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Erschienen in: Intensive Care Medicine 5/2020

Open Access 02.03.2020 | COVID-19 | Imaging in Intensive Care Medicine

Imaging changes of severe COVID-19 pneumonia in advanced stage

verfasst von: Wei Zhang

Erschienen in: Intensive Care Medicine | Ausgabe 5/2020

Hinweise

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We recently reported in Intensive Care Medicine the imaging changes of acute stage from a case of 75-year-old male patient with severe COVID-19 pneumonia combined acute respiratory distress syndrome (ARDS), septic shock, and multiple organ disfunction syndrome (MODS) who had a history of 10-year hypertension and 1-year diabetes. He presently received advanced life support treatment including respiratory support (invasive mechanical ventilation) and circulatory support (vasoconstrictor assistance), as well as intermittent renal replacement therapy (IRRT) in intensive care unit (ICU) of our hospital—a tertiary teaching hospital of medical university. Because his MODS still existed on the day 20 after symptom onset, we had to re-examine the chest computed tomographic (CT). The results showed that early changes of reticular pulmonary fibrosis appeared in Panels D, E, and F (marked by green arrows), compensatory emphysema occurred in Panels D and E (marked by blue arrows), and pulmonary cavity formation appeared in Panel F (marked by blue arrows), compared with acute stage of the day 5 after symptom onset, inflammatory lesions and ground glass shadow of Panels A and B (marked by red arrows), as well as septal line of Panel C (marked by yellow arrows). Presently, this patient is still under the condition of advanced life support therapy (Fig. 1).

Acknowledgements

The author thanks the patient and all members of his family.

Compliance with ethical standards

Conflicts of interest

All authors have read and approved the final version of the manuscript and agreed to submit it for consideration for publication in the journal. There are no ethical/legal conflicts involved in the article.
Written consent from the patient was waived, because of entirely anonymized images from which the individual cannot be identified.
The author confirms that he has read the Journal’s position on issues involved in ethical publication and affirms that this report is consistent with those guidelines.
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Metadaten
Titel
Imaging changes of severe COVID-19 pneumonia in advanced stage
verfasst von
Wei Zhang
Publikationsdatum
02.03.2020
Verlag
Springer Berlin Heidelberg
Erschienen in
Intensive Care Medicine / Ausgabe 5/2020
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-020-05990-y

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