Imaging changes in severe COVID-19 pneumonia
Identifieur interne : 000074 ( Pmc/Corpus ); précédent : 000073; suivant : 000075Imaging changes in severe COVID-19 pneumonia
Auteurs : Wei ZhangSource :
- Intensive Care Medicine [ 0342-4642 ] ; 2020.
Url:
DOI: 10.1007/s00134-020-05976-w
PubMed: 32125453
PubMed Central: 7080079
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Imaging changes in severe COVID-19 pneumonia</title><author><name sortKey="Zhang, Wei" sort="Zhang, Wei" uniqKey="Zhang W" first="Wei" last="Zhang">Wei Zhang</name><affiliation><nlm:aff id="Aff1">Department of Emergency and Critical Care Medicine, Affiliated Hospital of Zunyi Medical University, Zunyi Medical University, 149 Dalian Road, Zunyi, 563000 Guizhou China</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">32125453</idno><idno type="pmc">7080079</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7080079</idno><idno type="RBID">PMC:7080079</idno><idno type="doi">10.1007/s00134-020-05976-w</idno><date when="2020">2020</date><idno type="wicri:Area/Pmc/Corpus">000074</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000074</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Imaging changes in severe COVID-19 pneumonia</title><author><name sortKey="Zhang, Wei" sort="Zhang, Wei" uniqKey="Zhang W" first="Wei" last="Zhang">Wei Zhang</name><affiliation><nlm:aff id="Aff1">Department of Emergency and Critical Care Medicine, Affiliated Hospital of Zunyi Medical University, Zunyi Medical University, 149 Dalian Road, Zunyi, 563000 Guizhou China</nlm:aff></affiliation></author></analytic><series><title level="j">Intensive Care Medicine</title><idno type="ISSN">0342-4642</idno><idno type="eISSN">1432-1238</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader></TEI><pmc article-type="brief-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Intensive Care Med</journal-id><journal-id journal-id-type="iso-abbrev">Intensive Care Med</journal-id><journal-title-group><journal-title>Intensive Care Medicine</journal-title></journal-title-group><issn pub-type="ppub">0342-4642</issn><issn pub-type="epub">1432-1238</issn><publisher><publisher-name>Springer Berlin Heidelberg</publisher-name><publisher-loc>Berlin/Heidelberg</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">32125453</article-id><article-id pub-id-type="pmc">7080079</article-id><article-id pub-id-type="publisher-id">5976</article-id><article-id pub-id-type="doi">10.1007/s00134-020-05976-w</article-id><article-categories><subj-group subj-group-type="heading"><subject>Imaging in Intensive Care Medicine</subject></subj-group></article-categories><title-group><article-title>Imaging changes in severe COVID-19 pneumonia</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-8706-6082</contrib-id><name><surname>Zhang</surname><given-names>Wei</given-names></name><address><email>zhangwei_hxicu@163.com</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><aff id="Aff1">Department of Emergency and Critical Care Medicine, Affiliated Hospital of Zunyi Medical University, Zunyi Medical University, 149 Dalian Road, Zunyi, 563000 Guizhou China</aff></contrib-group><pub-date pub-type="epub"><day>3</day><month>3</month><year>2020</year></pub-date><pub-date pub-type="pmc-release"><day>3</day><month>3</month><year>2020</year></pub-date><fpage>1</fpage><lpage>3</lpage><history><date date-type="received"><day>15</day><month>2</month><year>2020</year></date><date date-type="accepted"><day>17</day><month>2</month><year>2020</year></date></history><permissions><copyright-statement>© The Author(s) 2020</copyright-statement><license license-type="OpenAccess"><license-p><bold>Open Access</bold>This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.To view a copy of this licence, visit <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/4.0/">http://creativecommons.org/licenses/by-nc/4.0/</ext-link>.</license-p></license></permissions></article-meta></front><body><p id="Par1">A 75-year-old male who was confirmed as suffering of severe COVID pneumonia was transferred to the intensive care unit (ICU) of our hospital—a tertiary teaching hospital of a medical university. He had a history of 10-year hypertension and one-year diabetes. A physical examination unveiled that his body temperature was 35.5 ℃, his pulse was 54 beats per minute, his blood pressure was 136/79 mm Hg (noradrenaline 0.2 µg/kg/min), his oxygen saturation was 91% (noninvasive ventilation), and oxygenation index (OI: PO<sub>2</sub>/FiO<sub>2</sub>) 100 mmHg. He was diagnosed with severe COVID-19 pneumonia combined with acute respiratory distress syndrome (ARDS), septic shock, and multiple organ dysfunction syndrome (MODS). We focused on the typical imaging feature of chest CT in the patient (Fig. <xref rid="Fig1" ref-type="fig">1</xref>). The white “Septal Line” marked by the red arrow in Fig. <xref rid="Fig1" ref-type="fig">1</xref> (Panel a–d) suggests that cellulosic exudation occurred in the surface of lung lobes. In dynamic imaging, these white lines are clearly visible, which provides evidence for us to judge severe COVID-19 pneumonia. In the three-dimensional imaging system, three-dimensional reconstruction of bilateral lung lesions provided a key clue for early identification of the disease. Presently, his condition is relatively stable.<fig id="Fig1"><label>Fig. 1</label><caption><p>Chest computed tomography and three-dimensional reconstruction of the patient's lungs. Shown are chest CT scans obtained at admission (onset the fifth day) in the local hospital: Chest computed tomography (CT) scan (<bold>a</bold>, <bold>b</bold>, <bold>c</bold>, <bold>d</bold>) red arrows denote “Septal Line” formed by cellulosic exudation between lung lobes; three-dimensional reconstruction (<bold>e</bold>, <bold>f</bold>) green arrows denote multilobed lesions of bilateral lungs</p></caption><graphic xlink:href="134_2020_5976_Fig1_HTML" id="MO1"></graphic></fig></p></body><back><fn-group><fn><p><bold>Publisher's Note</bold></p><p>Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.</p></fn></fn-group><ack><title>Acknowledgements</title><p>The author thanks the patient and all the members of his family.</p></ack><notes notes-type="data-availability"><title>Availability of data and materials</title><p>The author stated that all the data and materials were true and available in the study.</p></notes><notes notes-type="ethics"><title>Compliance with ethical standards</title><notes notes-type="COI-statement"><title>Conflicts of interest</title><p id="Par3">The author has no conflicts of interest to disclose.</p></notes><notes><title>Ethical statement</title><p id="Par4">There are no ethical/legal conflicts involved in the article.</p></notes><notes><title>Ethical approval and consent to participate</title><p id="Par5">Written consent from the patient was waived, because of entirely anonymized images from which the individual cannot be identified.</p></notes><notes><title>Consent to publish</title><p id="Par6">The author confirms that he has read the Journal’s position on issues involved in ethical publication and affirms that this report is consistent with those guidelines.</p></notes></notes></back></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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