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Case Reports
. 2020 Jul-Sep;53(3):182-187.
doi: 10.1016/j.patol.2020.05.004. Epub 2020 May 23.

The first COVID-19 autopsy in Spain performed during the early stages of the pandemic

COVID-19 Autopsy. Electronic address: anapat.hrc@salud.madrid.org  1
Affiliations
Case Reports

The first COVID-19 autopsy in Spain performed during the early stages of the pandemic

COVID-19 Autopsy. Electronic address: anapat.hrc@salud.madrid.org. Rev Esp Patol. 2020 Jul-Sep.

Abstract
in English, Spanish

We describe the implementation of a COVID-19 Autopsy Programme in our Hospital, report the main findings from the first autopsy of the programme and briefly review the reports of lung pathology of these patients.

En este artículo presentamos el proceso de implementación de un Programa de Autopsias COVID-19 en nuestro hospital, presentamos los principales hallazgos de la primera autopsia realizada y revisamos brevemente la enfermedad pulmonar publicada previamente en estos pacientes.

Keywords: Anatomía patológica; Autopsia; COVID-19; Daño alveolar difuso; Diffuse alveolar damage; Pathology; Trombosis vascular; Vascular thrombosis; autopsy.

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Figures

Figure 1
Figure 1
Autopsy room with dirty (a) and clean (b) areas delimited by a red line. (c) An examiner fully equipped with the PPE: disposable waterproof coverall, goggles, FFP3 mask covered with a surgical mask, nitrile gloves covered with cut-resistant gloves and protected with latex gloves and waterproof shoes covers. In addition, a plastic apron and a face shield, which can be quickly removed during disrobing, provide protection from splashes.
Figure 2
Figure 2
Diffuse alveolar damage (DAD) pattern of lung acute injury in COVID19. (a) Exudative phase showing hyaline membranes. Multinucleated pneumocyte with cytopathic-like changes. (b) Organizing-fibrotic phase of DAD, note the presence of calcification. (c) Desquamative pneumocytes highlighted with pankeratin stain. (d) Organized thrombus. Inset: CD61 expression in a septal capillary thrombus.
See this image and copyright information in PMC

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