J Ultrasound Med. Contrast-Enhanced Ultrasound in Patients With COVID-19: Pneumonia, Acute Respiratory Distress Syndrome, or Something Else?

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J Ultrasound Med. 2020 May 12. doi: 10.1002/jum.15338. [Epub ahead of print]
Contrast-Enhanced Ultrasound in Patients With COVID-19: Pneumonia, Acute Respiratory Distress Syndrome, or Something Else?


Soldati G¹, Giannasi G², Smargiassi A³, Inchingolo R³, Demi L⁴.

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Abstract

Coronavirus disease 2019 (COVID-19) represents a very heterogeneous disease. Some aspects of COVID-19 pneumonia question the real nature of ground glass opacities and its consolidative lesions. It has been hypothesized that COVID-19 lung involvement could represent not only a viral effect but also an immune response induced by the infection, causing epithelial/endothelial lesions and coagulation disorders. We report 3 cases of COVID-19 pneumonia in which contrast-enhanced ultrasound was suggestive of consolidations with perfusion defects, at least in part caused by ischemic or necrotic changes and not only by inflammatory or atelectasis events.
? 2020 by the American Institute of Ultrasound in Medicine.



KEYWORDS:

COVID-19; contrast-enhanced ultrasound; lung ultrasound


PMID:32395910DOI:10.1002/jum.15338