In the most severe cases, the virus causes pneumonia — an infection that inflames the air sacs in one or both lungs. The air sacs may fill with fluid or pus (purulent material), causing cough with phlegm or pus, fever, chills, and difficulty breathing — which can be deadly. Other serious complications include respiratory distress or failure, septic shock, acute kidney injury, virus-induced cardiac injury and secondary bacterial pneumonia.
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