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Clin Microbiol Rev . Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2): a Systemic Infection

tetano

Editor, Senior Moderator
Clin Microbiol Rev


. 2021 Jan 13;34(2):e00133-20.
doi: 10.1128/CMR.00133-20. Print 2021 Mar 17.
Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2): a Systemic Infection


Aleksandra Synowiec[SUP] 1 [/SUP], Artur Szczepański[SUP] 1 2 [/SUP], Emilia Barreto-Duran[SUP] 1 [/SUP], Laurensius Kevin Lie[SUP] 1 [/SUP], Krzysztof Pyrc[SUP] 3 [/SUP]



Affiliations

Abstract

SUMMARYTo date, seven identified coronaviruses (CoVs) have been found to infect humans; of these, three highly pathogenic variants have emerged in the 21st century. The newest member of this group, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was first detected at the end of 2019 in Hubei province, China. Since then, this novel coronavirus has spread worldwide, causing a pandemic; the respiratory disease caused by the virus is called coronavirus disease 2019 (COVID-19). The clinical presentation ranges from asymptomatic to mild respiratory tract infections and influenza-like illness to severe disease with accompanying lung injury, multiorgan failure, and death. Although the lungs are believed to be the site at which SARS-CoV-2 replicates, infected patients often report other symptoms, suggesting the involvement of the gastrointestinal tract, heart, cardiovascular system, kidneys, and other organs; therefore, the following question arises: is COVID-19 a respiratory or systemic disease? This review aims to summarize existing data on the replication of SARS-CoV-2 in different tissues in both patients and ex vivo models.

Keywords: COVID-19; SARS-CoV-2; coronavirus; disease; infection; organoids; organs; systemic.
 
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