Coronavirus destroys lungs. But doctors are finding its damage in kidneys, hearts and elsewhere.
Source: Washington Post
April 15, 2020 at 7:00 a.m. EDT
The new coronavirus kills by inflaming and clogging the tiny air sacs in the lungs, choking off the bodys oxygen supply until it shuts down the organs essential for life.
But clinicians around the world are seeing evidence that suggests the virus also may be causing heart inflammation, acute kidney disease, neurological malfunction, blood clots, intestinal damage and liver problems. That development has complicated treatment for the most severe cases of covid-19, the illness caused by the virus, and makes the course of recovery less certain, they said.
The prevalence of these effects is too great to attribute them solely to the cytokine storm, a powerful immune-system response that attacks the body, causing severe damage, doctors and researchers said.
Almost half the people hospitalized because of covid-19 have blood or protein in their urine, indicating early damage to their kidneys, said Alan Kliger, a Yale University School of Medicine nephrologist who co-chairs a task force assisting dialysis patients who have covid-19.
Read more: https://www.washingtonpost.com/health/coronavirus-destroys-lungs-but-doctors-are-finding-its-damage-in-kidneys-hearts-and-elsewhere/2020/04/14/7ff71ee0-7db1-11ea-a3ee-13e1ae0a3571_story.html
no_hypocrisy
(46,078 posts)localroger
(3,626 posts)Kind of like subacute radiation exposure, you might fall to a disease you would have otherwise survived years later but it would be nearly impossible to say with certainty that your previous exposure caused your premature death. It would, however, show up in a statistical comparison of people who had the previous exposure to people who didn't.
bucolic_frolic
(43,123 posts)and it is damage. It's like an old broken bone or trauma that twinges in foul weather, never goes away. So I think the answer to your question is yes, though cause of death would probably seen as a secondary incidental disease.
ananda
(28,856 posts)So I think it's a definite possibility.
still_one
(92,122 posts)this virus, have found favorable results when given some immuno-suppresives
There is so much unknown about this
AtheistCrusader
(33,982 posts)Botany
(70,489 posts)BTW In the long run this might be good for western nations but the death and illness total
in 3rd world nations might be staggering.
* This MIGHT be good news on vaccines for coronavirus.
Last edited Mon Apr 13, 2020, 04:24 PM - Edit history (1)
https://www.upmc.com/media/news/040220-falo-gambotto-sars-cov2-vaccine
COVID-19 Vaccine Candidate Shows Promise
PITTSBURGH University of Pittsburgh School of Medicine scientists today announced a potential vaccine against SARS-CoV-2, the new coronavirus causing the COVID-19 pandemic. When tested in mice, the vaccine, delivered through a fingertip-sized patch, produces antibodies specific to SARS-CoV-2 at quantities thought to be sufficient for neutralizing the virus.
The paper appeared today in EBioMedicine, which is published by The Lancet, and is the first study to be published after critique from fellow scientists at outside institutions that describes a candidate vaccine for COVID-19. The researchers were able to act quickly because they had already laid the groundwork during earlier coronavirus epidemics.
snip
The researchers also used a novel approach to deliver the drug, called a microneedle array, to increase potency. This array is a fingertip-sized patch of 400 tiny needles that delivers the spike protein pieces into the skin, where the immune reaction is strongest. The patch goes on like a Band-Aid and then the needles which are made entirely of sugar and the protein pieces simply dissolve into the skin.
snip
The system also is highly scalable. The protein pieces are manufactured by a cell factory layers upon layers of cultured cells engineered to express the SARS-CoV-2 spike protein that can be stacked further to multiply yield. Purifying the protein also can be done at industrial scale. Mass-producing the microneedle array involves spinning down the protein-sugar mixture into a mold using a centrifuge. Once manufactured, the vaccine can sit at room temperature until its needed, eliminating the need for refrigeration during transport or storage.
** https://www.lehighvalleylive.com/coronavirus/2020/04/st-lukes-phillipsburg-patient-off-ventilator-after-experimental-covid-19-plasma-trial.html
A COVID-19 patient at St. Lukes Hospital in Phillipsburg was taken off a ventilator following an experimental blood plasma treatment.
Convalescent plasma, in this case plasma from survivors of COVID-19, is being used to treat seriously ill coronavirus patients. St. Lukes University Health Network is participating in the convalescent plasma trials as part of a program overseen by the Mayo Clinic.
"It exemplifies the importance of ingenuity and perseverance to support the heroic, life-saving work of our physicians, nurses and other caregivers. St. Lukes Warren Campus President Scott R. Wolfe said.
