Images in clinical medicine | Volume 39, Article 161, 01 Jul 2021 | 10.11604/pamj.2021.39.161.30177

SARS-CoV-2 atypical viral pneumonia with 25/25 computed tomography score

Moli Jai Jain, Vishnu Vardhan

Corresponding author: Vishnu Vardhan, Department of Cardiovascular and Respiratory Physiotherapy Sciences, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India

Received: 04 Jun 2021 - Accepted: 20 Jun 2021 - Published: 01 Jul 2021

Domain: Emergency medicine,Physical medicine and rehabilitation or Physiatry

Keywords: Atypical viral pneumonia, SARS-CoV-2, COVID-19, high-resolution computed tomography

©Moli Jai Jain et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Moli Jai Jain et al. SARS-CoV-2 atypical viral pneumonia with 25/25 computed tomography score. Pan African Medical Journal. 2021;39:161. [doi: 10.11604/pamj.2021.39.161.30177]

Available online at: https://www.panafrican-med-journal.com/content/article/39/161/full

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Images in clinical medicine

SARS-CoV-2 atypical viral pneumonia with 25/25 computed tomography score

SARS-CoV-2 atypical viral pneumonia with 25/25 computed tomography score

Moli Jai Jain1, Vishnu Vardhan1,&

 

1Department of Cardiovascular and Respiratory Physiotherapy Sciences, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India

 

 

&Corresponding author
Vishnu Vardhan, Department of Cardiovascular and Respiratory Physiotherapy Sciences, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India

 

 

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A-36-year-old female patient came to the emergency department the complaints of fever with chills, along with progressing breathing difficulty since 8 days. She was advised rapid antigen test on 22/04/2021 and a sample was taken for reverse transcription polymerase chain reaction (RT-PCR), both came out to be positive for SARS-CoV-2. Following this, her high-resolution computed tomography (HRCT) thorax (A) was done which reveals multiple ill-defined patchy ground-glass opacities with consolidation, septal thickening, and fibrotic changes in bilateral lung fields as described above signs suggestive of COVID-19 changes with atypical viral pneumonia. The computed tomography (CT) severity score was 25/25 (severe) with COVID-19 Reporting and Data System (CO-RADS) grade 6. The patient was immediately admitted to the isolation intensive care unit (ICU). High flow O2 support was started as SpO2 on admission was 44% on room air. Despite high flow of O2, patient was breathless and SpO2 was 57%. She was hence taken on bilevel positive airway pressure (BiPAP) with a 14-8 setting with O2 support. Along with medical management, physiotherapy treatment was administered. After 22 days the RT-PCR was reported negative and was shifted to high dependency unit and advised chest X-ray (B) which suggestive of bilateral opacities seen in bilateral lobes and right hemi diaphragm is pulled up. She received regular physiotherapy and was gradually wean off from ventilator and was maintaining saturation at the flow rate of 15 litre O2/min. Early administration of rehabilitation program will help in prevent further complications among such patients.

 

 

Figure 1: A) multiple ill-defined patchy ground-glass opacities with consolidation, septal thickening, and fibrotic changes in bilateral lung fields suggestive of COVID-19 changes with atypical viral pneumonia with CT severity score 25/25; B) bilateral opacities seen in bilateral lobes and right hemi diaphragm is pulled up

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Images in clinical medicine

SARS-CoV-2 atypical viral pneumonia with 25/25 computed tomography score

Images in clinical medicine

SARS-CoV-2 atypical viral pneumonia with 25/25 computed tomography score

Images in clinical medicine

SARS-CoV-2 atypical viral pneumonia with 25/25 computed tomography score

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Atypical viral pneumonia

SARS-CoV-2

COVID-19

High-resolution computed tomography

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