Research Article Volume 14 Issue 9 - 2025

Long-Term Lung Sequelae of COVID-19

Baimakanova GE1*, Samsonova MV1,2, Chernyaev AL2,3,4, Kontorschikov AV3 and Belevsky AS4

1State Budgetary Institution of Healthcare of the City of Moscow "Moscow Clinical Scientific and Practical Center Named After A.S. Loginov of the Moscow City Health Department", Moscow, Russia

2Federal State Budgetary Institution “Research Institute of Pulmonology” of the Federal Medical and Biological Agency of Russia, Moscow, Orekhovy Boulevard, Russia

3Federal State Budgetary Scientific Institution Research Institute of Human Morphology, Moscow, Russia

4Federal State Autonomous Educational Institution of Higher Education "N.I. Pirogov Russian National Research Medical University" of the Ministry of Health of the Russian Federation, Moscow, Russia

*Corresponding Author: Baimakanova GE, State Budgetary Institution of Healthcare of the City of Moscow "Moscow Clinical Scientific and Practical Center named after A.S. Loginov of the Moscow City Health Department", Moscow, Russia.
Received: July 21, 2025; Published: August 13, 2025



Introduction: We studied the clinical and histological profile of lung tissue in patients with persistent pulmonary disease, respiratory symptoms and computed tomography (CT) findings after SARS-CoV-2 infection.

Materials and Methods: The study included 15 patients (7 females and 8 males) with a mean age of 57.7 years. All patients underwent laboratory tests, chest CT, echocardiography, and pulmonary function tests (PFT). Pulmonary tissue and bronchoalveolar lavage (BAL) samples were obtained by fibrobronchoscopy (FBS), transbronchial (TB) forceps (2 patients), and lung cryobiopsy (11 patients); open biopsy was performed in 2 patients. Cellular composition, DNA of herpesvirus, Mycobacterium tuberculosis complex and galactomannan optical density index, bacterial and fungal microflora growth were determined in BAL. SARS-CoV-2 was also identified in samples from the nasal mucosa, throat, BAL and feces using a polymerase chain reaction (PCR).

Results: The results showed no true pulmonary fibrosis in patients recovered from SARS-CoV-2 infection with persistent respiratory symptoms, functional impairment, and CT findings after SARS-CoV-2 infection.

Conclusion: Thus, no true pulmonary fibrosis was found in patients after SARS-CoV-2 infection with persistent respiratory symptoms, functional impairment, and CT findings. The observed changes comply with the current and/or resolving infection and inflammatory process.

 Keywords: SARS-COV2; Interstitial Pneumonia; Pulmonary Fibrosis

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Baimakanova GE., et al. “Long-Term Lung Sequelae of COVID-19”. EC Pulmonology and Respiratory Medicine  14.9 (2025): 01-16.