Hilar lymphadenopathy, a novel finding in the setting of coronavirus disease (COVID-19): a case report.
Identifieur interne : 000738 ( Main/Curation ); précédent : 000737; suivant : 000739Hilar lymphadenopathy, a novel finding in the setting of coronavirus disease (COVID-19): a case report.
Auteurs : Mohsin Sheraz Mughal [États-Unis] ; Rameez Rehman [États-Unis] ; Ramy Osman [États-Unis] ; Nathan Kan [États-Unis] ; Hasan Mirza [États-Unis] ; Margaret H. Eng [États-Unis]Source :
- Journal of medical case reports [ 1752-1947 ] ; 2020.
Descripteurs français
- KwdFr :
- Antienzymes (usage thérapeutique), Betacoronavirus (isolement et purification), Femelle (MeSH), Humains (MeSH), Hydroxychloroquine (usage thérapeutique), Infections à coronavirus (complications), Infections à coronavirus (traitement médicamenteux), Lymphadénopathie (imagerie diagnostique), Lymphadénopathie (traitement médicamenteux), Lymphadénopathie (étiologie), Pandémies (MeSH), Pneumopathie virale (complications), Pneumopathie virale (traitement médicamenteux), Poumon (imagerie diagnostique), Sujet âgé (MeSH), Tomodensitométrie (méthodes).
- MESH :
- imagerie diagnostique : Lymphadénopathie, Poumon.
- isolement et purification : Betacoronavirus.
- méthodes : Tomodensitométrie.
- traitement médicamenteux : Infections à coronavirus, Lymphadénopathie, Pneumopathie virale.
- usage thérapeutique : Antienzymes, Hydroxychloroquine, Infections à coronavirus, Pneumopathie virale.
- étiologie : Lymphadénopathie.
- Femelle, Humains, Pandémies, Sujet âgé.
English descriptors
- KwdEn :
- Aged (MeSH), Betacoronavirus (isolation & purification), Coronavirus Infections (complications), Coronavirus Infections (drug therapy), Enzyme Inhibitors (therapeutic use), Female (MeSH), Humans (MeSH), Hydroxychloroquine (therapeutic use), Lung (diagnostic imaging), Lymphadenopathy (diagnostic imaging), Lymphadenopathy (drug therapy), Lymphadenopathy (etiology), Pandemics (MeSH), Pneumonia, Viral (complications), Pneumonia, Viral (drug therapy), Tomography, X-Ray Computed (methods).
- MESH :
- chemical , therapeutic use : Enzyme Inhibitors, Hydroxychloroquine.
- complications : Coronavirus Infections, Pneumonia, Viral.
- diagnostic imaging : Lung, Lymphadenopathy.
- drug therapy : Coronavirus Infections, Lymphadenopathy, Pneumonia, Viral.
- etiology : Lymphadenopathy.
- isolation & purification : Betacoronavirus.
- methods : Tomography, X-Ray Computed.
- Aged, Female, Humans, Pandemics.
Abstract
BACKGROUND
As the outbreak of coronavirus disease 2019 (COVID-19) has progressed, computed tomography has emerged as an integral part of the diagnosis alongside reverse transcriptase-polymerase chain reaction assays. Frequently encountered imaging findings include peripheral airspace consolidations; bilateral ground-glass opacities; and, less commonly, cavitation. Hilar lymphadenopathy is a rarely reported finding in the setting of COVID-19.
CASE PRESENTATION
A 73-year-old Caucasian woman presented to our hospital with fever and fatigue. She had a maximum body temperature of 102.3 °F with lymphopenia and thrombocytopenia. She was diagnosed with severe acute respiratory syndrome coronavirus 2 infection on the basis of a positive result from a reverse transcriptase-polymerase chain reaction of a nasopharyngeal swab sample. Contrast-enhanced chest computed tomography revealed multifocal, subpleural ground-glass opacities with nodular consolidations bilaterally. Computed tomography also demonstrated atypical bilateral hilar lymphadenopathy, a rarely reported imaging feature of COVID-19. Chest computed tomography 1 month before the presentation did not show focal consolidations or lymphadenopathy. This indicated that the findings were due to the patient's severe acute respiratory syndrome coronavirus 2 infection. She received 5 days of oral hydroxychloroquine and experienced resolution of her symptoms.
