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Medicine (Baltimore). COVID-19 with cystic features on computed tomography: A case report

tetano

Editor, Senior Moderator
Medicine (Baltimore). 2020 May;99(18):e20175. doi: 10.1097/MD.0000000000020175.
COVID-19 with cystic features on computed tomography: A case report.


Liu K[SUP]1[/SUP], Zeng Y[SUP]2[/SUP], Xie P[SUP]1[/SUP], Ye X[SUP]2[/SUP], Xu G[SUP]3[/SUP], Liu J[SUP]4[/SUP], Wang H[SUP]5[/SUP], Qian J[SUP]4[/SUP].

Author information




Abstract

RATIONALE:

The cystic features of the novel coronavirus disease 2019 (COVID-19) found on computed tomography (CT) have not yet been reported in the published literature. We report the cystic chest CT findings of 2 patients confirmed to have COVID-19-related pneumonia.
PATIENT CONCERNS:

A 38-year-old man and a 35-year-old man diagnosed with severe COVID-19 pneumonia were admitted to the intensive care unit.
DIAGNOSES:

Chest CT findings showed multiple cysts in ground-glass opacities (bilaterally) with/without pneumothorax. The cysts had a smooth inner wall.
INTERVENTIONS:

The patients continued to be given oxygen by mask and received antitussive, phlegm-dispelling treatment.
OUTCOMES:

At follow up, there was a reduction in the number of multiple cystic lesions on CT. To date, 1 patient was discharged from hospital, while the other had been transferred to the rehabilitation department.
LESSONS:

COVID-19 may independently result in pulmonary cyst formation and pneumothorax; the application of a ventilator may be another causative factor.



PMID:32358406DOI:10.1097/MD.0000000000020175
 
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