Chest Computed Tomography Findings in Asymptomatic Patients with COVID-19.

IF 3.5 3区 医学 Q2 RESPIRATORY SYSTEM Respiration Pub Date : 2020-01-01 Epub Date: 2020-09-07 DOI:10.1159/000509334
Min Cheol Chang, Wonho Lee, Jian Hur, Donghwi Park
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引用次数: 19

Abstract

Background: Little is known about the damage to the respiratory system in asymptomatic patients with coronavirus disease (COVID-19).

Objective: Herein, we evaluate the findings of chest computed tomography (CT) and radiography in patients with COVID-19 who were asymptomatic.

Methods: We retrospectively investigated patients with a confirmed diagnosis of COVID-19 but who did not show any symptoms. Among the 139 patients with COVID-19 who were hospitalized in Yeungnam University Hopistal in Daegu, South Korea, 10 (7.2%) were asymptomatic. Their chest CT and radiographic findings were analyzed.

Results: In the results, all patients (100%) had ground-glass opacity (GGO) on chest CT. Further, the GGO lesions were predominantly distributed peripherally and posteriorly in all patients. In 9 (90%) patients, the GGO lesions were combined with reticular opacity. Air bronchogram due to bronchiolectasis surrounded by GGO was observed in 8 patients (80%). Additionally, the lung lesions were dominant on the right side in all patients.

Conclusions: In conclusion, considering our results that the lung is affected in asymptomatic patients, it will be necessary to extend the indications of COVID-19 testing for effective management of COVID-19 during the pandemic.

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无症状COVID-19患者胸部ct表现
背景:目前对新型冠状病毒病(COVID-19)无症状患者的呼吸系统损害知之甚少。目的:评价无症状COVID-19患者的胸部CT和x线检查结果。方法:回顾性调查确诊为COVID-19但未表现出任何症状的患者。在大邱岭南大学医院住院的139名新冠肺炎患者中,无症状者有10人(7.2%)。分析其胸部CT及x线表现。结果:所有患者(100%)均有胸部CT磨玻璃影(GGO)。此外,所有患者的GGO病变主要分布在周围和后部。9例(90%)患者GGO病变合并网状混浊。有8例(80%)患者因细支气管扩张伴GGO而出现支气管充气征。所有患者均以右侧肺病变为主。结论:综上所述,考虑到我们的研究结果,无症状患者肺部受到影响,有必要扩大COVID-19检测的适应症,以便在大流行期间有效地管理COVID-19。
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来源期刊
Respiration
Respiration 医学-呼吸系统
CiteScore
7.30
自引率
5.40%
发文量
82
审稿时长
4-8 weeks
期刊介绍: ''Respiration'' brings together the results of both clinical and experimental investigations on all aspects of the respiratory system in health and disease. Clinical improvements in the diagnosis and treatment of chest and lung diseases are covered, as are the latest findings in physiology, biochemistry, pathology, immunology and pharmacology. The journal includes classic features such as editorials that accompany original articles in clinical and basic science research, reviews and letters to the editor. Further sections are: Technical Notes, The Eye Catcher, What’s Your Diagnosis?, The Opinion Corner, New Drugs in Respiratory Medicine, New Insights from Clinical Practice and Guidelines. ''Respiration'' is the official journal of the Swiss Society for Pneumology (SGP) and also home to the European Association for Bronchology and Interventional Pulmonology (EABIP), which occupies a dedicated section on Interventional Pulmonology in the journal. This modern mix of different features and a stringent peer-review process by a dedicated editorial board make ''Respiration'' a complete guide to progress in thoracic medicine.
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