CONCLUSION
Chest computed tomography has been used extensively to diagnose and characterize the distinguishing radiological findings associated with viral pneumonia. It has emerged as an integral part of the diagnosis of COVID-19 alongside reverse transcriptase-polymerase chain reaction assays. Clinicians must be aware of uncommon clinical and radiological findings in order to diagnose this entity. Hilar lymphadenopathy is commonly seen with fungal infections, mycobacterial infections, and sarcoidosis. An extensive literature review found that bilateral hilar lymphadenopathy has not been reported in the setting of COVID-19. More data are needed to establish the clinical impact of this novel finding.
DOI: 10.1186/s13256-020-02452-3
PubMed: 32771058
PubMed Central: PMC7415007
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pubmed:32771058Le document en format XML
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<term>Betacoronavirus (isolation & purification)</term>
<term>Coronavirus Infections (complications)</term>
<term>Coronavirus Infections (drug therapy)</term>
<term>Enzyme Inhibitors (therapeutic use)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Hydroxychloroquine (therapeutic use)</term>
<term>Lung (diagnostic imaging)</term>
<term>Lymphadenopathy (diagnostic imaging)</term>
<term>Lymphadenopathy (drug therapy)</term>
<term>Lymphadenopathy (etiology)</term>
<term>Pandemics (MeSH)</term>
<term>Pneumonia, Viral (complications)</term>
<term>Pneumonia, Viral (drug therapy)</term>
<term>Tomography, X-Ray Computed (methods)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Antienzymes (usage thérapeutique)</term>
<term>Betacoronavirus (isolement et purification)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Hydroxychloroquine (usage thérapeutique)</term>
<term>Infections à coronavirus (complications)</term>
<term>Infections à coronavirus (traitement médicamenteux)</term>
<term>Lymphadénopathie (imagerie diagnostique)</term>
<term>Lymphadénopathie (traitement médicamenteux)</term>
<term>Lymphadénopathie (étiologie)</term>
<term>Pandémies (MeSH)</term>
<term>Pneumopathie virale (complications)</term>
<term>Pneumopathie virale (traitement médicamenteux)</term>
<term>Poumon (imagerie diagnostique)</term>
<term>Sujet âgé (MeSH)</term>
<term>Tomodensitométrie (méthodes)</term>
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<term>Hydroxychloroquine</term>
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<term>Pneumonia, Viral</term>
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<term>Lymphadenopathy</term>
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<term>Poumon</term>
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<term>Pneumopathie virale</term>
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<term>Humans</term>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>As the outbreak of coronavirus disease 2019 (COVID-19) has progressed, computed tomography has emerged as an integral part of the diagnosis alongside reverse transcriptase-polymerase chain reaction assays. Frequently encountered imaging findings include peripheral airspace consolidations; bilateral ground-glass opacities; and, less commonly, cavitation. Hilar lymphadenopathy is a rarely reported finding in the setting of COVID-19.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CASE PRESENTATION</b>
</p>
<p>A 73-year-old Caucasian woman presented to our hospital with fever and fatigue. She had a maximum body temperature of 102.3 °F with lymphopenia and thrombocytopenia. She was diagnosed with severe acute respiratory syndrome coronavirus 2 infection on the basis of a positive result from a reverse transcriptase-polymerase chain reaction of a nasopharyngeal swab sample. Contrast-enhanced chest computed tomography revealed multifocal, subpleural ground-glass opacities with nodular consolidations bilaterally. Computed tomography also demonstrated atypical bilateral hilar lymphadenopathy, a rarely reported imaging feature of COVID-19. Chest computed tomography 1 month before the presentation did not show focal consolidations or lymphadenopathy. This indicated that the findings were due to the patient's severe acute respiratory syndrome coronavirus 2 infection. She received 5 days of oral hydroxychloroquine and experienced resolution of her symptoms.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>Chest computed tomography has been used extensively to diagnose and characterize the distinguishing radiological findings associated with viral pneumonia. It has emerged as an integral part of the diagnosis of COVID-19 alongside reverse transcriptase-polymerase chain reaction assays. Clinicians must be aware of uncommon clinical and radiological findings in order to diagnose this entity. Hilar lymphadenopathy is commonly seen with fungal infections, mycobacterial infections, and sarcoidosis. An extensive literature review found that bilateral hilar lymphadenopathy has not been reported in the setting of COVID-19. More data are needed to establish the clinical impact of this novel finding.</p>
