《Radiology,2月12日,Pre- and Posttreatment Chest CT Findings: 2019 Novel Coronavirus (2019-nCoV) Pneumonia》

  • 来源专题:COVID-19科研动态监测
  • 编译者: zhangmin
  • 发布时间:2020-02-13
  • Pre- and Posttreatment Chest CT Findings: 2019 Novel Coronavirus (2019-nCoV) Pneumonia

    Ya-ni Duan, Jie Qin

    Published Online:Feb 12 2020https://doi.org/10.1148/radiol.2020200323

    A 46-year-old woman presented to the hospital with a 7-day history of fever without chills and rigor, nasal discharge, cough, and myalgia. She had stayed with a friend who had been diagnosed with 2019 novel coronavirus (2019-nCoV) pneumonia in Wuhan, China, 5 days previously.

  • 原文来源:https://pubs.rsna.org/doi/10.1148/radiol.2020200323
相关报告
  • 《Radiology,2月12日,Chest CT for Typical 2019-nCoV Pneumonia: Relationship to Negative RT-PCR Testing》

    • 来源专题:COVID-19科研动态监测
    • 编译者:zhangmin
    • 发布时间:2020-02-13
    • Chest CT for Typical 2019-nCoV Pneumonia: Relationship to Negative RT-PCR Testing Xingzhi Xie, Zheng Zhong, Wei Zhao, Chao Zheng, Fei Wang, Jun Liu Published Online:Feb 12 2020https://doi.org/10.1148/radiol.2020200343 Abstract Some patients with positive chest CT findings may present with negative results of real time reverse-transcription–polymerase chain- reaction (RT-PCR) for 2019 novel coronavirus (2019-nCoV). In this report, we present chest CT findings from five patients with 2019-nCoV infection who had initial negative RT-PCR results. All five patients had typical imaging findings, including ground-glass opacity (GGO) (5 patients) and/or mixed GGO and mixed consolidation (2 patients). After isolation for presumed 2019-nCoV pneumonia, all patients were eventually confirmed with 2019-nCoV infection by repeated swab tests. A combination of repeated swab tests and CT scanning may be helpful when for individuals with high clinical suspicion of nCoV infection but negative RT-PCR screening
  • 《Radiology,2月7日,CT Manifestations of Two Cases of 2019 Novel Coronavirus (2019-nCoV) Pneumonia》

    • 来源专题:COVID-19科研动态监测
    • 编译者:xuwenwhlib
    • 发布时间:2020-02-08
    • CT Manifestations of Two Cases of 2019 Novel Coronavirus (2019-nCoV) Pneumonia Yicheng Fang, Huangqi Zhang, Yunyu Xu, Jicheng Xie, Peipei Pang, Wenbin Ji Author Affiliations Published Online:Feb 7 2020 https://doi.org/10.1148/radiol.2020200280 We report two cases of 2019 novel coronavirus (2019-nCoV). Both patients are believed to have exposure related to Wuhan, China (1-4). We demonstrate change in the course of disease over time on CT scan (5-6). Case 1: A 45-year-old woman living in Wuhan, China, was admitted to the hospital for 2 days due to cough and fever. On admission, her body temperature was elevated (38.2°C) and there were coarse breath sounds of both lungs at auscultation. Her laboratory studies showed: neutrophil ratio increased (81.2%,normal range 40.0%-75.0%), lymphocyte ratio decreased (12.8%, normal range 20.0%-50.0%), erythrocyte sedimentation rate was increased (24 mm/h, normal range < 20mm/h), D-dimer concentration was normal, Lymphokine IL-6 was increased (27.47 pg/ml, normal range 0.1-2.9 pg/ ml). Real-time fluorescence polymerase chain reaction of the patient’s sputum was positive for the 2019-nCoV nucleic acid. Unenhanced chest CT showed multiple bilateral areas of peripheral consolidation (Fig 1. A1-2). There was interlobular septal thickening with a crazy paving appearance and bronchiectasis. The adjacent pleura was thickened, without mediastinal lymphadenopathy or pleural fluid. Two days after admission, the patient’s temperature rose to 39.2°C and constitutional symptoms worsened. Repeat chest CT showed progressive consolidation with loss of the areas of crazy paving (Fig1. A3-4). After antiviral and symptomatic treatment, the patient remains under close observation with improvement in symptoms.