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Vol. 155. Núm. 1.
Páginas 49 (Julio 2020)
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Vol. 155. Núm. 1.
Páginas 49 (Julio 2020)
Image in medicine
DOI: 10.1016/j.medcli.2020.04.005
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Pre- and post-treatment chest CT changes in a patient with COVID-19
Cambios de TC de tórax antes y después del tratamiento en un paciente con COVID-19
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Bao Fua, Kun Qianb, Xiaoyun Fua,
Autor para correspondencia
zyyxyfxy@163.com

Corresponding author.
a Department of Critical Care Medicine, Affiliated Hospital of Zunyi Medical University, Zunyi 563000, China
b Department of Radiology, The Affiliated Hospital of Zunyi Medical University, Zunyi 563000, China
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A 36-year-old woman admitted to hospital with a 5-day history of fever and cough on February 11. On January 12, she was confirmed with COVID-19. On admission, her body temperature was 37.9°C. White blood cell count was 4.91×109/L and lymphocytes count was 0.81×109/L. The patient was given antiviral therapy, including lopinavir/ritonavir (lopinavir 400mg/ritonavir 100mg, q12h), arbidol (0.2g, tid) and Lianhua Qingwen Capsule (6.0g, tid).

A chest radiograph obtained on day 5 after the onset of symptoms showed multiple high density shadow in the lower lobe 55 and basal segment of the right lung (Fig. 1A). A new CT scan obtained on day 10 showed lesions in the lower lobe of the right lung partially absorbed (Fig. 1B), and a CT scan obtained on day 16 showed evolution to a mixed pattern of ground-glass opacities and consolidation (Fig. 1C). On day 22 a CT scan shown healing of the consolidations and ground-glass opacities (Fig. 1D). On the same day, the throat swab for 2019-nCoV RNA was negative.

Figure 1
(0,17MB).

A combination of 2019-nCoV RNA tests and chest CT may be helpful for rapid identification of a new case and evaluating therapeutic effect.

Copyright © 2020. Elsevier España, S.L.U.. All rights reserved
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