Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
A 75-year-old male who was confirmed as suffering of severe COVID pneumonia was transferred to the intensive care unit (ICU) of our hospital—a tertiary teaching hospital of a medical university. He had a history of 10-year hypertension and one-year diabetes. A physical examination unveiled that his body temperature was 35.5 ℃, his pulse was 54 beats per minute, his blood pressure was 136/79 mm Hg (noradrenaline 0.2 µg/kg/min), his oxygen saturation was 91% (noninvasive ventilation), and oxygenation index (OI: PO2/FiO2) 100 mmHg. He was diagnosed with severe COVID-19 pneumonia combined with acute respiratory distress syndrome (ARDS), septic shock, and multiple organ dysfunction syndrome (MODS). We focused on the typical imaging feature of chest CT in the patient (Fig. 1). The white “Septal Line” marked by the red arrow in Fig. 1 (Panel a–d) suggests that cellulosic exudation occurred in the surface of lung lobes. In dynamic imaging, these white lines are clearly visible, which provides evidence for us to judge severe COVID-19 pneumonia. In the three-dimensional imaging system, three-dimensional reconstruction of bilateral lung lesions provided a key clue for early identification of the disease. Presently, his condition is relatively stable.
Fig. 1
Chest computed tomography and three-dimensional reconstruction of the patient's lungs. Shown are chest CT scans obtained at admission (onset the fifth day) in the local hospital: Chest computed tomography (CT) scan (a, b, c, d) red arrows denote “Septal Line” formed by cellulosic exudation between lung lobes; three-dimensional reconstruction (e, f) green arrows denote multilobed lesions of bilateral lungs
×
Acknowledgements
The author thanks the patient and all the members of his family.
Anzeige
Compliance with ethical standards
Conflicts of interest
The author has no conflicts of interest to disclose.
Ethical statement
There are no ethical/legal conflicts involved in the article.
Ethical approval and consent to participate
Written consent from the patient was waived, because of entirely anonymized images from which the individual cannot be identified.
Consent to publish
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.
Anzeige
Open AccessThis article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc/4.0/.
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Mit e.Med Innere Medizin erhalten Sie Zugang zu CME-Fortbildungen des Fachgebietes Innere Medizin, den Premium-Inhalten der internistischen Fachzeitschriften, inklusive einer gedruckten internistischen Zeitschrift Ihrer Wahl.
Mit e.Med Anästhesiologie erhalten Sie Zugang zu CME-Fortbildungen des Fachgebietes AINS, den Premium-Inhalten der AINS-Fachzeitschriften, inklusive einer gedruckten AINS-Zeitschrift Ihrer Wahl.
Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.
Schmerzen im Unterbauch, aber sonst nicht viel, was auf eine Appendizitis hindeutete: Ein junger Mann hatte Glück, dass trotzdem eine Laparoskopie mit Appendektomie durchgeführt und der Wurmfortsatz histologisch untersucht wurde.
Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.
Derzeit wird empfohlen, eine Therapie mit GLP-1-Rezeptoragonisten präoperativ zu unterbrechen. Eine neue Studie nährt jedoch Zweifel an der Notwendigkeit der Maßnahme.
Update AINS
Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.
