Before revision: In Coronavirus Disease 2019 (COVID-19), the initial viral-replication phase is often followed by a hyperinflammatory reaction in the lungs and URLan systems ('cytokine storm  ') that leads to acute respiratory distress syndrome (ARDS), URLan failure, and death  despite maximal supportive care.
After revision: In Coronavirus Disease 2019 (COVID-19), the initial viral-replication phase is often followed by a hyperinflammatory reaction in the lungs and URLan systems ('cytokine storm syndrome ') that leads to acute respiratory distress syndrome (ARDS), URLan failure, and death despite maximal supportive care.