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Cited by 439

The DOI matches its Crossref record; 31 of the 31 references it cites were found in a registry or an index.

COVID-19 and multiorgan failure: A narrative review on potential mechanisms

Open access
Mokhtari, Tahmineh, Hassani, Fatemeh, Ghaffari, Neda, Ebrahimi, Babak, Yarahmadi, Atousa, Hassanzadeh, Ghomareza·2020·Journal of Molecular Histology

Abstract

The outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) in December 2019 form Wuhan, China leads to coronavirus disease 2019 (COVID-19) pandemic. While the common cold symptoms are observed in mild cases, COVID-19 is accompanied by multiorgan failure in severe patients. The involvement of different organs in severe patients results in lengthening the hospitalization duration and increasing the mortality rate. In this review, we aimed to investigate the involvement of different organs in COVID-19 patients, particularly in severe cases. Also, we tried to define the potential underlying mechanisms of SARS-CoV2 induced multiorgan failure. The multi-organ dysfunction is characterized by acute lung failure, acute liver failure, acute kidney injury, cardiovascular disease, and as well as a wide spectrum of hematological abnormalities and neurological disorders. The most important mechanisms are related to the direct and indirect pathogenic features of SARS-CoV2. Although the presence of angiotensin-converting enzyme 2, a receptor of SARS-CoV2 in the lung, heart, kidney, testis, liver, lymphocytes, and nervous system was confirmed, there are controversial findings to about the observation of SARS-CoV2 RNA in these organs. Moreover, the organ failure may be induced by the cytokine storm, a result of increased levels of inflammatory mediators, endothelial dysfunction, coagulation abnormalities, and infiltration of inflammatory cells into the organs. Therefore, further investigations are needed to detect the exact mechanisms of pathogenesis. Since the involvement of several organs in COVID-19 patients is important for clinicians, increasing their knowledge may help to improve the outcomes and decrease the rate of mortality and morbidity.

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Metadata

Authors
Mokhtari, T., Hassani, F., Ghaffari, N., Ebrahimi, B., Yarahmadi, A., & Hassanzadeh, G.
Venue
Journal of Molecular Histology
Published
2020-10-04
Volume
51
Issue
6
Pages
613-628
ISSN
  • 1567-2379 (ISSN-L)
  • 1567-2387
OpenAlex
W3089346069
Cited by
439
References
31
FWCI
5.02
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: COVID-19 and multiorgan failure: A narrative review on potential mechanisms. https://app.cochat.ai/papers/10.1007/s10735-020-09915-3
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Mokhtari, T., Hassani, F., Ghaffari, N., Ebrahimi, B., Yarahmadi, A., & Hassanzadeh, G. (2020). COVID-19 and multiorgan failure: A narrative review on potential mechanisms. Journal of Molecular Histology. https://doi.org/10.1007/s10735-020-09915-3

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