Multifaceted coronavirus

DOI: https://doi.org/10.29296/25877305-2021-05-01
Download full text PDF
Issue: 
5
Year: 
2021

O. Kravtsova, Candidate of Medical Sciences; Professor G. Bagirova, MD Orenburg State Medical
University, Ministry of Health of Russia

The paper deals with the study and generalization of literature data on the clinical manifestations of a novel coronavirus infection. SARS-CoV-2 has been identified in most countries, but scientists do not know much about it. Physicians constantly face the patients who present difficulties in diagnosis and therapy. The spread of COVID-19 has raised questions for physicians about the definition of the aspects, diagnosis, and management tactics for patients with this disease. SARS-CoV-2 extends rapidly through the body, affecting the respiratory system with the development of pneumonia, acute respiratory failure. The pathogenesis of COVID-19 is mediated by angiotensin converting enzyme-2 receptors. Settling in the body, the virus affects various human organs and systems. The patients can experience a wide range of symptoms, including headaches, muscle aches, fatigue, diarrhea, mental confusion, arrhythmias, seizures, loss of appetite, dyspnea, and many other conditions. However, the disease is asymptomatic or has mild symptoms (mild malaise and low-grade fever) in many infected people. SARS-CoV-2 begins to destroy the body from the upper respiratory tract, attacks the lower respiratory tract, subsequently affecting the heart and blood vessels, gastrointestinal tract, kidneys, skin, central and peripheral nervous systems. Damage to the internal organs can be so serious that it can lead to death. Currently, information about the epidemiology, clinical features, prevention and treatment of this disease is formed by specialists from different countries, but much remains unexplored. Most experts believe that we have seen only the «tip of the iceberg». This means that the world has faced the poorly understood, dangerous disease that changes its forms and manifestations.

Keywords: 
infectious diseases
coronavirus
lungs
blood vessels
heart
kidneys
nervous system
skin



It appears your Web browser is not configured to display PDF files. Download adobe Acrobat или click here to download the PDF file.

