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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2020
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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. |
format | Online Article Text |
id | pubmed-7542629 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
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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