Liver injury and novel coronavirus infection: development mechanisms and clinical manifestation

M. Livzan, O. Gaus, D. A. Gavrilenko
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Abstract

The novel coronavirus infection (COVID-19) caused by SARS-CoV-2 is characterized by a variety of clinical manifestations. As the infection spreads and the number of observations increases, it is clear that SARS-CoV-2 affects not only the respiratory tract, but also the digestive system. More than half of patients with COVID-19 have changes in the biochemical blood test, indicating liver damage. The reasons for this may be direct cytopathic or mediated immune effect, organ ischemia, the intake of drugs with potential hepatotoxic effects, onset of previously undiagnosed or worsening of the course of an existing liver disease. This article provides a brief overview of the possible etiological factors of liver damage in COVID-19 and presents its own clinical case.
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肝损伤与新型冠状病毒感染:发生机制及临床表现
由SARS-CoV-2引起的新型冠状病毒感染(COVID-19)具有多种临床表现。随着感染的传播和观察次数的增加,很明显,SARS-CoV-2不仅影响呼吸道,还影响消化系统。超过一半的新冠肺炎患者血液生化检查出现变化,表明肝脏受损。其原因可能是直接的细胞病变或介导的免疫作用、器官缺血、摄入具有潜在肝毒性作用的药物、先前未确诊的发病或现有肝脏疾病的病程恶化。本文简要介绍了COVID-19肝损害的可能病因,并介绍了自己的临床病例。
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