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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Chest computed tomography images of early coronavirus disease (COVID-19)</title>
<author><name sortKey="Chen, Rong" sort="Chen, Rong" uniqKey="Chen R" first="Rong" last="Chen">Rong Chen</name>
<affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.412632.0</institution-id>
<institution-id institution-id-type="ISNI">0000 0004 1758 2270</institution-id>
<institution>Department of Anesthesiology,</institution>
<institution>Renmin Hospital of Wuhan University,</institution>
</institution-wrap>
Wuhan, China</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.412632.0</institution-id>
<institution-id institution-id-type="ISNI">0000 0004 1758 2270</institution-id>
<institution>Department of Anesthesiology, East Hospital,</institution>
<institution>Renmin Hospital of Wuhan University,</institution>
</institution-wrap>
Wuhan, China</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chen, Jun" sort="Chen, Jun" uniqKey="Chen J" first="Jun" last="Chen">Jun Chen</name>
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<institution>Department of Radiology,</institution>
<institution>Renmin Hospital of Wuhan University,</institution>
</institution-wrap>
Wuhan, China</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Meng, Qing Tao" sort="Meng, Qing Tao" uniqKey="Meng Q" first="Qing-Tao" last="Meng">Qing-Tao Meng</name>
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<institution-id institution-id-type="ISNI">0000 0004 1758 2270</institution-id>
<institution>Department of Anesthesiology,</institution>
<institution>Renmin Hospital of Wuhan University,</institution>
</institution-wrap>
Wuhan, China</nlm:aff>
</affiliation>
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<institution>Department of Anesthesiology, East Hospital,</institution>
<institution>Renmin Hospital of Wuhan University,</institution>
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Wuhan, China</nlm:aff>
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<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7091470</idno>
<idno type="RBID">PMC:7091470</idno>
<idno type="doi">10.1007/s12630-020-01625-4</idno>
<date when="2020">2020</date>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Chest computed tomography images of early coronavirus disease (COVID-19)</title>
<author><name sortKey="Chen, Rong" sort="Chen, Rong" uniqKey="Chen R" first="Rong" last="Chen">Rong Chen</name>
<affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.412632.0</institution-id>
<institution-id institution-id-type="ISNI">0000 0004 1758 2270</institution-id>
<institution>Department of Anesthesiology,</institution>
<institution>Renmin Hospital of Wuhan University,</institution>
</institution-wrap>
Wuhan, China</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.412632.0</institution-id>
<institution-id institution-id-type="ISNI">0000 0004 1758 2270</institution-id>
<institution>Department of Anesthesiology, East Hospital,</institution>
<institution>Renmin Hospital of Wuhan University,</institution>
</institution-wrap>
Wuhan, China</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chen, Jun" sort="Chen, Jun" uniqKey="Chen J" first="Jun" last="Chen">Jun Chen</name>
<affiliation><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="GRID">grid.412632.0</institution-id>
<institution-id institution-id-type="ISNI">0000 0004 1758 2270</institution-id>
<institution>Department of Radiology,</institution>
<institution>Renmin Hospital of Wuhan University,</institution>
</institution-wrap>
Wuhan, China</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Meng, Qing Tao" sort="Meng, Qing Tao" uniqKey="Meng Q" first="Qing-Tao" last="Meng">Qing-Tao Meng</name>
<affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.412632.0</institution-id>
<institution-id institution-id-type="ISNI">0000 0004 1758 2270</institution-id>
<institution>Department of Anesthesiology,</institution>
<institution>Renmin Hospital of Wuhan University,</institution>
</institution-wrap>
Wuhan, China</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.412632.0</institution-id>