St. Lukes did not say where the patient was from, or how long they have been hospitalized at the Warren County location.
mopinko
(70,076 posts)not a baby in a bubble or w a baboon heart, but my inner geek can help be hooked on the unfolding amazing discoveries and innovations.
said from day one that if anything could save us, it would be american ingenuity.
and so it seems to be.
scary as fuck here in the land of comorbidity all the same.
in good hands in chicago, tho. much going on here, and we were ready as hell. cook county does public health as well as any county in america.
ancianita
(36,019 posts)We're Chicagoans down in Florida where it's not done. We're just undecided about our usual return in June, due to the density of contact risk in Chicago.
It's getting bad because Floridians are so careless (no one in the local Apple repair shop had masks on!) that we might just have to head north anyway.
SheltieLover
(57,073 posts)We will likely end up with an entire generation of kids in poor health!
Ford_Prefect
(7,879 posts)A guaranteed benefit to the health-care industry. Imagine all the extra fees they can run up on the back of one little virus...
Would that be billed under dying for your country, err economy?
mopinko
(70,076 posts)as a person w auto-immune problems, and 2 kids w ai's, i have watched this closely. i would likely die because i have bad asthma. taking an antihistamine daily just to keep my system quiet.
but i have been completely unsurprised by reports of additional damage this thing is doing. inflammation is the root of cell death in pretty much every disease. kidneys seem an obvious target.
just wait till we see what the post acute phase of this stuff is. i hope it doesnt take 5 docs to get a dx for women in the wake of this, like it took me to get a dx of fibro kicked off by west nile.
this is so very far from over. le sigh.
SergeStorms
(19,192 posts)the more I think "someone" had been genetically modifying it in a laboratory. This is so unlike other corona viruses.
AtheistCrusader
(33,982 posts)have at their disposal. That was one of the first things looked for when the virus's genome was sequenced.
It MAY have escaped a lab where it was being studied, but it would have been evolved, not modified.
This is what viruses DO.
DBoon
(22,354 posts)The genetic signature looks nothing like what an artificial virus would look like.
MosheFeingold
(3,051 posts)Note they say, correctly, there is no evidence the virus was made in a lab.
This is to discredit what the evidence points to a natural virus released from a lab.
The market did not sell bats. And it certainly didnt sell wood bats, which live about 1000 miles away.
The lab, in contrast, did have both the bats and this virus.
AND the lab was a disaster waiting to happen, by all accounts, including, notably CDC Galveston that went and looked at it and urged its closure 2 years ago. (WaPo has this story.)
And now someone has come forward (sadly to Fox) and specifically admitted the accident occurred when a worker was sprayed in the face with blood.
So, remember escaped not made.
Dont fall for the spin.
moriah
(8,311 posts)If the first case of this had been anywhere at all in the world, somebody would have found something suspicious nearby, he said. If it were in Boston, it would be the National Emerging Infectious Diseases Laboratories. If there is evidence to really support this theory beyond the coincidence of the location of the lab, then I havent seen it, and I dont make decisions on the basis of coincidence. Hanages scientific opinion? I would probably leave it in the conspiracy theory area.
MosheFeingold
(3,051 posts)Which is EXACTLY the silliness the CCP wants.
It is a fact this virus (and the bats that carried it) were in the lab.
There are plenty of things in this world that are perfectly deadly, but ironically perfectly safe, stuck off in isolated animals around the world.
What happened is some hubritical fools took it from wood bats and isolated it -- and then let it out by incompetence.
moriah
(8,311 posts)I mean, the logic test doesn't pass for it to have originated IN the wet market -- not all the original cases were associated with it, and the cluster being there seems to be more likely evidence of person-to-person transmission from customer to employee and vice-versa.
But just remember the 1918 flu didn't start because of people experimenting on viruses in a lab -- from all available evidence, it started because the US government told every family that could to keep a small flock of chickens, then sent those farmboys who had been exposed to whatever flus might be around their communities or in their community's chickens to petri dishes called military cantonments. They knew that it was a perfect incubator for measles, and the 1918 flu sequencing shows it was clearly an avian influenza.
Honestly, given that precedent, if the wet markets in China are at all linked to this, I'd say Patient Zero was a rural farmer who got infected and was asymptomatic when they took their animals in for sale, and infected others in the city while they were doing the rest of their errands.
MosheFeingold
(3,051 posts)Travels 1000 miles (the closest point) and infects no one along his very public journey, probably trains and buses, and happens to start an infection 400 feet from the lab where the virus has been isolated and being studied?
Id say that falls under unlikely.
A person studying infectious diseases would laugh at us for considering it.
A grave weakness among smart people is to ignore the obvious. Happens because in school we are rewarded by answering with the counterintuitive.
Start with the obvious. Boring. But youll stand out for actually being correct.
moriah
(8,311 posts)1) Species of bat. a search for -- "wood bat" covid -baseball -- on Google comes up with nothing. And believe me, I tried to eliminate all the baseball related entries for the type of bat you said lives 1000 miles away.
