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Clinical and computed tomographic imaging features of novel coronavirus pneumonia caused by SARS-CoV-2

Identifieur interne : 000836 ( 2020/Analysis ); précédent : 000835; suivant : 000837

Clinical and computed tomographic imaging features of novel coronavirus pneumonia caused by SARS-CoV-2

Auteurs : Yu-Huan Xu [République populaire de Chine] ; Jing-Hui Dong [République populaire de Chine] ; Wei-Min An [République populaire de Chine] ; Xiao-Yan Lv [République populaire de Chine] ; Xiao-Ping Yin [République populaire de Chine] ; Jian-Zeng Zhang [République populaire de Chine] ; Li Dong [République populaire de Chine] ; Xi Ma [République populaire de Chine] ; Hong-Jie Zhang [République populaire de Chine] ; Bu-Lang Gao [République populaire de Chine]

Source :

RBID : PMC:7102535

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English descriptors

Abstract

SummaryPurpose

To investigate the clinical and imaging characteristics of computed tomography (CT) in novel coronavirus pneumonia (NCP) caused by SARS-CoV-2.

Materials and methods

A retrospective analysis was performed on the imaging findings of patients confirmed with COVID-19 pneumonia who had chest CT scanning and treatment after disease onset. The clinical and imaging data were analyzed.

Results

Fifty patients were enrolled, including mild type in nine, common in 28, severe in 10 and critically severe in the rest three. Mild patients (29 years) were significantly (P<0.03) younger than either common (44.5 years) or severe (54.7) and critically severe (65.7 years) patients, and common patients were also significantly (P<0.03) younger than severe and critically severe patients. Mild patients had low to moderate fever (<39.1 °C), 49 (98%) patients had normal or slightly reduced leukocyte count, 14 (28%) had decreased counts of lymphocytes, and 26 (52%) patients had increased C-reactive protein. Nine mild patients were negative in CT imaging. For all the other types of NCP, the lesion was in the right upper lobe in 30 cases, right middle lobe in 22, right lower lobe in 39, left upper lobe in 33 and left lower lobe in 36. The lesion was primarily located in the peripheral area under the pleura with possible extension towards the pulmonary hilum. Symmetrical lesions were seen in 26 cases and asymmetrical in 15. The density of lesion was mostly uneven with ground glass opacity as the primary presentation accompanied by partial consolidation and fibrosis.

Conclusion

CT imaging presentations of NCP are mostly patchy ground glass opacities in the peripheral areas under the pleura with partial consolidation which will be absorbed with formation of fibrotic stripes if improved. CT scanning provides important bases for early diagnosis and treatment of NCP.


Url:
DOI: 10.1016/j.jinf.2020.02.017
PubMed: 32109443
PubMed Central: 7102535


Affiliations:


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<term>Aged, 80 and over</term>
<term>Betacoronavirus</term>
<term>Child</term>
<term>Child, Preschool</term>
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<term>Adult</term>
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<front>
<div type="abstract" xml:lang="en">
<title>Summary</title>
<sec>
<title>Purpose</title>
<p>To investigate the clinical and imaging characteristics of computed tomography (CT) in novel coronavirus pneumonia (NCP) caused by SARS-CoV-2.</p>
</sec>
<sec>
<title>Materials and methods</title>
<p>A retrospective analysis was performed on the imaging findings of patients confirmed with COVID-19 pneumonia who had chest CT scanning and treatment after disease onset. The clinical and imaging data were analyzed.</p>
</sec>
<sec>
<title>Results</title>
<p>Fifty patients were enrolled, including mild type in nine, common in 28, severe in 10 and critically severe in the rest three. Mild patients (29 years) were significantly (
<italic>P</italic>
<0.03) younger than either common (44.5 years) or severe (54.7) and critically severe (65.7 years) patients, and common patients were also significantly (
<italic>P</italic>
<0.03) younger than severe and critically severe patients. Mild patients had low to moderate fever (<39.1 °C), 49 (98%) patients had normal or slightly reduced leukocyte count, 14 (28%) had decreased counts of lymphocytes, and 26 (52%) patients had increased C-reactive protein. Nine mild patients were negative in CT imaging. For all the other types of NCP, the lesion was in the right upper lobe in 30 cases, right middle lobe in 22, right lower lobe in 39, left upper lobe in 33 and left lower lobe in 36. The lesion was primarily located in the peripheral area under the pleura with possible extension towards the pulmonary hilum. Symmetrical lesions were seen in 26 cases and asymmetrical in 15. The density of lesion was mostly uneven with ground glass opacity as the primary presentation accompanied by partial consolidation and fibrosis.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>CT imaging presentations of NCP are mostly patchy ground glass opacities in the peripheral areas under the pleura with partial consolidation which will be absorbed with formation of fibrotic stripes if improved. CT scanning provides important bases for early diagnosis and treatment of NCP.</p>
</sec>
</div>
</front>
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<li>République populaire de Chine</li>
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<li>Pékin</li>
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<country name="République populaire de Chine">
<noRegion>
<name sortKey="Xu, Yu Huan" sort="Xu, Yu Huan" uniqKey="Xu Y" first="Yu-Huan" last="Xu">Yu-Huan Xu</name>
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<name sortKey="Lv, Xiao Yan" sort="Lv, Xiao Yan" uniqKey="Lv X" first="Xiao-Yan" last="Lv">Xiao-Yan Lv</name>
<name sortKey="Ma, Xi" sort="Ma, Xi" uniqKey="Ma X" first="Xi" last="Ma">Xi Ma</name>
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<name sortKey="Zhang, Jian Zeng" sort="Zhang, Jian Zeng" uniqKey="Zhang J" first="Jian-Zeng" last="Zhang">Jian-Zeng Zhang</name>
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</tree>
</affiliations>
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