Pathogenesis, Clinical Manifestations and Laboratory Findings of the COVID-19

  • ISI-SENAI-CIMATEC Group
Keywords: COVID-19, SARS-CoV-2, Pathogenesis, Organ Systems, Injuries, Laboratory Findings

Abstract

Since the beginning of the pandemic of new coronavirus, scientists are trying to elucidate the mechanisms of SARS-CoV-2 replication in the human body, its genome, and the behavior of the virus into cells. Also, at the beginning of the outbreak, they found that the unique problem of the virus is the severe acute respiratory syndrome pneumonia, however, new discoveries revealed that the virus affects major organ systems in the human body, causing injuries and letal damages. In addtion, the tests for diagnosing the virus has became a priorty. So, based on the literature review, we showed in this articles the mechanisms of the virus into cells, the symptoms, the clinical course of the disease, and the main injuries caused in the human body’s systems by the SARS-Cov-2, and the laboratory findings. We based our research in the articles of the main database (PubMed/Medline, Elsevier Science Direct, Scopus, Isi Web of Science, Embase, Exerpta Medica, UptoDate, Lilacs, Novel Coronavirus Resource Directory from Elsevier), in the high-impact international scientific Journals (Scimago Journal and Country Rank - SJR - and Journal Citation Reports - JCR), such as The Lancet, Science, Nature, The New England Journal of Medicine, Physiological Reviews, Journal of the American Medical Association, Plos One, Journal of Clinical Investigation, and in the data from Center for Disease Control (CDC), National Institutes of Health (NIH), National Institute of Allergy and Infectious Diseases (NIAID) and World Health Organization (WHO). We prior selected meta-analysis, systematic reviews, article reviews and original articles in this order. We reviewed more than 317 articles and used 235 from March to June 2020, using the terms coronavirus, SARS-CoV-2, novel coronavirus, Wuhan coronavirus, severe acute respiratory syndrome, 2019-nCoV, 2019 novel coronavirus, n-CoV-2, covid, n-Sars-2, COVID-19, corona virus, coronaviruses, Pathogenesis, clinical manifestations, symtoms, damage, injuries, laboratory, diagnosis, with the tools MeSH (Medical Subject Headings), AND, OR, and characters [,“,; /., to ensure the best review topics. We concluded that the virus could affect and damage the respiratory system, cardiovascular system, digestive system, urogenital system, and central nervous system. It makes the treatment harder than the physicians found at the beginning of the pandemic. We are initiating our understanding of this new virus and the effect in patients during the symptoms and after them. A deeper understanding of this virus from biomedical research and epidemiological observation will provide important clues to etiologic research, diagnosis, differential diagnosis, treatment, and prognostic assessment against COVID-19.

Published
2020-11-28