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Metastatic pulmonary dissemination as differential diagnosis of COVID-19 disease

A 13-year-old boy presented to hospital with 3-day self-limited fever, followed by dry cough, persistent asthenia and impaired general condition of 2 weeks’ duration. Blood analyses showed a severe inflammatory status and chest X-ray images were consistent with bilateral COVID-19 pneumonia. He devel...

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Autores principales: Perdigón Martinelli, Cristel, Morell, Carlos, González, Carolina, Nova-Lozano, Cristina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7542629/
https://www.ncbi.nlm.nih.gov/pubmed/33028572
http://dx.doi.org/10.1136/bcr-2020-237453
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author Perdigón Martinelli, Cristel
Morell, Carlos
González, Carolina
Nova-Lozano, Cristina
author_facet Perdigón Martinelli, Cristel
Morell, Carlos
González, Carolina
Nova-Lozano, Cristina
author_sort Perdigón Martinelli, Cristel
collection PubMed
description A 13-year-old boy presented to hospital with 3-day self-limited fever, followed by dry cough, persistent asthenia and impaired general condition of 2 weeks’ duration. Blood analyses showed a severe inflammatory status and chest X-ray images were consistent with bilateral COVID-19 pneumonia. He developed an acute respiratory failure that required paediatric intensive care admission and non-invasive ventilation. A targeted COVID-19 treatment was initiated with hydroxicloroquine, corticosteroids, enoxaparine and a single dose of tocilizumab. Repeated serological tests and real-time reverse transcription PCR for SARS-CoV-2 were negative. Other infectious pathogens were also ruled out. Thoracic high resolution CT showed an intense bilateral pulmonary dissemination with lytic vertebral bone lesions. After diagnostic investigations, Ewing’s sarcoma with metastatic pulmonary dissemination was diagnosed. Nowadays, in the context of SARS-CoV-2 community pandemic, we cannot forget that COVID-19 clinical presentation is not specific and other entities can mimic its clinical features.
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spelling pubmed-75426292020-10-19 Metastatic pulmonary dissemination as differential diagnosis of COVID-19 disease Perdigón Martinelli, Cristel Morell, Carlos González, Carolina Nova-Lozano, Cristina BMJ Case Rep Unusual Presentation of More Common Disease/Injury A 13-year-old boy presented to hospital with 3-day self-limited fever, followed by dry cough, persistent asthenia and impaired general condition of 2 weeks’ duration. Blood analyses showed a severe inflammatory status and chest X-ray images were consistent with bilateral COVID-19 pneumonia. He developed an acute respiratory failure that required paediatric intensive care admission and non-invasive ventilation. A targeted COVID-19 treatment was initiated with hydroxicloroquine, corticosteroids, enoxaparine and a single dose of tocilizumab. Repeated serological tests and real-time reverse transcription PCR for SARS-CoV-2 were negative. Other infectious pathogens were also ruled out. Thoracic high resolution CT showed an intense bilateral pulmonary dissemination with lytic vertebral bone lesions. After diagnostic investigations, Ewing’s sarcoma with metastatic pulmonary dissemination was diagnosed. Nowadays, in the context of SARS-CoV-2 community pandemic, we cannot forget that COVID-19 clinical presentation is not specific and other entities can mimic its clinical features. BMJ Publishing Group 2020-10-07 /pmc/articles/PMC7542629/ /pubmed/33028572 http://dx.doi.org/10.1136/bcr-2020-237453 Text en © BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ. This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.https://bmj.com/coronavirus/usage
spellingShingle Unusual Presentation of More Common Disease/Injury
Perdigón Martinelli, Cristel
Morell, Carlos
González, Carolina
Nova-Lozano, Cristina
Metastatic pulmonary dissemination as differential diagnosis of COVID-19 disease
title Metastatic pulmonary dissemination as differential diagnosis of COVID-19 disease
title_full Metastatic pulmonary dissemination as differential diagnosis of COVID-19 disease
title_fullStr Metastatic pulmonary dissemination as differential diagnosis of COVID-19 disease
title_full_unstemmed Metastatic pulmonary dissemination as differential diagnosis of COVID-19 disease
title_short Metastatic pulmonary dissemination as differential diagnosis of COVID-19 disease
title_sort metastatic pulmonary dissemination as differential diagnosis of covid-19 disease
topic Unusual Presentation of More Common Disease/Injury
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7542629/
https://www.ncbi.nlm.nih.gov/pubmed/33028572
http://dx.doi.org/10.1136/bcr-2020-237453
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