Lung Ultrasound (LUS) in COVID-19 Pneumonia: Usefulness in Two Atypical Cases
  • Vincenza Giugno
    Ultrasound Centre, Maggiore Hospital, Bologna, Italy
  • Giulia Di Marzio
    Ultrasound Centre, Maggiore Hospital, Bologna, Italy
  • Andrea Domanico
    Ultrasound Centre, Maggiore Hospital, Bologna, Italy
  • Esterita Accogli
    Ultrasound Centre, Maggiore Hospital, Bologna, Italy

Keywords

Lung ultrasound, LUS, Coronavirus disease 2019, COVID-19, high-resolution computed tomography, HRCT, nasopharyngeal swab, NS, pneumonia

Abstract

Clinical experience and scientific articles have shown that patients infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can be paucisymptomatic or asymptomatic at the time of diagnosis. In this paper, we will discuss two paucisymptomatic patients with blood tests suggestive for SARS-CoV-2 infection but with repeated negative nasopharyngeal swabs and without typical features of COVID-19 pneumonia on chest high-resolution computed tomography. In these cases, lung ultrasound helped to raise clinical suspicion of COVID-19 pneumonia and facilitate diagnosis.

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References

  • Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med 2020;382:727–733.

  • Li D, Wang D, Dong J, Wang N, Huang H, Xu H, et al. False-negative results of real-time reverse-transcriptase polymerase chain reaction for severe acute respiratory syndrome coronavirus 2: role of deep-learning-based CT diagnosis and insights from two cases.Korean J Radiol 2020;21:505–508.

  • Peng QY, Wang XT, Zhang LN. Findings of lung ultrasonography of novel corona virus pneumonia during the 2019–2020 epidemic. Intensive Care Med 2020;46(5):849–850.

  • Liu Y, Liao W, Wan L, Xiang T, Zhang W. Correlation between relative nasopharyngeal virus RNA load and lymphocyte count disease severity in patients with COVID-19. Viral Immunol 2020 Apr 10. doi: 10.1089/vim.2020.0062 [Epub ahead of print].

  • Xiong Y, Liu Y, Cao L, Wang D, Guo M, Jiang A, et al. Transcriptomic characteristics of bronchoalveolar lavage fluid and peripheral blood mononuclear cells in COVID-19 patients. Emerg Microbes Infect 2020;9:761–770.
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    Published: 2020-06-26
    Issue: 2020: Vol 7 No 8 (view)


    How to cite:
    1.
    Giugno V, Di Marzio G, Domanico A, Accogli E. Lung Ultrasound (LUS) in COVID-19 Pneumonia: Usefulness in Two Atypical Cases. EJCRIM 2020;7 doi:10.12890/2020_001800.