80-year-old man with dyspnoea and bilateral groundglass infiltrates: an elusive case of COVID-19.

Autor: Samec, Matthew J., Khawaja, Ali, Patel, Ashokakumar M., Dugani, Sagar B.
Zdroj: BMJ Case Reports; 5/27/2020, Vol. 13 Issue 5, p1-4, 4p, 1 Black and White Photograph, 1 Chart
Abstrakt: COVID-19 is a novel viral infection caused by severe acute respiratory syndrome-coronavirus- 2 virus, first identified in Wuhan, China in December 2019. COVID-19 has spread rapidly and is now considered a global pandemic. We present a case of a patient with minimal respiratory symptoms but prominent bilateral groundglass opacities in a ’crazy paving’ pattern on chest CT imaging and a negative initial infectious workup. However, given persistent dyspnoea and labs suggestive of COVID-19 infection, the patient remained hospitalised for further monitoring. Forty-eight hours after initial testing, the PCR test was repeated and returned positive for COVID-19. This case illustrates the importance of clinical vigilance to retest patients for COVID-19, particularly in the absence of another compelling aetiology. As COVID-19 testing improves to rapidly generate results, selective retesting of patients may uncover additional COVID-19 cases and strengthen measures to minimise the spread of COVID-19. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index