References: 
  1. Pokrovskij V.I., Pak S.G., Briko N.I. i dr. Infektsionnye bolezni i epidemiologija: uchebnik. 2-e izd. M.: GEOTAR-Media, 2007; 816 s. [Pokrovskii V.I., Pak S.G., Briko N.I. i dr. Infektsionnye bolezni i epidemiologiya: uchebnik. 2-e izd. M.: GEOTAR-Media, 2007; 816 s. (in Russ.)].
  2. Borodulina E.A., Shirobokov Ja.E., Gladunova E.P. i dr. Diagnostika i farmakoterapija virus-assotsiirovannyh porazhenij legkih. Klinicheskaja farmakologija i terapija. 2020; 29 (3): 61–6 [Borodulina E.A., Shirobokov Y.E., Gladunova E.P. et al. Virus-associated lung disease. Clinical pharmacology and therapy. 2020; 29 (3): 61–6 (in Russ.)]. DOI: 10.32756/0869-5490-2020-3-61-66
  3. Kudlaj D.A., Shirobokov Ja.E., Gladunova E.P. i dr. Diagnostika COVID-19. Sposoby i problemy obnaruzhenija virusa SARS-CoV-2 v uslovijah pandemii. Vrach. 2020; 31 (8): 5–10 [Kudlay D., Shirobokov Ya., Gladunova E. et al. Diagnosis of COVID-19. Methods and problems of virus SARS-COV-2 detection under pandemic conditions. Vrach. 2020; 31 (8): 5–10 (in Russ.)]. DOI: 10.29296/25877305-2020-08-01
  4. Meditsina 24/7. Nevrologicheskie oslozhnenija koronavirusa i COVID-19 [Meditsina 24/7. Nevrologicheskie oslozhneniya koronavirusa i COVID-19 (in Russ.)]. URL: https://medica24.ru/zabolevaniya/nevrologicheskie-oslozhneniya-koronavirusa-i-covid-19
  5. Jandeks.Zdorov'e. Novyj koronavirus: est' li povod dlja paniki? [Yandex.Zdorov’e. Novyi koronavirus: est’ li povod dlya paniki? (in Russ.)]. URL: https://yandex.ru/health/turbo/articles?id=6124
  6. Jandeks.Zdorov'e. Koronavirus: chto vazhno znat' [Yandex.Zdorov’e. Koronavirus: chto vazhno znat’ (in Russ.)] URL: https://yandex.ru/health/turbo/articles?id=7077
  7. Starshinova A.A., Kushnareva E.A., Malkova A.M. i dr. Novaja koronavirusnaja infektsija: osobennosti klinicheskogo techenija, vozmozhnosti diagnostiki, lechenija i profilaktiki infektsii u vzroslyh i detej. Voprosy sovremennoj pediatrii. 2020; 19 (2): 123–31 [Starshinova A.A., Kushnareva E.A., Malkova A.M. et al. New Coronaviral Infection: Features of Clinical Course, Capabilities of Diagnostics, Treatment and Prevention in Adults and Children. Current Pediatrics. 2020; 19 (2): 123–31 (in Russ.)]. DOI: 10.15690/vsp.v19i2.2105
  8. Jandeks.K'ju. Kakie simptomy koronavirusa u cheloveka [Yandex.Que. Kakie simptomy koronavirusa u cheloveka (in Russ.)]. URL: https://yandex.ru/q/question/health/kakie_simptomy_koronavirusa_u_cheloveka_b210822f/
  9. Vsemirnaja organizatsija zdravoohranenija. Osnovnye svedenija o COVID-19 [WHO Q&As on COVID-19 and related health topics (in Russ.)]. URL: https://www.who.int/ru/emergencies/diseases/novel-coronavirus-2019/question-and-answers-hub
  10. Li L.Q., Huang T., Wang Y.Q. et al. 2019 novel coronavirus patients’ clinical characteristics, discharge rate and fatality rate of meta-analysis. J Med Virol. 2020; 92 (6): 577–83. DOI: 10.1002/jmv.25757
  11. Science. How does coronavirus kill? Clinicians trace a ferocious rampage through the body, from brain to toes. URL: https://www.sciencemag.org/news/2020/04/how-does-coronavirus-kill-clinicians-trace-ferocious-rampage-through-body-brain-toes
  12. Puntmann V.O., Carerj M.L., Wieters I. et al. Outcomes of Cardiovascular Magnetic Resonance Imaging in Patients Recently Recovered From Coronavirus Disease 2019 (COVID-19). JAMA Cardiol. 2020; 5 (11): 1265–73. DOI: 10.1001/jamacardio.2020.3557
  13. Shaobo Shi, Mu Qin, Bo Shen et al. Association of Cardiac Injury With Mortality in Hospitalized Patients With COVID-19 in Wuhan, China. JAMA Cardiol. 2020; 5 (7): 802–10. DOI: 10.1001/jamacardio.2020.0950
  14. Mir vracha. Koagulopatija i trombozy u patsientov s COVID-19 [Mir vracha. Koagulopatiya i trombozy u patsientov s COVID-19 (in Russ.)]. URL: https://mirvracha.ru/article/koagulopatiya_trombozy_i_antikoagulyanty_pri_covid_19
  15. O’Sullivan J.M., McGonagle D., Ward S.E. et al. Endothelial cells orchestrate COVID-19 coagulopathy. Lancet Haematology. 2020; 7 (8): 553–5. DOI: 10.1016/S2352-3026(20)30215-5
  16. Goshua G., Pine A.B., Meizlish M.L. et al. Endotheliopathy in COVID-19-associated coagulopathy: evidence from a single-centre, cross-sectional study. Lancet Haematology. 2020; 7 (8): 575–82. DOI: 10.1016/S2352-3026(20)30216-7
  17. Dawei Wang, Bo Hu, Chang Hu et al. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus – Infected Pneumonia in Wuhan, China. JAMA. 2020; 323 (11): 1061–9. DOI: 10.1001/jama.2020.1585
  18. Lindner D., Fitzek A., Bräuninger H. et al. Association of Cardiac Infection With SARS-CoV-2 in Confirmed COVID-19 Autopsy Cases. JAMA Cardiol. 2020; 5 (11): 1281–5. DOI: 10.1001/jamacardio.2020.3551