</div>
</front>
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<ArticleTitle>Hilar lymphadenopathy, a novel finding in the setting of coronavirus disease (COVID-19): a case report.</ArticleTitle>
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<ELocationID EIdType="doi" ValidYN="Y">10.1186/s13256-020-02452-3</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">As the outbreak of coronavirus disease 2019 (COVID-19) has progressed, computed tomography has emerged as an integral part of the diagnosis alongside reverse transcriptase-polymerase chain reaction assays. Frequently encountered imaging findings include peripheral airspace consolidations; bilateral ground-glass opacities; and, less commonly, cavitation. Hilar lymphadenopathy is a rarely reported finding in the setting of COVID-19.</AbstractText>
<AbstractText Label="CASE PRESENTATION" NlmCategory="METHODS">A 73-year-old Caucasian woman presented to our hospital with fever and fatigue. She had a maximum body temperature of 102.3 °F with lymphopenia and thrombocytopenia. She was diagnosed with severe acute respiratory syndrome coronavirus 2 infection on the basis of a positive result from a reverse transcriptase-polymerase chain reaction of a nasopharyngeal swab sample. Contrast-enhanced chest computed tomography revealed multifocal, subpleural ground-glass opacities with nodular consolidations bilaterally. Computed tomography also demonstrated atypical bilateral hilar lymphadenopathy, a rarely reported imaging feature of COVID-19. Chest computed tomography 1 month before the presentation did not show focal consolidations or lymphadenopathy. This indicated that the findings were due to the patient's severe acute respiratory syndrome coronavirus 2 infection. She received 5 days of oral hydroxychloroquine and experienced resolution of her symptoms.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Chest computed tomography has been used extensively to diagnose and characterize the distinguishing radiological findings associated with viral pneumonia. It has emerged as an integral part of the diagnosis of COVID-19 alongside reverse transcriptase-polymerase chain reaction assays. Clinicians must be aware of uncommon clinical and radiological findings in order to diagnose this entity. Hilar lymphadenopathy is commonly seen with fungal infections, mycobacterial infections, and sarcoidosis. An extensive literature review found that bilateral hilar lymphadenopathy has not been reported in the setting of COVID-19. More data are needed to establish the clinical impact of this novel finding.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mughal</LastName>
<ForeName>Mohsin Sheraz</ForeName>
<Initials>MS</Initials>
<Identifier Source="ORCID">http://orcid.org/0000-0002-9718-0874</Identifier>
<AffiliationInfo><Affiliation>Monmouth Medical Center, An Affiliate of RWJ/Barnabas Health System, 300 2nd Avenue, Long Branch, NJ, 07740, USA. mohsinsherazmd@gmail.com.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Rehman</LastName>
<ForeName>Rameez</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Monmouth Medical Center, An Affiliate of RWJ/Barnabas Health System, 300 2nd Avenue, Long Branch, NJ, 07740, USA.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Osman</LastName>
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<Initials>R</Initials>
<AffiliationInfo><Affiliation>Monmouth Medical Center, An Affiliate of RWJ/Barnabas Health System, 300 2nd Avenue, Long Branch, NJ, 07740, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kan</LastName>
<ForeName>Nathan</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>Monmouth Medical Center, An Affiliate of RWJ/Barnabas Health System, 300 2nd Avenue, Long Branch, NJ, 07740, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Mirza</LastName>
<ForeName>Hasan</ForeName>
<Initials>H</Initials>
<AffiliationInfo><Affiliation>Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, MA, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Eng</LastName>
<ForeName>Margaret H</ForeName>
<Initials>MH</Initials>
<AffiliationInfo><Affiliation>Monmouth Medical Center, An Affiliate of RWJ/Barnabas Health System, 300 2nd Avenue, Long Branch, NJ, 07740, USA.</Affiliation>
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<Month>08</Month>
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<QualifierName UI="Q000302" MajorTopicYN="Y">isolation & purification</QualifierName>
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<MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
<QualifierName UI="Q000188" MajorTopicYN="N">drug therapy</QualifierName>
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<MeshHeading><DescriptorName UI="D004791" MajorTopicYN="N">Enzyme Inhibitors</DescriptorName>
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