Radiological aspects in patients diagnosed with SARS-CoV-2 infection – a literature review (original) (raw)
Romanian Journal of Infectious Diseases
Radiological aspects in patients diagnosed with saRs-coV-2 infection-a liteRatuRe ReView Maria cristina hoara 1 , Md, assist. prof. andreea florentina stoenescu 1,2 , Md, nedeea duta 1 , Md, prof. petre calistru 1,2 , Md, phd, prof. emanoil ceausu 1,2,3 , Md, phd, assoc. prof. simin-aysel florescu 1,2 , Md, phd
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2021
1. Student of the Medicine Course of the Centro Universitário de Patos de Minas. 2. Student of the Medicine Course of the Medical Sciences Faculty of Minas Gerais. 3. Assistant Professor at the Faculty of Medical Sciences of Minas Gerais and Master’s degree in Health Sciences. 4. Professor of the Medicine Course of the Centro Universitário de Patos de Minas. Address: Júlia Caixeta Loureiro. Rua Vereador Clênio de Carvalho, 66, Patos de Minas, MG. E-mail para contato: juliacaixetaloureiro@gmail.com ABSTRACT: In late 2019 a new coronavirus called SARS-CoV-2 appeared in Wuhan, China and was responsible for a pandemic with unprecedented repercussions. However, it is known that the country had an epidemic of another coronavirus called SARS-CoV about 20 years ago in 2002, and its carriers presented a very similar clinical picture to those infected by the new virus. In addition to the clinical picture, the radiological presentation is also generally similar. Thus, the present study aims to...
Abdominal imaging findings in patients with SARS-CoV-2 infection: a scoping review
Abdominal Radiology
Purpose This scoping review evaluated the currently available data related to abdominal imaging in the SARS-CoV-2 infection. Method A systematic review of MEDLINE, EMBASE, SCOPUS, and Web of Science was performed from inception to July 15, 2020 using PRISMA-ScR guidelines. The review included case reports and series discussing radiologic manifestations of SARS-CoV-2 infection in abdominal imaging studies.
Early detection of SARS-CoV-2 from staging PET-CT
Journal of Radiation Oncology, 2020
Objective SARS-CoV-2 infection may manifest with minimal or no clinical symptoms. However, signs of infection may appear on routine imaging obtained in the care of patients with cancer. The management of patients planned for chemoradiation with asymptomatic or mildly symptomatic SARS-CoV-2 infection is uncertain. Methods Here, we present a case study of a mildly symptomatic patient with anal cancer diagnosed with SARS-CoV-2 from a staging PET-CT scan. Results PET-CT scan for anal cancer staging demonstrated pulmonary avidity suspicious for an infectious, rather than malignant, process. In the setting of these imaging findings and new-onset anosmia, viral polymerase chain reaction was ordered and found to be positive for SARS-CoV-2. To avoid myelosuppression in the setting of active infection, planned chemoradiation was delayed until cessation of viral shedding. Conclusion In the COVID-19 era, oncologists obtaining routine staging imaging should have high diagnostic suspicion for subclinical SARS-CoV-2 infection. To avoid precipitating severe pneumonia and hospitalization, multidisciplinary discussion with risk-benefit analysis is recommended before initiating immunosuppressive therapies such as chemoradiation.
Emergency Radiology
Differently from computed tomography (CT), well-defined terminology for chest radiography (CXR) findings and standardized reporting in the setting of known or suspected COVID-19 are still lacking. We propose a revision of CXR major imaging findings in SARS-CoV-2 pneumonia derived from the comparison of CXR and CT, suggesting a precise and standardized terminology for CXR reporting. This description will consider asymptomatic patients, symptomatic patients, and patients with SARS-CoV-2-related pulmonary complications. We suggest using terms such as ground-glass opacities, consolidation, and reticular pattern for the most common findings, and characteristic chest radiographic pattern in presence of one or more of the above-mentioned findings with peripheral and mid-to-lower lung zone distribution.
