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Delayed Diagnosis of an Atypical Pneumonia Resembling a Solitary Pulmonary Nodule

Atypical pneumonia shows clinical features that are different from those of typical pneumonia, and it can mimic other entities. We report the case of a 42-year-old male with a solitary pulmonary nodule found in an X-ray for a preoperative evaluation. Our patient was asymptomatic, and a pulmonary neo...

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Autores principales: Garcia-Carretero, Rafael, Vazquez-Gomez, Oscar, Rodriguez-Maya, Belen, Garcia-Garcia, Franciso
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8654078/
https://www.ncbi.nlm.nih.gov/pubmed/34926029
http://dx.doi.org/10.7759/cureus.19456
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author Garcia-Carretero, Rafael
Vazquez-Gomez, Oscar
Rodriguez-Maya, Belen
Garcia-Garcia, Franciso
author_facet Garcia-Carretero, Rafael
Vazquez-Gomez, Oscar
Rodriguez-Maya, Belen
Garcia-Garcia, Franciso
author_sort Garcia-Carretero, Rafael
collection PubMed
description Atypical pneumonia shows clinical features that are different from those of typical pneumonia, and it can mimic other entities. We report the case of a 42-year-old male with a solitary pulmonary nodule found in an X-ray for a preoperative evaluation. Our patient was asymptomatic, and a pulmonary neoplasm was the first diagnostic suspicion. The round-shaped nodule seen in the X-ray turned out to be a linear ground glass opacity in a thoracic CT scan. Viral pneumonia due to SARS-CoV-2 was diagnosed. We emphasize here the educational value of this case report. We do not report a new radiological finding because lung nodules resembling neoplasms have already been reported in the medical literature. However, some clinical features of COVID-19 are relatively new and can mimic other entities, and the results of some investigations and clinicians’ interpretations of them can be misleading. Atypical radiological findings make it necessary to widen the spectrum of alternative diagnoses.
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spelling pubmed-86540782021-12-17 Delayed Diagnosis of an Atypical Pneumonia Resembling a Solitary Pulmonary Nodule Garcia-Carretero, Rafael Vazquez-Gomez, Oscar Rodriguez-Maya, Belen Garcia-Garcia, Franciso Cureus Internal Medicine Atypical pneumonia shows clinical features that are different from those of typical pneumonia, and it can mimic other entities. We report the case of a 42-year-old male with a solitary pulmonary nodule found in an X-ray for a preoperative evaluation. Our patient was asymptomatic, and a pulmonary neoplasm was the first diagnostic suspicion. The round-shaped nodule seen in the X-ray turned out to be a linear ground glass opacity in a thoracic CT scan. Viral pneumonia due to SARS-CoV-2 was diagnosed. We emphasize here the educational value of this case report. We do not report a new radiological finding because lung nodules resembling neoplasms have already been reported in the medical literature. However, some clinical features of COVID-19 are relatively new and can mimic other entities, and the results of some investigations and clinicians’ interpretations of them can be misleading. Atypical radiological findings make it necessary to widen the spectrum of alternative diagnoses. Cureus 2021-11-10 /pmc/articles/PMC8654078/ /pubmed/34926029 http://dx.doi.org/10.7759/cureus.19456 Text en Copyright © 2021, Garcia-Carretero et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Garcia-Carretero, Rafael
Vazquez-Gomez, Oscar
Rodriguez-Maya, Belen
Garcia-Garcia, Franciso
Delayed Diagnosis of an Atypical Pneumonia Resembling a Solitary Pulmonary Nodule
title Delayed Diagnosis of an Atypical Pneumonia Resembling a Solitary Pulmonary Nodule
title_full Delayed Diagnosis of an Atypical Pneumonia Resembling a Solitary Pulmonary Nodule
title_fullStr Delayed Diagnosis of an Atypical Pneumonia Resembling a Solitary Pulmonary Nodule
title_full_unstemmed Delayed Diagnosis of an Atypical Pneumonia Resembling a Solitary Pulmonary Nodule
title_short Delayed Diagnosis of an Atypical Pneumonia Resembling a Solitary Pulmonary Nodule
title_sort delayed diagnosis of an atypical pneumonia resembling a solitary pulmonary nodule
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8654078/
https://www.ncbi.nlm.nih.gov/pubmed/34926029
http://dx.doi.org/10.7759/cureus.19456
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