<institution-id institution-id-type="ISNI">0000 0004 1758 2270</institution-id>
<institution>Department of Anesthesiology, East Hospital,</institution>
<institution>Renmin Hospital of Wuhan University,</institution>
</institution-wrap>
Wuhan, China</nlm:aff>
</affiliation>
</author>
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<series><title level="j">Canadian Journal of Anaesthesia</title>
<idno type="ISSN">0832-610X</idno>
<idno type="eISSN">1496-8975</idno>
<imprint><date when="2020">2020</date>
</imprint>
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<biblStruct><analytic><author><name sortKey="Yang, X" uniqKey="Yang X">X Yang</name>
</author>
<author><name sortKey="Yu, Y" uniqKey="Yu Y">Y Yu</name>
</author>
<author><name sortKey="Xu, J" uniqKey="Xu J">J Xu</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Huang, C" uniqKey="Huang C">C Huang</name>
</author>
<author><name sortKey="Wang, Y" uniqKey="Wang Y">Y Wang</name>
</author>
<author><name sortKey="Li, X" uniqKey="Li X">X Li</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Li, Y" uniqKey="Li Y">Y Li</name>
</author>
<author><name sortKey="Xia, L" uniqKey="Xia L">L Xia</name>
</author>
</analytic>
</biblStruct>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Can J Anaesth</journal-id>
<journal-id journal-id-type="iso-abbrev">Can J Anaesth</journal-id>
<journal-title-group><journal-title>Canadian Journal of Anaesthesia</journal-title>
</journal-title-group>
<issn pub-type="ppub">0832-610X</issn>
<issn pub-type="epub">1496-8975</issn>
<publisher><publisher-name>Springer International Publishing</publisher-name>
<publisher-loc>Cham</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">32162211</article-id>
<article-id pub-id-type="pmc">7091470</article-id>
<article-id pub-id-type="publisher-id">1625</article-id>
<article-id pub-id-type="doi">10.1007/s12630-020-01625-4</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Images</subject>
</subj-group>
</article-categories>
<title-group><article-title>Chest computed tomography images of early coronavirus disease (COVID-19)</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" equal-contrib="yes"><name><surname>Chen</surname>
<given-names>Rong</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="Aff1">1</xref>
<xref ref-type="aff" rid="Aff2">2</xref>
</contrib>
<contrib contrib-type="author" equal-contrib="yes"><name><surname>Chen</surname>
<given-names>Jun</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="Aff3">3</xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Meng</surname>
<given-names>Qing-tao</given-names>
</name>
<degrees>MD, PhD</degrees>
<address><email>mengqingtao2018@126.com</email>
</address>
<xref ref-type="aff" rid="Aff1">1</xref>
<xref ref-type="aff" rid="Aff2">2</xref>
</contrib>
<aff id="Aff1"><label>1</label>
<institution-wrap><institution-id institution-id-type="GRID">grid.412632.0</institution-id>
<institution-id institution-id-type="ISNI">0000 0004 1758 2270</institution-id>
<institution>Department of Anesthesiology,</institution>
<institution>Renmin Hospital of Wuhan University,</institution>
</institution-wrap>
Wuhan, China</aff>
<aff id="Aff2"><label>2</label>
<institution-wrap><institution-id institution-id-type="GRID">grid.412632.0</institution-id>
<institution-id institution-id-type="ISNI">0000 0004 1758 2270</institution-id>
<institution>Department of Anesthesiology, East Hospital,</institution>
<institution>Renmin Hospital of Wuhan University,</institution>
</institution-wrap>
Wuhan, China</aff>
<aff id="Aff3"><label>3</label>
<institution-wrap><institution-id institution-id-type="GRID">grid.412632.0</institution-id>
<institution-id institution-id-type="ISNI">0000 0004 1758 2270</institution-id>
<institution>Department of Radiology,</institution>
<institution>Renmin Hospital of Wuhan University,</institution>
</institution-wrap>
Wuhan, China</aff>
</contrib-group>
<pub-date pub-type="epub"><day>11</day>
<month>3</month>
<year>2020</year>
</pub-date>
<fpage>1</fpage>
<lpage>2</lpage>
<history><date date-type="received"><day>7</day>
<month>3</month>
<year>2020</year>
</date>
<date date-type="rev-recd"><day>8</day>
