(1) For the last 2 years, some ideas pertinent to Dengue shock syndrome and now Sars Cov -2 .have been doing rounds in my mind. Of late I have made certain observations while going through research articles on international journals on Sars Cov -2 and allied diseases. (a) Vendothelial cell damage plays a key role in thepathogenesis of the disease process of Sars cov-2 and Dengue shock syndrome. (b) Sars cov-2 infects the host cells using ACE-2 receptors present in the lungs, heart, kidneys, intestines, and especially Vascular Endothelial cells across the body.
This leads to widespread endothelial dysfunction. This also leads to vascular homeostasis resulting in vasoconstriction and organ ischemia, inflammation associated with tissue edema, procoagulant state. Thus ultimately leads to impaired systemic microcirculatory function in different…