Advances in Clinical and Experimental Medicine, 2023
Background. On March 11, 2020, coronavirus disease (COVID-19) was declared a global threat by the World Health Organization (WHO). It quickly became apparent that reducing inpatient mortality rates and early phase prediction of possible deterioration or severe disease course relied on finding more specific biomarkers. Objectives. This retrospective study assessed initial clinical, laboratory and radiological features of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-infected patients and explored their impact on mortality and the course of the disease. Such efforts aimed to facilitate the identification of high-risk patients and to improve the formulation of treatment plans for these individuals. Materials and methods. The cohort comprised 111 consecutive adult inpatients diagnosed with COVID-19 and hospitalized in the Internal Medicine Ward of the University Clinical Center of prof. K. Gibiński of the Medical University of Silesia in Katowice, Poland, a COVID-19 Treatment Unit, between November 16, 2020 and February 15, 2021. All available clinical, laboratory and radiological findings were extracted from electronic records and assessed as possible risk factors for poor prognosis. Results. Clinicasl and radiological features with higher frequency in COVID-19 non-survivors included older age, history of smoking, concomitant cardiovascular diseases, low oxygen saturation (SpO 2), and high infection risk assessed on admission as well as high opacity score, percentage of opacity and percentage of high opacity in computed tomography. Non-survivors had decreased serum lymphocytes, monocytes, calcium, magnesium, and hemoglobin oxygen saturation. They also had increased red cell distribution width (RDW), C-reactive protein (CRP), procalcitonin, alkaline phosphatase (ALP), creatinine, blood urea nitrogen (BUN), D-dimer, troponin, and N-terminal prohormone of brain natriuretic peptide (NT-proBNP) levels, as well as a base deficit. Conclusions. This retrospective study identified several markers associated with a fatal course of COVID-19. The early assessment of SARS-CoV-2-infected inpatients should consider these markers.
Military Medical Research
Novel coronavirus (2019-nCoV), also known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is a pathogen that has caused a rapidly spreading pandemic all over the world. The primary mean of transmission is inhalation with a predilection for respiratory system involvement, especially in the distal airways. The disease that arises from this novel coronavirus is named coronavirus disease 2019 (COVID-19). COVID-19 may have a rapid and devastating course in some cases leading to severe complications and death. Radiological imaging methods have an invaluable role in diagnosis, follow-up, and treatment. In this review, radiological imaging findings of COVID-19 have been systematically reviewed based on the published literature so far. Radiologic reporting templates are also emphasized from a different point of view, considering specific distinctive patterns of involvement.
Clinical Manifestations of SARS-CoV-2 Infections:A Case Study
2020
Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) has caused an ongoing global pandemic in the world. Scientists and physicians have joined efforts to successfully manage the situation, however since consensus has not been reached yet about the proper management of SARS-CoV-2, it is imperative for physicians to exchange information about the clinical management of the patients affected by the virus. We present a case study of a male patient affected by the SARS-CoV-2 virus, who received successful treatment into the City Hospital, in Kutaisi, Georgia.
Revista de Medicina
No final de 2019 um novo coronavírus denominado SARS-CoV-2 surgiu em Wuhan, na China e foi responsável por uma pandemia com repercussões sem precedentes. Entretanto, sabe-se que há cerca de 20 anos, em 2002, o país teve uma epidemia de outro coronavírus, o SARS-CoV, sendo que seus portadores apresentaram quadro clínico muito semelhante aos infectados pelo novo vírus. Além da clínica, a apresentação radiológica, de maneira geral, também é similar. Dessa forma, o presente estudo tem como objetivo a análise e comparação das alterações radiológicas presentes em ambas as infecções, bem como a produção científica acerca desses achados, por meio de uma revisão da literatura. A busca pelo referencial teórico ocorreu em agosto de 2020 por meio das bases de dados da Scielo, Medscape e PubMed, além de protocolos médicos. Após aplicação dos critérios de inclusão e exclusão foram selecionados vinte e um artigos que atenderam o objetivo da pesquisa e cinco protocolos. As alterações radiológicas ...
Respiratory Medicine, 2020
To evaluate the imaging features of routine admission chest X-ray in patients referred for novel Coronavirus 2019 infection. Methods: All patients referred to the emergency departments, RT-PCR positive for SARS-CoV-2 infection were evaluated. Demographic and clinical data were recorded. Two radiologists (8 and 15 years of experience) reviewed all the X-ray images and evaluated the following findings: interstitial opacities, alveolar opacities (AO), AO associated with consolidation, consolidation and/or pleural effusion. We stratified patients in groups according to the time interval between symptoms onset (cut-off 5 days) and X-ray imaging and according to age (cut-off 60 years old). Computed tomography was performed in case of a discrepancy between clinical symptoms, laboratory and X-ray findings, and/or suspicion of complications. Results: A total of 468 patients were tested positive for SARS-CoV-2. Lung lesions primarily manifested as interstitial opacities (71.7%) and AO opacities (60.5%), more frequently bilateral (64.5%) and with a peripheral predominance (62.5%). Patients admitted to the emergency radiology department after 5 days from symptoms onset, more frequently had interstitial and AO opacities, in comparison to those admitted within 5 days, and lung lesions were more frequently bilateral and peripheral. Older patients more frequently presented interstitial and AO opacities in comparison to younger ones. Sixty-eight patients underwent CT that principally showed the presence of ground-glass opacities and consolidations. Conclusions: The most common X-ray pattern is multifocal and peripheral, associated with interstitial and alveolar opacities. Chest X-ray, compared to CT, can be considered a reliable diagnostic tool, especially in the Emergency setting.