COVID-19 pneumonia with superadded bacterial infection

Case contributed by Muhammad Imran Khan


Shortness of breath. O2 requirement. Rule out consolidation/ COVID.

Patient Data

Age: 45 years
Gender: Male

Bilateral multifocal peripheral patchy consolidations. No pleural effusion.

Segmental left pulmonary emboli with likely left basal pulmonary infarct. Diffuse bilateral infiltrates with mediastinal lymphadenopathy and a left basal pleural effusion.

Case Discussion

This is a PCR proven COVID-19 pneumonia. Although pleural effusion and mediastinal lymphadenopathy are less common and are not typical findings in COVID-19 pneumonia. A coexistent bacterial infection should be considered and interval imaging to ensure resolution of the lymphadenopathy would be required with a followup scan in 6-8 weeks time.

I am thankful to Dr. Shahid Hussain (Consultant Radiologist) for his input.

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