Artikel: COVID-19 Viral Pneumonia Complicated with Acute Pulmonary Embolism: A Descriptive Study.
Radiology research and practice
2021 Band 2021, Seite(n) 6649086
Abstract: Objective: To evaluate acute pulmonary embolism in patients with 2019 novel coronavirus (COVID-19 ... a high suspicion for its thromboembolic complications such as acute pulmonary embolism that was mainly ... confirmed to have acute pulmonary embolism, while 14 cases showed negative result for pulmonary embolism. 6 ...
| Abstract | Objective: To evaluate acute pulmonary embolism in patients with 2019 novel coronavirus (COVID-19) pneumonia using pulmonary CT angiography. Results: The mean age of the included patients was 49 ± 11 years; the youngest was 22 years, and the oldest was 64 years. Common symptoms in the 25 cases that underwent CT angiography were fever that was noted in 21/25 cases (84%), shortness of breath in 18/25 cases (72%), cough in 16/25 cases (64%), and severe myalgia/body fatigue in 13/25 cases (52%). The less common symptoms were sore throat in 11/25 cases (44%) and headache in 10/25 cases (40%). Regarding CT findings, 4/25 cases (16%) had unilateral lung disease and 21/25 cases (84%) had bilateral disease, with slight predilection for the right lower lobe (10/25 cases, 40%). Pure ground-glass opacity (GGO) was seen in 13/25 cases (52%), and GGO with consolidation was seen in 12/25 cases (48%). Common accompanying CT signs included crazy paving stone sign in 15/25 cases (60%) and air bronchogram in 12/25 cases (48%). From the 25 patients that showed respiratory deterioration and elevated serum D-dimer level, 11 cases confirmed to have acute pulmonary embolism, while 14 cases showed negative result for pulmonary embolism. 6/11 were male and 5/11 were female. Pulmonary embolism was diagnosed at a mean of 21 days from symptom onset. Unilateral acute pulmonary embolism was seen in 3/11 cases, while 8/11 cases showed bilateral distribution. Among 11 cases with acute pulmonary embolism, no emboli at the central level could be seen, but 3 cases showed pulmonary embolism at the lobar level, 3 cases at the segmental level, and 5 cases at lobar, segmental, and subsegmental levels. Conclusion: In patients with confirmed COVID-19, we should maintain a high suspicion for its thromboembolic complications such as acute pulmonary embolism that was mainly diagnosed at the end of 3rd week from symptom onset. We suggest that whenever a CT evaluation of the parenchymal involvement of COVID-19 pneumonia is performed, a simultaneous evaluation of the pulmonary arteries is also essential in order to identify early signs of associated pulmonary embolism. |
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| Sprache | Englisch |
| Erscheinungsdatum | 2021-01-16 |
| Erscheinungsland | Egypt |
| Dokumenttyp | Journal Article |
| ZDB-ID | 2594649-3 |
| ISSN | 2090-195X ; 2090-1941 |
| ISSN (online) | 2090-195X |
| ISSN | 2090-1941 |
| DOI | 10.1155/2021/6649086 |
| Datenquelle | MEDical Literature Analysis and Retrieval System OnLINE |
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