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

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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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About the authors

Maria A. Livzan

Omsk State Medical University

Email: mlivzan@yandex.ru
ORCID iD: 0000-0002-6581-7017
SPIN-code: 1961-4082
Scopus Author ID: 24341682600

MD, Dr. Sci. (Med.), Professor

Russian Federation, Omsk

Olga V. Gaus

Omsk State Medical University

Author for correspondence.
Email: gaus_olga@bk.ru
ORCID iD: 0000-0001-9370-4768
SPIN-code: 7116-8419
Scopus Author ID: 56598554900
ResearcherId: AAB-1979-2019

MD, Cand. Sci. (Med.), Assistant Professor

Russian Federation, Omsk

Darya A. Gavrilenko

Omsk State Medical University

Email: gavrilenko.darigav@yandex.ru
ORCID iD: 0000-0001-5245-7190
SPIN-code: 1435-9150
Russian Federation, Omsk

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Proposed etiology of liver injury in patients with COVID-19 [18]. SIRS — systemic inflammatory response syndrome; IL — interleukin; TNF — tumor necrosis factor

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3. Fig. 2. Manifestations of capillaritis and residual pityriasis rosea on the thigh surface of patient V

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4. Fig. 3. MRCP results of patient V

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Copyright (c) 2022 Livzan M.A., Gaus O.V., Gavrilenko D.A.

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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