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artículo
Introducción: A nivel medular, el SARS-COV2 puede comprometer la hematopoyesis, manifestándose con citopenias y solo se cuenta con estudios realizados en autopsias. Objetivo: describir las características morfológicas de las médulas óseas de los pacientes hospitalizados por neumonía por COVID-19 en el Hospital Nacional “Dos de Mayo”. El estudio: Estudio transversal retrospectivo llevado a cabo en pacientes con diagnóstico de COVID-19. Las lecturas de las médulas óseas fueron confirmadas por un hematólogo entrenado. Se utilizó estadística descriptiva para las variables cuantitativa y cualitativas. Hallazgos: Se incluyeron 30 pacientes. Los hallazgos más frecuentes fueron: macrófagos con citofagocitosis (87%), hiperplasia con detención en la maduración de los progenitores mieloides en el (70%). El 87% de las muestras presentó eosinofilia. En el 57% de las muestras se ...
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Background: It has been described that, at the medullary level, SARS-COV2 can compromise hematopoiesis, manifesting with cytopenias and there are only studies carried out in autopsies. Objective: to describe the morphological characteristics of the bone marrow of patients hospitalized for COVID-19 pneumonia at the Hospital Nacional “Dos de Mayo”. Material and methods: Retrospective cross-sectional observational study carried out in patients over 18 years of age with a confirmed diagnosis of COVID-19 by rapid or molecular testing, and those with incomplete, illegible or missing medical history and / or bacterial or fungal pneumonia were excluded. The findings of the bone marrow readings were confirmed by a trained hematologist, collecting data such as: hemosiderin, cellularity, myelo / erythroid ratio, myeloid series, megakaryocytic and plasma cells. Descriptive statistics based on fr...
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Introduction: Despite the fact that hematological alterations at the peripheral level are widely known, little is known about the alterations caused by COVID-19 at the bone marrow level. Objective: To determine the morphological alterations of the bone marrow caused by COVID-19. Material and methods: Systematic review and meta-analysis. Observational studies and reports and case series were included and editorials, reviews, letters to the editor were excluded. A search was performed in Pubmed, ScienceDirect and Scielo. The risk of bias was assessed using the NewCatell-Ottawa and Hassan Murad scales for case reports and series. The outcomes were the morphological parameters of the bone marrow. For the quantitative synthesis of the information, a proportion meta-analysis was performed using random effects in RStudio. Results: Hypercellularity occurred in 65% (95% CI: 51%-78%), maturation a...