnionitis without fetal inflammatory response

10

DAD, proliferative type, interstitial infiltrates of lymphocytes and histiocytes, acute bacterial pneumonia, alveolar megakaryocytes, vasculitis, microthrombi

Karyolysis of neurons, vasculitis

Vasculitis

Лимфоцитарный инфильтрат

Reactive hepatitis, vasculitis

Reduction of lymphoid follicles, microvasculitis

Total necronephrosis, lymphocytic infiltration, microvasculitis

Vasculitis, microthrombi

Placental abruption, severe MVM

11

Common thrombosis of the pulmonary arteries and microvessels of both lungs

Karyolysis of neurons, vasculitis

Vasculitis

No significant changes

No significant changes

Reduction of lymphoid follicles, vasculitis, hemophagocytosis

No significant changes

Vasculitis, microthrombi

Necrosis of the villous trophoblast, mild MVM, mild FVM

12

Interstitial fibrosis, vasculitis, microthrombi

Edema, neuronal karyolysis, vasculitis

Edema, hemorrhages, vasculitis

No significant changes

Mild steatosis

Reduction of lymphoid follicles

Subtotal necronephrosis

No significant changes

Severe MVM, mild FVM

  1. DAD – diffuse alveolar damage, MVM – maternal vascular malperfusion, FVM – fetal vascular malperfusion,