Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918

This article has now been updated. Please use the final version.

An Autopsy Case of COVID-19 with New Diffuse Pulmonary Ossification
Taisuke NakagawaYasuaki KotetsuKatsumi TakizawaMichihiro YoshimiIsamu OkamotoShohei Takata
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JOURNAL OPEN ACCESS Advance online publication

Article ID: 3096-23

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Abstract

We present the case of a 61-year-old man who developed Coronavirus disease 2019 (COVID-19) and died during treatment for relapsing polychondritis. The patient was intubated and treated with steroid pulse therapy, remdecivir, antibacterial agents, baricitinib, and tocilizumab. However, his respiratory condition worsened, and he died 108 days after disease onset. An autopsy revealed diffuse alveolar damage in the fibrotic phase in all lung lobes, diffuse pulmonary ossification, and cytomegalovirus-infected cells in the middle lobe of the right lung. We herein discuss the clinical features and pathological findings of COVID-19 in immunosuppressed patients.

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© 2024 by The Japanese Society of Internal Medicine

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