Illustrated Forensic PathologyAtypical Endovascular Cells in SARS-CoV-2 PneumoniaBarna, Nicholas MD∗; Chapman, Jennifer MD†; Hutchins, Kenneth MD∗; Garavan, Fintan PhD, MD∗Author Information From the ∗Miami-Dade Medical Examiner Department, Miami-Dade †Department of Pathology and Laboratory Medicine, University of Miami, Miami, FL. Manuscript received May 27, 2020; accepted September 3, 2020. The authors report no conflict of interest. Reprints: Fintan Garavan, PhD, MD, Miami-Dade Medical Examiners Department, Number One on Bob Hope Road, Miami, FL 33136. E-mail: [email protected]. The American Journal of Forensic Medicine and Pathology: December 2020 - Volume 41 - Issue 4 - p e61-e63 doi: 10.1097/PAF.0000000000000626 Buy Metrics Abstract The autopsy findings for 3 cases of SARS-(CoV-2) pneumonia-related deaths are reported with pulmonary histology and immunohistochemistry findings. In 2 cases (cases 1 and 2), the time interval from presentation to death was approximately 1 week, whereas for case 3, the time interval from presentation to death was hours. Case 1 and case 2 presented with shortness of breath, cough, and flu-like symptoms. The decedent from case 3 died shortly after presenting to a local emergency room with high fever, chest and abdominal pain, and shortness of breath. All 3 cases had 1 or more comorbidities. The postmortem interval for cases 1 and 2 was 2 weeks as they died at sea and were stored on board within the respective cruise ships' refrigeration units, whereas case 3 was examined within 24 hours of death. The autopsies were conducted at the Miami-Dade County Medical Examiners Department under routine infectious precautions. Salient clinical history and autopsy findings are summarized. Microscopic examination revealed pneumonia with associated atypical endovascular cells. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.