Barnes Jewish Hospital in St Louis says Covid-19 lung failure cause is still mostly unknown,
and only 4% of severe patients have a “cytokine storm“ like was originally reported by Chinese Wuhan hospitals:

https://medicalxpress.com/news/2020-11-respiratory-failure-covid-driven-cytokine.html

Sample quote

With cytokine storm largely ruled out, the cause of most cases of respiratory failure in COVID-19 patients remains unknown, Mudd said.

"In the population we studied, 24% died but only 4% had a cytokine storm," Mudd said. "Most people who died of COVID-19 died without a cytokine storm. Severe flu is more inflammatory than severe COVID-19. So what's causing their lungs to fail? We still don't know. We're trying to find out."

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