2) Where you're getting that it is not from the intermediate horseshoe bat, which is what most people have said, which has a range certainly chose to Wuhan enough to make the animal farmer raising pangolins and scavenging guano for fertilizer for veggies potentially be a lot closer to the city than you'd think.
------
Sorry but you have discussed this without sources quite a bit, and we are obviously not operating on the same data set, so I apoloigze that I must request links. If you'd rather continue this in PM, feel free to do so.
MosheFeingold
(3,051 posts)About the British government. Its on this website if you search.
They were the first to call BS on this subspecies of bat being at the wet market.
Now, it turns out this particular wet market had no bat seller that anyone can remember.
moriah
(8,311 posts)Aside from baseball posts, at least.
The article linked where you posted and claimed it was a "wood bat" doesn't identify the bat species, just links to the Nature article here, which shows it most similar to specimen Bat COV RaTG13 (from a horseshoe bat).
Yes, the specimen was collected further west, but was also only 96% related (and that's the closest to the SARS-CoV-2 genome).
Still, the range of the intermediate horseshoe bat includes all the farming areas around Wuhan. Which means a farmer/food animal breeder utilizing bat guano as fertilizer is still a major possibility.
MosheFeingold
(3,051 posts)One duckduckgo search later:
https://www.dailymail.co.uk/news/article-8211257/Wuhan-lab-performing-experiments-bats-coronavirus-caves.html
The genome of the Covid19 virus shows it came from bats in the Yunnan's caves.
This is 803 miles, as the bat flies:
https://www.distancefromto.net/distance-from-yunnan-to-wuhan-cn
As an aside, don't trust corporations with large investments in China: notably ABC (Disney), Google, and a host of others. For whatever reason, they don't seem to be making it easy to find certain information.
moriah
(8,311 posts)That is the "horseshoe bat" sample I was speaking of. Rhinolophus affinis. Bat CoV RaTG13 is the most similar virus collected, and yes was among many found in that cave.
And as I showed in my first pretty graphic, the horseshoe bat has a very wide range, including Hubei province. If a 96% similar virus was 803 miles away in a specific cave, the 99% similar one that just hasn't been found yet might have been in Hubei.
Here's another article on China's attempts to study their bats. It discuses how bats come in contact with humans. Guano is a potential vector -- and the free fertilizer is very attractive to poor farmers.
https://www.scientificamerican.com/article/how-chinas-bat-woman-hunted-down-viruses-from-sars-to-the-new-coronavirus1/
SergeStorms
(19,192 posts)for putting me in my place.
Zambero
(8,964 posts)This illness manifests itself in respiratory impacts, although there is mounting evidence that the entire body can be ravaged as well. An effective vaccine can not come soon enough.
orwell
(7,771 posts)...as I keep saying. We know very little about this virus.
That is why talk about "re-opening" the economy is so dangerous.
We all want things to normalize. But we are far from even contemplating that when we know so little about this disease.
We have proven that social distancing and shelter-in-place works. But that would be true of any disease that transmits through respiratory droplets.
We need to get a handle on the science of this pathogen first before we can plan the road ahead.
That is why this endless stream of bullshit coming from the White House and FauxNoise is such a threat to public safety.
yaesu
(8,020 posts)according to some findings outside the US.
denem
(11,045 posts)(almost) unbelievable.
gordianot
(15,237 posts)They put him in a ditch with other Air Force enlisted men. He noted there were no officers in the ditch. In 1968 he finally died body organs shut down. At the time the claim from Drs he had Lupus rare in males and there were complications. Odd thing after he died the Veterans Administration requested an autopsy kept the body for 3 days and shipped it out for research. They even told his wife they spent almost a million dollars on the autopsy and the funeral home told her they never saw such a mangled body not in an accident. There was some discussion about a closed casket.
I am not claiming Covid-19 is a conspiracy but there is more to this story.
calimary
(81,207 posts)MosheFeingold
(3,051 posts)My son (doctor) has been keeping up with this closely. The virus attacks hemoglobin which has a double effect of destroying tissue by inflammation from the released iron and effectively suffocating the victim by not transporting oxygen.
The first clue was bilateral pneumonia in a consistent basis. Lung disease doesnt work that way. Its usually one lung or the other. Or at least affected unevenly.
As an aside, this is probably why treatments like HCQ have effect - this is very similar to what malaria does. And HCQ is a very power anti inflammatory.
The go-to thinking is HCQ doesnt do anything to the virus itself but rather is alleviating the damage so as to allow the body to fight the infection.
For the same reason, vitamin C in massive injection is being used.
wishstar
(5,268 posts)since they are at risk for blood clots
Mike 03
(16,616 posts)This excerpt:
Does this mean these patients have permanently lost kidney function and will have to live on dialysis for the rest of their lives, or is this a temporary state?