Use of chest CT-scan images to differentiate between SARS-CoV-2 infection and fat embolism: A clinical case.
Identifieur interne : 000287 ( Main/Exploration ); précédent : 000286; suivant : 000288Use of chest CT-scan images to differentiate between SARS-CoV-2 infection and fat embolism: A clinical case.
Auteurs : Penance Agbelele [France] ; François Van Maris [France] ; Mario Sanguina [France] ; Bachar Zerkly [France] ; Az-Eddine Djebara [France] ; Pierre Girard [France]Source :
- Radiology case reports [ 1930-0433 ] ; 2020.
Abstract
The authors present the case of a young man victim of a traffic accident during the SARS-CoV-2 confinement, having presented a fracture of the femoral shaft that was soon complicated by respiratory failure with oxygen desaturation. In this pandemic context, Covid-19 RT-PCR tests were carried out but returned negative. The CT images could suggest either a fatty embolism, a SARS-CoV-2 infection or both. The patient's condition improved significantly after going into intensive care and only symptomatic treatment. This case demonstrates the difficulty of differential interpretation of CT images between fatty embolism and SARS-CoV-2 infection.
DOI: 10.1016/j.radcr.2020.07.071
PubMed: 32837669
PubMed Central: PMC7392099
Affiliations:
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sort="Agbelele, Penance" uniqKey="Agbelele P" first="Penance" last="Agbelele">Penance Agbelele</name><affiliation wicri:level="1"><nlm:affiliation>Orthopedic Surgery and Traumatology Department, South Oise Hospital Group, Creil, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Orthopedic Surgery and Traumatology Department, South Oise Hospital Group, Creil</wicri:regionArea><wicri:noRegion>Creil</wicri:noRegion><wicri:noRegion>Creil</wicri:noRegion></affiliation></author><author><name sortKey="Van Maris, Francois" sort="Van Maris, Francois" uniqKey="Van Maris F" first="François" last="Van Maris">François Van Maris</name><affiliation wicri:level="1"><nlm:affiliation>Medical Imaging Department, South Oise Hospital Group, Creil, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Medical Imaging Department, South Oise Hospital Group, 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uniqKey="Girard P" first="Pierre" last="Girard">Pierre Girard</name><affiliation wicri:level="1"><nlm:affiliation>Orthopedic Surgery and Traumatology Department, South Oise Hospital Group, Creil, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Orthopedic Surgery and Traumatology Department, South Oise Hospital Group, Creil</wicri:regionArea><wicri:noRegion>Creil</wicri:noRegion><wicri:noRegion>Creil</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:affiliation>Orthopedic Surgery and Traumatology Department, University Hospital of Amiens-Picardy 80480, Salouel, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Orthopedic Surgery and Traumatology Department, University Hospital of Amiens-Picardy 80480, Salouel</wicri:regionArea><placeName><region type="region" nuts="2">Hauts-de-France</region><region type="old region" nuts="2">Picardie</region><settlement type="city">Salouel</settlement></placeName></affiliation></author></analytic><series><title level="j">Radiology case reports</title><idno type="ISSN">1930-0433</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The authors present the case of a young man victim of a traffic accident during the SARS-CoV-2 confinement, having presented a fracture of the femoral shaft that was soon complicated by respiratory failure with oxygen desaturation. In this pandemic context, Covid-19 RT-PCR tests were carried out but returned negative. The CT images could suggest either a fatty embolism, a SARS-CoV-2 infection or both. The patient's condition improved significantly after going into intensive care and only symptomatic treatment. This case demonstrates the difficulty of differential interpretation of CT images between fatty embolism and SARS-CoV-2 infection.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">32837669</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">1930-0433</ISSN><JournalIssue CitedMedium="Print"><Volume>15</Volume><Issue>10</Issue><PubDate><Year>2020</Year><Month>Oct</Month></PubDate></JournalIssue><Title>Radiology case reports</Title><ISOAbbreviation>Radiol Case Rep</ISOAbbreviation></Journal><ArticleTitle>Use of chest CT-scan images to differentiate between SARS-CoV-2 infection and fat embolism: A clinical case.</ArticleTitle><Pagination><MedlinePgn>2047-2050</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.radcr.2020.07.071</ELocationID><Abstract><AbstractText>The authors present the case of a young man victim of a traffic accident during the SARS-CoV-2 confinement, having presented a fracture of the femoral shaft that was soon complicated by respiratory failure with oxygen desaturation. In this pandemic context, Covid-19 RT-PCR tests were carried out but returned negative. The CT images could suggest either a fatty embolism, a SARS-CoV-2 infection or both. The patient's condition improved significantly after going into intensive care and only symptomatic treatment. This case demonstrates the difficulty of differential interpretation of CT images between fatty embolism and SARS-CoV-2 infection.</AbstractText><CopyrightInformation>© 2020 The Authors.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Agbelele</LastName><ForeName>Penance</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Orthopedic Surgery and Traumatology Department, South Oise Hospital Group, Creil, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Van Maris</LastName><ForeName>François</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Medical Imaging Department, South Oise Hospital Group, Creil, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sanguina</LastName><ForeName>Mario</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Orthopedic Surgery and Traumatology Department, South Oise Hospital Group, Creil, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zerkly</LastName><ForeName>Bachar</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Orthopedic Surgery and Traumatology Department, South Oise Hospital Group, Creil, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Djebara</LastName><ForeName>Az-Eddine</ForeName><Initials>AE</Initials><AffiliationInfo><Affiliation>Orthopedic Surgery and Traumatology Department, University Hospital of Amiens-Picardy 80480, Salouel, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Girard</LastName><ForeName>Pierre</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Orthopedic Surgery and Traumatology Department, South Oise Hospital Group, Creil, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Orthopedic Surgery and Traumatology Department, University Hospital of Amiens-Picardy 80480, Salouel, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>07</Month><Day>30</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Radiol Case Rep</MedlineTA><NlmUniqueID>101467888</NlmUniqueID><ISSNLinking>1930-0433</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Differential diagnosis</Keyword><Keyword MajorTopicYN="N">Fat embolism</Keyword><Keyword MajorTopicYN="N">SARS-CoV-2</Keyword><Keyword MajorTopicYN="N">Thoracic CT-scan</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>07</Month><Day>19</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>07</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>07</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>8</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>8</Month><Day>25</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>8</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32837669</ArticleId><ArticleId IdType="doi">10.1016/j.radcr.2020.07.071</ArticleId><ArticleId IdType="pii">S1930-0433(20)30381-2</ArticleId><ArticleId IdType="pmc">PMC7392099</ArticleId></ArticleIdList><pmc-dir>pmcsd</pmc-dir>
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