COVID-19: case 39

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Federica Pirro, Marco Parillo, Bruno Beomonte Zobel, Carlo Cosimo Quattrocchi

Dipartimento di Diagnostica per Immagini e Radiologia Interventistica – Policlinico Universitario Campus Biomedico di Roma

62-years-old female patient with headache, cough and fever not responding to antibiotics, in absence of dyspnea. Nausea and loss of appetite was also reported. Blood tests were unremarkable, and nasal swab negative for SARS COV 2

The patient was then hospitalized 10 days after the onset of symptoms. Blood test: LDH: 352.00(*) UI/L; Fibrinogen 627(*)mg/Dl;  C PR 7.95(*)mg/dL; ESR 110.00(*)mm/h. ABG test: pH 7.52 (. 7.35 – 7.45), PaCO2 36 mmHg, PaO2 64 mmHg, SaO2 96.2%, HCO3– 29.4mmol/L.

CT

Multiple ground-glass opacities associated with consolidations predominantly in peripheral-subpleural distribution, especially in the posterior regions of the lower lobes where bronchiectases are also noted.

In the suspicious of Covid-19 pneumonia, the patient underwent nasopharyngeal swab confirming the diagnosis. The patient was then transferred to the referral center “Spallanzani” hospital in Rome.