COVID-19 pneumonia - evolution over a week
Citation, DOI, disclosures and case data
At the time the case was submitted for publication Edgar Lorente had no recorded disclosures.View Edgar Lorente's current disclosures
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.
No significant findings. Lungs clear.
Patchy, ill-defined bilateral alveolar consolidations, with a peripheral distribution.
Day 5: clinical deterioration
Radiological worsening, with consolidation in the left upper lobe.
Radiological worsening, with typical findings of acute respiratory distress syndrome (ARDS).
- 1. Lorente E, (2020) Eurorad Case 16660. "Rapidly progressive ARDS secondary to COVID-19 infection". https://www.eurorad.org/case/16660
- 2. Zunyou Wu, Jennifer M. McGoogan. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. (2020) JAMA. doi:10.1001/jama.2020.2648 - Pubmed