Skip to main content
. 2021 Jun 3;108:274–281. doi: 10.1016/j.ijid.2021.05.069

Table 2.

Causes of death and comorbidities as determined by autopsy in six young decedents with COVID-19.

Case Age Gender Symptoms to death Immediate COD Condition leading to COD Underlying cause Comorbidities/conditions
1 26 years Male 181 days Acute mesenteric ischemia Cholangitis with liver failure COVID-19 pneumonia Thromboembolisms of brain vessels
Hepatosplenomegaly
Pulmonary emphysema
Overweight (BMI 28.7 kg/m2)*
2 28 years Female 16 days MOF Invasive pulmonary mycosis COVID-19 pneumonia Acute inflammatory cardiomyopathy
Mild hepatic steatosis (5–7%)Obesity, WHO °III (BMI 41.2 kg/m
2)*
3 30 years Female 18 days Septic MOF Invasive pulmonary mycosis Intestinal GvHD Ewing sarcoma followed by t-MDS with therapy-related immunosuppression SARS-CoV-2 infection
Lymphocytic myocarditis
Cerebral bleeding
Cerebral toxoplasmosis
Overweight (BMI 28.1 kg/m2)*
4 33 years Male 30 days Hemorrhagic shock after intrathoracic bleeding Pleural empyema (surgical treatment) COVID-19 pneumonia Acute pulmonary thromboembolism Hepatomegaly
Heart failure
5 45 years Female 19 days Septic MOF Disseminated intravascular coagulation (pulmonary, intestinal, cerebral) COVID-19 pneumonia Hepatic steatosis
Coronary artery sclerosis
Atherosclerosis
6 46 years Male 18 days Heart failure COVID-19 pneumonia Dilated cardiomyopathy Acute pulmonary thromboembolism
Chronic cardiac apical thrombus
Mild atherosclerosis
Overweight (BMI 29.1 kg/m2)*

Abbreviations: cause of death (COD), multi-organ failure (MOF), severe acute respiratory syndrome coronavirus type 2 (SARS CoV-2), coronavirus disease 2019 (COVID-19), body mass index (BMI), *corrected for body cavity effusion), secondary sclerosing cholangitis (SCC), World Health Organization (WHO), graft-versus-host disease (GvHD), therapy-induced myelodysplastic syndrome (t-MDS), allogeneic hematopoietic stem cell transplantation (allo-HSCT).