An atypical case: RT-PCR-negative, sero-positive covid-19 patient
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31 déc. 2020
À propos de cet article
Catégorie d'article: Clinical Cases
Publié en ligne: 31 déc. 2020
Pages: 107 - 114
DOI: https://doi.org/10.2478/pneum-2020-0013
Mots clés
© 2020 William Suriady et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Figure 1
Figure 2
Vital sign, symptoms and examination by day of illness and hospitalisation
| Cough | (+), dry | (+), dry | (+), dry | (+), dry | (+), dry | (+), dry | (+), dry | (+), dry | (+), dry | (+), dry | (+), dry | (+), dry | (+), dry | (+), dry | (+), dry | (+), dry | ± | ± | ± | ± | (−) | (±) | (+), dry | (+), dry | x | x |
| Dyspnoea | (−) | (+) | (+) | (+) | (+) | (+) | (+) | (+) | (+) | (+) | (+) | (+) | (+) | (+) | (+) | ± | ± | - | - | - | (−) | (−) | (+) | (+) | x | x |
| Fever | (−) | (−) | (−) | (−) | (−) | (−) | (−) | (−) | (−) | (−) | (−) | (−) | (−) | (−) | (−) | (−) | (+) | (−) | (+) | (−) | (−) | (+) | (+) | (+) | (+) | (+) |
| RR | 20 | 36 | 24 | 24 | 22 | 22 | 22 | 24 | 26 | 25 | 25 | 20 | 24 | 18 | 22 | 20 | 22 | 19 | 22 | 20 | 22 | 21 | 32 | 32 | 26 | 25 |
| SaO2 | 98% | 83% | 95% | 97% | 98% | 93% | 98% | 93% | 98% | 99% | 99% | 99% | 96% | 97% | 98% | 99% | 95% | 94% | 98% | 95% | 100% | 97% | 94% | 86% | 96% | 97% |
| Physical examination | (−) | Rhonchi +/+ | Rhonchi +/+ | Rhonchi +/+ | Rhonchi +/+ | Rhonchi +/+ | Rhonchi +/+ | Rhonchi +/+ | Rhonchi +/+ | Rhonchi +/+ | Rhonchi +/+ | Rhonchi +/+ | Rhonchi +/+ | Rhonchi +/+ | Rhonchi +/+ | Rhonchi +/+ | Rhonchi ±/± | Rhonchi ±/± | Rhonchi ±/± | Rhonchi ±/± | Rhonchi ±/± | Rhonchi ±/± | Rhonchi +/+ | Rhonchi +/+ | Rhonchi +/+ | Rhonchi +/+ |
| Oxygenation | (−) | NRM 12 L/min | NRM 15 L/min | NRM 15 L/min | NRM 15 L/min | NRM 10 L/min | NIPPV 60 L/min | NIPPV 60 L/min | NIPPV 60 L/min | NIPPV 60 L/min | NIPPV 60 L/min | NIPPV 40 L/min | NRM 15 L/min | NRM 15 L/min | NRM 10 L/min | NRM 10 L/min | NC 3 L/min | NC 3 L/min | NC 3 L/min | NC 4 L/min | NC 2 L/min | NC 2 L/min | NRM 10 L/min | PC 15, PEEP 8, RR 20 FiO2 100% | PC 10, PEEP 8, RR 15 FiO2 90% | PC 15, PEEP 10, RR 30 FiO2 100% |
| Laboratory values | CBC | CBC | FPG 212 (↑) | PPG 167 (↑) | ABG | RT-PCR | FPG 126 | FPG 516 (↑) | FPG 227 (↑) | FPG 339 (↑) | FPG 159 (↑) | FPG 321 (↑) | CBC | CRP 298 (↑) | Rapid Ab | RPG | FPG 140 (↑) | CBC | PT 11.5 (↑) | CBC | aPTT 68.6 (↑) | |||||
| Imaging | CXR Infiltrates in left perihilar and bilateral laterobasal areas | CXR Bilateral paracardiac infiltrate | CXR Decrease in perihilar and paracardiac infiltrates | CT Bilateral GGO suggestive of viral pneumonia | CXR Increased infiltrates in bilateral perihilar and paracardiac regions | CXR Increased pulmonary infiltrate in both lungs | ||||||||||||||||||||