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Management of pulmonary contusions during the COVID‐19 pandemic

BACKGROUND: Coronavirus disease (COVID‐19) is an emerging infectious disease with human‐to‐human transmission. Early identification of patients with COVID‐19 is important in preventing its spread. CASE PRESENTATION: A 36‐year‐old man with a fever for 3 days fell from the 5th floor and was transporte...

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Autores principales: Eguchi, Daiki, Adachi, Hiroshi, Choi, Kwonil, Yonemori, Koji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7659527/
https://www.ncbi.nlm.nih.gov/pubmed/33209333
http://dx.doi.org/10.1002/ams2.594
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author Eguchi, Daiki
Adachi, Hiroshi
Choi, Kwonil
Yonemori, Koji
author_facet Eguchi, Daiki
Adachi, Hiroshi
Choi, Kwonil
Yonemori, Koji
author_sort Eguchi, Daiki
collection PubMed
description BACKGROUND: Coronavirus disease (COVID‐19) is an emerging infectious disease with human‐to‐human transmission. Early identification of patients with COVID‐19 is important in preventing its spread. CASE PRESENTATION: A 36‐year‐old man with a fever for 3 days fell from the 5th floor and was transported to our emergency department. Pan‐scan computed tomography (CT) revealed multiple ground‐glass opacities just below the pleura, pelvic fractures, thoracic vertebral fracture (Th11), and right femoral fracture. COVID‐19 was ruled out based on negative real‐time reverse transcription–polymerase chain reaction results on days 2 and 3, and a reduction in the multiple ground‐glass opacities on CT carried out on day 5. Until the suspicion of COVID‐19 was cleared, strict and standardized processing procedures were implemented in the same way as for a patient with COVID‐19. CONCLUSIONS: It is very difficult to rapidly differentiate between pulmonary contusions and COVID‐19, as these conditions have many similarities on CT.
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spelling pubmed-76595272020-11-17 Management of pulmonary contusions during the COVID‐19 pandemic Eguchi, Daiki Adachi, Hiroshi Choi, Kwonil Yonemori, Koji Acute Med Surg Case Report BACKGROUND: Coronavirus disease (COVID‐19) is an emerging infectious disease with human‐to‐human transmission. Early identification of patients with COVID‐19 is important in preventing its spread. CASE PRESENTATION: A 36‐year‐old man with a fever for 3 days fell from the 5th floor and was transported to our emergency department. Pan‐scan computed tomography (CT) revealed multiple ground‐glass opacities just below the pleura, pelvic fractures, thoracic vertebral fracture (Th11), and right femoral fracture. COVID‐19 was ruled out based on negative real‐time reverse transcription–polymerase chain reaction results on days 2 and 3, and a reduction in the multiple ground‐glass opacities on CT carried out on day 5. Until the suspicion of COVID‐19 was cleared, strict and standardized processing procedures were implemented in the same way as for a patient with COVID‐19. CONCLUSIONS: It is very difficult to rapidly differentiate between pulmonary contusions and COVID‐19, as these conditions have many similarities on CT. John Wiley and Sons Inc. 2020-11-12 /pmc/articles/PMC7659527/ /pubmed/33209333 http://dx.doi.org/10.1002/ams2.594 Text en © 2020 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Case Report
Eguchi, Daiki
Adachi, Hiroshi
Choi, Kwonil
Yonemori, Koji
Management of pulmonary contusions during the COVID‐19 pandemic
title Management of pulmonary contusions during the COVID‐19 pandemic
title_full Management of pulmonary contusions during the COVID‐19 pandemic
title_fullStr Management of pulmonary contusions during the COVID‐19 pandemic
title_full_unstemmed Management of pulmonary contusions during the COVID‐19 pandemic
title_short Management of pulmonary contusions during the COVID‐19 pandemic
title_sort management of pulmonary contusions during the covid‐19 pandemic
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7659527/
https://www.ncbi.nlm.nih.gov/pubmed/33209333
http://dx.doi.org/10.1002/ams2.594
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