Case Report: Walking Pneumonia in Novel Coronavirus Disease (COVID-19): Mild Symptoms with Marked Abnormalities on Chest Imaging
Case Report: Walking Pneumonia in Novel Coronavirus Disease (COVID-19): Mild Symptoms with Marked Abnormalities on Chest Imaging
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DOI：
10.4269/ajtmh.20-0203
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发表时间：
2020-05-01
影响因子：
3.3
通讯作者：
Iamsirithaworn, Sopon
中科院分区：
文献类型：
--
作者：
Sivakorn, Chaisith;Luvira, Viravarn;Iamsirithaworn, Sopon
本病例报告强调了新型冠状病毒病（COVID-19）患者出现“行走性肺炎”，胸部影像学检查显示肺部进展性受累。患者于2020年1月从中国湖北武汉前往泰国。她的一名家庭成员被诊断出患有COVID-19。她因担心而到医院就诊，但没有发烧或任何呼吸道症状。三天前，她的鼻咽和咽拭子通过实时逆转录聚合酶链反应（RT-PCR）检测显示严重急性呼吸道综合征冠状病毒2（SARS-CoV-2）阴性。她最初的胸部X光检查异常，她的第一次痰SARS-CoV-2检测结果不确定。随后的痰液检测为SARS-CoV-2阳性。该患者的诊断通过胸部成像和重复病毒检测得到促进。因此，胸部影像学研究可能会提高COVID-19肺炎的早期诊断能力。
This case report underlines the appearance of a "walking pneumonia" in a novel coronavirus disease (COVID-19) patient, with evidence of progressive lung involvement on chest imaging studies. The patient traveled from Wuhan, Hubei, China, to Thailand in January 2020. One of her family members was diagnosed with COVID-19. She presented to the hospital because of her concern, but she was without fever or any respiratory symptoms. Three days earlier, her nasopharyngeal and throat swabs revealed a negative severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) test by real-time reverse transcriptase polymerase chain reaction (RT-PCR). Her initial chest radiography was abnormal, and her first sputum SARS-CoV-2 test yielded inconclusive results. A subsequent sputum test was positive for SARS-CoV-2. Diagnosis in this patient was facilitated by chest imaging and repeat viral testing. Thus, chest imaging studies might enhance capabilities for early diagnosis of COVID-19 pneumonia.