<month>3</month>
<year>2020</year>
</date>
<date date-type="accepted"><day>9</day>
<month>3</month>
<year>2020</year>
</date>
</history>
<permissions><copyright-statement>© Canadian Anesthesiologists' Society 2020</copyright-statement>
<license><license-p>This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.</license-p>
</license>
</permissions>
</article-meta>
</front>
<body><p id="Par1">Severe acute respiratory syndrome-related coronavirus (SARS-CoV-2) has rapidly spread throughout China and as of 8 March 2020 has spread to over 100 countries with 105,000 confirmed cases of coronavirus-related disease (COVID-19).<xref ref-type="bibr" rid="CR1">1</xref>
The high infectivity and mortality of COVID-19 makes this a serious public health threat.<xref ref-type="bibr" rid="CR2">2</xref>
Recent studies have confirmed that fever, dry cough, and fatigue are the main manifestations.<xref ref-type="bibr" rid="CR3">3</xref>
Some patients have other symptoms, such as nasal congestion, runny nose, sore throat, myalgia, and diarrhea. Seriously-ill patients may develop dyspnea and/or hypoxemia one week after the onset of symptoms, and critically-ill patients can quickly progress to acute respiratory distress syndrome, septic shock, severe metabolic acidosis, coagulopathy, and multiple organ dysfunction syndrome.<xref ref-type="bibr" rid="CR3">3</xref>
<fig id="Fig1"><label>Figure</label>
<caption><p>Chest computed tomography (CT) scan at the time of admission (A) of a 27-yr-old 36-week pregnant woman with coronavirus disease (COVID-19). The CT scan shows the characteristic peripheral (and/or subpleural) ground-glass opacities. These are seen in the left lower lobe/lingula junction and in the right middle lobe (arrows). Two days after admission (B), the size, density, and distribution of these opacities had progressed (arrows)</p>
</caption>
<graphic xlink:href="12630_2020_1625_Fig1_HTML" id="MO1"></graphic>
</fig>
</p>
<p id="Par2">We report a 27-yr-old pregnant woman at 36 weeks gestation who was admitted to the hospital with fever, dry cough, and fatigue as the main manifestations. Her SARS-CoV-2 reverse transcriptase polymerase chain reaction (RT-PCR) test was positive and although she developed tachypnea, she did not develop significant hypoxemia. After admission, a computed tomography (CT) scan (Figure A) revealed the typical COVID-19 findings of patchy peripheral and subpleural ground-glass opacities<xref ref-type="bibr" rid="CR4">4</xref>
in the left lower lobe/lingula junction. The right middle lobe of the lung also showed a small subpleural opacity of uneven density and blurred margins. Two days after admission, a repeat CT scan showed (Figure B) the number, density, and size of the lesions. Because of concern about potential further progression of the COVID-19 pulmonary manifestations, an uncomplicated elective Cesarean delivery was performed. The RT-PCR for SARS-CoV-2 was negative in the neonate.
</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><p>Rong Chen and Jun Chen authors contributed equally to this work</p>
</fn>
</fn-group>
<ack><sec id="FPar1"><title>Conflicts of interest</title>
<p id="Par3">None.</p>
</sec>
<sec id="FPar2"><title>Funding statement</title>
<p id="Par4">None.</p>
</sec>
<sec id="FPar3"><title>Editorial responsibility</title>
<p id="Par5">This submission was handled by Dr. Hilary P. Grocott, Editor-in-Chief, <italic>Canadian Journal of Anesthesia.</italic>
</p>
</sec>
</ack>
<ref-list id="Bib1"><title>References</title>
<ref id="CR1"><label>1.</label>
<mixed-citation publication-type="other"><italic>World Health Organization.</italic>
Coronavirus disease 2019 (COVID-19) Situation Report – 48. Available from URL: <ext-link ext-link-type="uri" xlink:href="https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200308-sitrep-48-covid-19.pdf%3fsfvrsn%3d16f7ccef_4">https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200308-sitrep-48-covid-19.pdf?sfvrsn=16f7ccef_4</ext-link>
(accessed March 2020).</mixed-citation>
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</back>
</pmc>
</record>
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