Histopathologic changes in Lung Sar-Cov2 infection Histopathologic changes in Lung Sar-Cov2 infection • The specimen was taken from 72 years old man • History: diabetes, hypertension, presented with fever and cold • Pharyngeal swab: Positive for Sars-Cov-2 Ground glass opacity Histopathologic changes in Lung Sar-Cov2 infection • The histopathologic changes seen on post mortem specimen consistent with diffuse alveolar damage Histopathologic changes in Lung Sar-Cov2 infection - Diffuse alveolar damage - Arrow 1. Denudation of alveolar lining - Arrow 2. Reactive type II pneumocyte Hyperplasia - Arrow 3. Intra-alveolar fibrinous plugs - Arrow 4. Interstitial loose fibrosis with chronic inflammatory infiltrates Histopathologic changes in Lung Sar-Cov2 infection -Arrow 5. Intra alveolar loose fibrous plug -Arrow 6. Organizing fibrin Histopathologic changes in Lung Sar-Cov2 infection - Blue arrow: interstitial area between the alveoli - Green arrow: injured epithelial cells desquamated into alveolar space - Immunostaining of SARS-COV-2 in lung section, against the Rp3 NP protein (conserved protein in SARs-coV) Red