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
X-ray

Day 1

No significant findings. Lungs clear.

X-ray

Day 4

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

X-ray

Day 5: clinical deterioration

Radiological worsening, with consolidation in the left upper lobe.

X-ray

Day 7

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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Case information

rID: 75264
Published: 23rd Mar 2020
Last edited: 23rd Mar 2020
System: Chest
Inclusion in quiz mode: Included

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