COVID-19 pneumonia - evolution over a week

Case contributed by Dr Edgar Lorente

Presentation

This middle aged man attended the emergency room for a dysthymic sensation 2-3 times a day, breathing difficulty and dry cough. In the complementary tests, only lymphopenia and elevated CRP stand out. Therefore, no coronavirus test was performed because he did not meet epidemiological criteria and the patient was discharged.

Patient Data

Age: 50 years
Gender: Male

No significant findings. Lungs clear.

Patchy, ill-defined bilateral alveolar consolidations, with a peripheral distribution.

Day 5: clinical deterioration

X-ray

Radiological worsening, with consolidation in the left upper lobe.

Radiological worsening, with typical findings of acute respiratory distress syndrome (ARDS).

Case Discussion

In this case, we show the evolution of a case of COVID-19 pneumonia over one week, where evolution from normal radiography to ARDS is observed.

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