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Lung point-of-care (POCUS) ultrasound in a pediatric COVID-19 case

The World Health Organization categorized coronavirus disease 2019 (COVID-19) as a pandemic due to its high contagion rate and widespread infectivity in February 2020. In the United States, one of the public health concerns is the adequacy of resources to treat infected cases. We describe a case of...

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Autores principales: Alilio, Prisca M., Ebeling-Koning, Natalie E., Roth, Kevin R., Desai, Tasha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7476498/
https://www.ncbi.nlm.nih.gov/pubmed/32922585
http://dx.doi.org/10.1016/j.radcr.2020.09.007
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author Alilio, Prisca M.
Ebeling-Koning, Natalie E.
Roth, Kevin R.
Desai, Tasha
author_facet Alilio, Prisca M.
Ebeling-Koning, Natalie E.
Roth, Kevin R.
Desai, Tasha
author_sort Alilio, Prisca M.
collection PubMed
description The World Health Organization categorized coronavirus disease 2019 (COVID-19) as a pandemic due to its high contagion rate and widespread infectivity in February 2020. In the United States, one of the public health concerns is the adequacy of resources to treat infected cases. We describe a case of a previously well, 9-year-old obese boy who presented to the emergency department with shortness of breath, fever, abdominal pain, and cough with chest pain. He was diagnosed with COVID-19 through significant family contact, confirmed by polymerase chain reaction and found to be at high risk of venous thromboembolism due to abnormal d-dimer. Lung point-of-care ultrasound (POCUS) in the emergency department observed significant lung pathology, including pleural thickening, consolidation, and B lines. A chest X-ray found bilateral ground glass opacities and interstitial prominences consistent with viral pneumonia. Our case suggests that lung POCUS can provide adequate and rapid imaging to assess lung pathology of COVID-19 in a pediatric patient. As there is limited literature on use of lung POCUS in pediatric patients infected with SARS-CoV-2, our case emphasizes its function as a potentially efficient modality in bedside assessment.
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spelling pubmed-74764982020-09-08 Lung point-of-care (POCUS) ultrasound in a pediatric COVID-19 case Alilio, Prisca M. Ebeling-Koning, Natalie E. Roth, Kevin R. Desai, Tasha Radiol Case Rep Case Report The World Health Organization categorized coronavirus disease 2019 (COVID-19) as a pandemic due to its high contagion rate and widespread infectivity in February 2020. In the United States, one of the public health concerns is the adequacy of resources to treat infected cases. We describe a case of a previously well, 9-year-old obese boy who presented to the emergency department with shortness of breath, fever, abdominal pain, and cough with chest pain. He was diagnosed with COVID-19 through significant family contact, confirmed by polymerase chain reaction and found to be at high risk of venous thromboembolism due to abnormal d-dimer. Lung point-of-care ultrasound (POCUS) in the emergency department observed significant lung pathology, including pleural thickening, consolidation, and B lines. A chest X-ray found bilateral ground glass opacities and interstitial prominences consistent with viral pneumonia. Our case suggests that lung POCUS can provide adequate and rapid imaging to assess lung pathology of COVID-19 in a pediatric patient. As there is limited literature on use of lung POCUS in pediatric patients infected with SARS-CoV-2, our case emphasizes its function as a potentially efficient modality in bedside assessment. Elsevier 2020-09-07 /pmc/articles/PMC7476498/ /pubmed/32922585 http://dx.doi.org/10.1016/j.radcr.2020.09.007 Text en © 2020 The Authors. Published by Elsevier Inc. on behalf of University of Washington. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Alilio, Prisca M.
Ebeling-Koning, Natalie E.
Roth, Kevin R.
Desai, Tasha
Lung point-of-care (POCUS) ultrasound in a pediatric COVID-19 case
title Lung point-of-care (POCUS) ultrasound in a pediatric COVID-19 case
title_full Lung point-of-care (POCUS) ultrasound in a pediatric COVID-19 case
title_fullStr Lung point-of-care (POCUS) ultrasound in a pediatric COVID-19 case
title_full_unstemmed Lung point-of-care (POCUS) ultrasound in a pediatric COVID-19 case
title_short Lung point-of-care (POCUS) ultrasound in a pediatric COVID-19 case
title_sort lung point-of-care (pocus) ultrasound in a pediatric covid-19 case
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7476498/
https://www.ncbi.nlm.nih.gov/pubmed/32922585
http://dx.doi.org/10.1016/j.radcr.2020.09.007
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