{"title":"A Case of COVID-19 Suspected from the Findings of Chest CT, with the Diagnosis Confirmed by a Second PCR Test;Unknown Infection Route","authors":"K. Nishida, Y. Ogawa, S. Yoshihara, I. Gohma","doi":"10.11150/KANSENSHOGAKUZASSHI.94.545","DOIUrl":null,"url":null,"abstract":"The patient was a 56-year-old man who presented with a 14-day history of fever, and had been diagnosed by a physician as having pneumonia on the basis of the findings of chest CT He had not travelled abroad and gave no history of close contact with any patients with suspected or confirmed COVID-19 His chest CT showed bilateral multiple ground-glass opacities, distributed predominantly in the peripheral lung regions We suspected COVID-19 pneumonia based on the chest CT findings A nasopharyngeal swab PCR test (PCR) for SARS-CoV-2 on day 1 returned a negative result The following day, a nasopharyngeal swab and a sputum specimen were submitted for repeat PCR testing, and both yielded positive results, confirming the diagnosis of COVID-19 pneumonia in the patient","PeriodicalId":17724,"journal":{"name":"Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2020-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.11150/KANSENSHOGAKUZASSHI.94.545","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1
Abstract
The patient was a 56-year-old man who presented with a 14-day history of fever, and had been diagnosed by a physician as having pneumonia on the basis of the findings of chest CT He had not travelled abroad and gave no history of close contact with any patients with suspected or confirmed COVID-19 His chest CT showed bilateral multiple ground-glass opacities, distributed predominantly in the peripheral lung regions We suspected COVID-19 pneumonia based on the chest CT findings A nasopharyngeal swab PCR test (PCR) for SARS-CoV-2 on day 1 returned a negative result The following day, a nasopharyngeal swab and a sputum specimen were submitted for repeat PCR testing, and both yielded positive results, confirming the diagnosis of COVID-19 pneumonia in the patient