Has your community based pathology group suspended hospital autopsies in the CoVID era? Or have you started to perform them on request now? What are your current criteria to perform an autopsy?
None of our pathologists have credentials to do autopsies at any of the hospitals we practice at. Case closed.
Cryptococcus? That's strange.I did a COVID autopsy in April (community practice 2-4 autopsies a year).
52 year old male with "no past medical history". Positive for COVID by PCR, D-dimer >3000, Ferritin >1000, absolute lymphocytopenia. Sent home after about a month, then returns with SOB but negative for COVID by PCR with sudden death next day.
Autopsy: large bilateral hemorrhagic cavitary infarctions of the lungs (8-10cm). No PEs that I observed grossly. Microscopically full of microthrombi throughout all the organs. Diffuse alveolar damage and pneumonia. LVH. What a mess. I obtained direct lung sample for PCR and cultures: Negative for COVID and positive for Cryptococcus neoformans.
Yeah, the high dose steroids are leading to opportunistic infectionsCryptococcus? That's strange.
I have had two cases of death from unexpected disseminated cryptococcal infection on autopsies i performed in the last two years.Neither were on steroid therapy.Both were young females with one being immediately postpartum.I also recently did an autopsy on a female who died of CORONA virus enterocolitis-she was embalmed.I am forced to do private autopsies to augment my ever dwindling surgical pathology earnings.Cryptococcus? That's strange.
I have had two cases of death from unexpected disseminated cryptococcal infection on autopsies i performed in the last two years.Neither were on steroid therapy.Both were young females with one being immediately postpartum.I also recently did an autopsy on a female who died of CORONA virus enterocolitis-she was embalmed.I am forced to do private autopsies to augment my ever dwindling surgical pathology earnings.