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For correspondence, write: Aleksandr Gleyzer, MD, Department of Emergency Medicine, SUNY Downstate Medical Center, 450 Clarkson Avenue, Brooklyn, NY 11203.
A male in his mid-80s presented to the emergency department with complaints of fever and cough for 6 days. On presentation, the patient was febrile to 38.7°C (101.6°F), tachypneic to 26 breaths per minute, and coughing. A portable chest X-ray was done (Figure 1) that revealed bilateral peripheral infiltrates. Chest computed tomography was performed as well and it confirmed multiple areas of peripheral bilateral infiltrate (Figure 2). The patient was ultimately diagnosed with coronavirus disease.
The findings include peripheral ground-glass opacities, consolidations, and solid nodules. In some cases, pleural thickening, air bronchograms, and interlobar septal thickening can be present as well.
During the current coronavirus disease outbreak, together with an appropriate clinical presentation, radiological imaging can assist with an appropriate diagnosis, so that appropriate management can be initiated before obtaining confirmatory laboratory tests.
Author Disclosures
Conflicts of interest: none to report
References
Wang X.
Fang J.
Zhu Y.
et al.
Clinical characteristics of non-critically ill patients with novel coronavirus infection (COVID-19) in a Fangcang Hospital.
Aleksandr Gleyzer is Clinical Associate Professor, Department of Emergency Medicine, SUNY Downstate Medical Center, Brooklyn, NY.
Edward Milman is Vice Chairman, Department of Radiology, St Joseph’s University Medical Center, Paterson, NJ. ORCID: https://orcid.org/0000-0002-1679-9633.
Article info
Publication history
Published online: April 22, 2020
Footnotes
Earn Up to 7.5 Hours. See page 550.
Section Editor: Valerie Aarne Grossman, MALS, BSN, NE-BC
Submissions to this column are encouraged and may be submitted to Valerie Aarne Grossman, MALS, BSN, NE-BC[email protected]
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