80-year-old man with dyspnoea and bilateral groundglass infiltrates: an elusive case of COVID-19
| Autor: | Sagar B Dugani, Matthew J. Samec, Ali Khawaja, Ashokakumar M. Patel |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty 2019-20 coronavirus outbreak Delayed Diagnosis Coronavirus disease 2019 (COVID-19) Clinical Decision-Making Pneumonia Viral Chest ct Delayed diagnosis Viral infection 030218 nuclear medicine & medical imaging Betacoronavirus 03 medical and health sciences COVID-19 Testing 0302 clinical medicine Pcr test Pandemic Humans Medicine 030212 general & internal medicine Lung Pandemics Aged 80 and over Clinical Laboratory Techniques SARS-CoV-2 business.industry COVID-19 General Medicine respiratory system pneumonia (respiratory medicine) Dyspnea Etiology Coronavirus Infections Tomography X-Ray Computed business New Disease |
| Zdroj: | BMJ Case Reports |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2020-236069 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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