Radiographic pulmonary description of bilateral multifocal patchy with ground-glass opacifications needs careful evaluation in the Era of SARS-CoV-2

IF 0.4 Q4 GERONTOLOGY Journal of Gerontology and Geriatrics Pub Date : 2021-09-01 DOI:10.36150/2499-6564-n324
S. Gabriele, S. Minervini, R. Schepisi, M. Peroni, Marlene Dall’Alda, Daniela Broch, D. Recchi, D. Longo, Marco Camin, Renzo Girardello
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Abstract

In the COVID-19 Era, multilobe ground-glass opacities (GGOs) and septal thickening on chest Computed Tomography (CT) have been recognized as a radiological finding highly suggestive for SARS-CoV-2 pneumonia. However, these findings can be misleading. Here, we report about an 81-year-old woman, evaluated in the Emergency Room (ER) for a traumatic hip fracture, who, despite negative molecular testing on the nasopharyngeal sample for SARS-CoV-2, was admitted to a COVID-Unit because of flu-like symptoms with GGOs and interlobular septal thickening on the chest CT. During the hospital stay, focusing on the patient’s medical history, the interstitial lung disease was defined to be a chronic complication of long-term use of Amiodarone and rheumatoid arthritis. Therefore, especially during SARS global pandemic, CT pathological findings suggestive for interstitial pneumopathy should be critically analyzed considering patient history. They can reflect, in fact, other pathological conditions different from SARS-CoV-2 infection as other viral and non-viral infections or chronic inflammatory diseases. © by Società Italiana di Gerontologia e Geriatria (SIGG).
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严重急性呼吸系统综合征冠状病毒2型时代需要仔细评估双侧多灶斑片状磨玻璃样混浊的肺部影像学描述
在新冠肺炎时代,胸部计算机断层扫描(CT)上的多叶基底层混浊(GGOs)和间隔增厚已被认为是严重提示SARS-CoV-2肺炎的放射学发现。然而,这些发现可能具有误导性。在这里,我们报道了一名81岁的女性,她在急诊室(ER)接受了创伤性髋部骨折的评估,尽管鼻咽样本中的严重急性呼吸系统综合征冠状病毒2型分子检测呈阴性,但由于GGO和胸部CT上的小叶间隔增厚的流感样症状,她还是住进了新冠肺炎病房,间质性肺病被定义为长期使用胺碘酮和类风湿性关节炎的慢性并发症。因此,特别是在SARS全球大流行期间,应根据患者病史对提示间质性肺病的CT病理结果进行批判性分析。事实上,它们可以反映与严重急性呼吸系统综合征冠状病毒2型感染不同的其他病理状况,如其他病毒和非病毒感染或慢性炎症疾病。©意大利老年医学协会(SIGG)。
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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
31
期刊介绍: The Journal of Gerontology and Geriatrics (JGG) is the official journal of the Italian Society of Gerontology and Geriatrics (SIGG), which will be an international, interdisciplinary, peer-reviewed journal concerning frontiers and advances in the field of aging. The aim of the journal is to provide a forum for original research papers, reviews, clinical case reports, and commentaries on the most relevant areas pertaining to aging. JGG publishes relevant articles covering the full range of disciplines pertaining to aging. Appropriate areas include (but are not limited to) Physiology and Pathology of Aging, Biogerontology, Epidemiology, Clinical Geriatrics, Pharmacology, Ethics, Psychology, Sociology and Geriatric Nursing.
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