  19. Yancy C.W., Fonarow G.C. Coronavirus Disease 2019 (COVID-19) and the Heart – Is Heart Failure the Next Chapter? JAMA Cardiol. 2020; 5 (11): 1216–7. DOI: 10.1001/jamacardio.2020.3575
  20. El Moheb M., Naar L., Christensen M.A. et al. Gastrointestinal Complications in Critically Ill Patients with and without COVID-19. JAMA. 2020; 324 (18): 1899–901. DOI: 10.1001/jama.2020.19400
  21. Furong Qi, Shen Qian, Shuye Zhang et al. Single cell RNA sequencing of 13 human tissues identify cell types and receptors of human coronaviruses. Biochem Biophys Res Commun. 2020; 526 (1): 135–40. DOI: 10.1016/j.bbrc.2020.03.044
  22. Kaafarani H.M.A., El Moheb M., Hwabejire J.O. et al. Gastrointestinal complications in critically ill patients with COVID-19. Ann Surg. 2020; 272 (2): 61–2. DOI: 10.1097/SLA.0000000000004004
  23. Wong S.H., Lui R.N.S., Sung J.J.Y. COVID-19 and the digestive system. J Gastroenterol Hepatol. 2020; 35 (5): 744–8. DOI: 10.1111/jgh.15047
  24. Sellevoll H.B., Saeed U., Young V.S. et al. Acute abdomen as an early symptom of COVID-19. Tidsskriftet den Norske Legeforening. 2020; 140 (7). DOI: 10.4045/tidsskr.20.0262
  25. Szatmary P., Arora A., Godwin M. et al. Emerging Phenotype of Severe Acute Respiratory Syndrome-Coronavirus 2–associated Pancreatitis. Gastroenterology. 2020; 159 (4): 1551–4. DOI: 10.1053/j.gastro.2020.05.069
  26. Aloysius M.M., Thattia A., Gupta A. et al. COVID-19 presenting as acute pancreatitis. Pancreatology. 2020; 20 (5): 1026–7. DOI: 10.1016/j.pan.2020.05.003
  27. Joinfo. Kak koronavirus vlijaet na organizm cheloveka, i kakie organy stradajut v pervuju ochered' [Joinfo. Kak koronavirus vliyaet na organizm cheloveka, i kakie organy stradayut v pervuyu ochered’ (in Russ.)]. URL: https://joinfo.com/wellness/3027597-kak-koronavirus-vliyaet-na-organizm-pu.html
  28. Pan X.-W., Xu D., Zhang H. et al. Identification of a potential mechanism of acute kidney injury during the COVID-19 outbreak: a study based on single-cell transcriptome analysis. Intensive Care Med. 2020; 46 (6): 1114–6. DOI: 10.1007/s00134-020-06026-1
  29. Martinez-Rojas M.A., Vega-Vega O., Bobadilla N.A. Is the kidney a target of SARS-CoV-2? Am J Physiol Renal Physiol. 2020; 318 (6): 1454–62. DOI: 10.1152/ajprenal.00160.2020
  30. Cheng Y., Luo R., Wang K. et al. Kidney disease is associated with in-hospital death of patients with COVID-19. Kidney Int. 2020; 97 (5): 829–38. DOI: 10.1016/j.kint.2020.03.010
  31. Su H., Yang M., Wan C. et al. Renal histopathological analysis of 26 postmortem findings of patients with COVID-19 in China. Kidney Int. 2020; 98 (1): 219–27. DOI: 10.1016/j.kint.2020.04.003
  32. Yang X., Yu Y., Xu J. et al. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. Lancet Respir Med. 2020; 8 (5): 475–81. DOI: 10.1016/S2213-2600(20)30079-5
  33. Fridman S., Bullrich M.B., Jimenez-Ruiz A. et al. Stroke risk, phenotypes, and death in COVID-19. Systematic review and newly reported cases. Neurology. 2020; 95 (24): 3373–85. DOI: 10.1212/WNL.0000000000010851
  34. Merkler A.E., Parikh N.S., Mir S. et al. Risk of Ischemic Stroke in Patients With Coronavirus Disease 2019 (COVID-19) vs Patients With Influenza. JAMA Neurol. 2020; 77 (11): 1366–72. DOI: 10.1001/jamaneurol.2020.2730
  35. Montalvan V., Lee J., Bueso T. et al. Neurological manifestations of COVID-19 and other coronavirus infections: A systematic review. Clin Neurol Neurosurg. 2020; 194. DOI:10.1016/j.clineuro.2020.105921
  36. Mir vracha. Sindrom zapertogo cheloveka pri COVID-19 (klinicheskij sluchaj) [Mir vracha. Sindrom zapertogo cheloveka pri COVID-19 (klinicheskii sluchai) (in Russ.)]. URL: https://mirvracha.ru/article/sindrom_zapertogo_cheloveka_pri_ covid_19_kinicheskii_sluchai
  37. Guarneri C., Rullo E.V., Pavone P. et al. Silent COVID-19: what your skin can reveal. Lancet Infect Dis. 2021; 21 (1): 24–5. DOI: 10.1016/S1473-3099(20)30402-3
  38. Hunt M., Koziatek C. A Case of COVID-19 Pneumonia in a Young Male with Full Body Rash as a Presenting Symptom. Clin Pract Cases Emerg Med. 2020; 4 (2): 219–21. DOI: 10.5811/cpcem.2020.3.47349
  39. Jimenez-Cauhe J., Ortega-Quijano D., de Perosanz-Lobo D. et al. Enanthem in Patients With COVID-19 and Skin Rash. JAMA Dermatol. 2020; 156 (10): 1134–6. DOI: 10.1001/jamadermatol.2020.2550
  40. MKRU. Vskrytie umershih ot koronavirusa izmenilo vzgljad na protseduru IVL [MKRU. Vskrytie umershikh ot koronavirusa izmenilo vzglyad na protseduru IVL (in Russ.)]. URL: https://www.mk.ru/social/2020/12/24/vskrytie-umershikh-ot-koronavirusa-izmenilo-vzglyad-na-proceduru-ivl.html