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Evolution of CT Manifestations in a Patient Recovered from 2019 Novel Coronavirus (2019-nCoV) Pneumonia in Wuhan, China

Evolution of CT Manifestations in a Patient Recovered from 2019 Novel Coronavirus (2019-nCoV)... REVIEWS AND COMMENTARY IMAGES IN RADIOLOGY Evolution of CT Manifestations in a Patient Recovered from 2019 Novel Coronavirus (2019-nCoV) Pneumonia in Wuhan, China Heshui Shi, MD, PhD • Xiaoyu Han, MD • Chuansheng Zheng, MD, PhD From the Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Rd, Wuhan, Hubei Province 430022, The People’s Republic of China; and Hubei Province Key Laboratory of Molecular Imaging, Wuhan, The People’s Republic of China. Received February 1, 2010; accepted February 4. Address correspondence to C.Z. (e-mail: [email protected]). Conflicts of interest are listed at the end of this article. Radiology 2020; 00:0–0 https://doi.org/10.1148/radiol.2020200269 Content code: © RSNA, 2020 • • • A, Chest radiograph obtained on day 7 after the onset of symptoms shows opacities in the left lower and right upper lobes. B, C, CT scans obtained on day 9 show multifocal bilateral ground-glass opacities. D, CT scan obtained on day 15 shows evolution to a mixed pattern of ground-glass opacities and consolidation. E, CT scan obtained on day 19 shows healing of the consolidations and ground-glass opacities. F, CT scan obtained on day 31 shows complete resolution. new type of pneumonia caused by the 2019 novel coronavi- polymerase chain reaction of the patient’s sputum was positive for A rus (2019-nCoV) broke out in December 2019 in Wuhan the 2019-nCoV nucleic acid. The patient was treated with antiviral City, China (1,2). On January 1, 2020, a 42-year-old man was drugs (ganciclovir, oseltamivir) and anti-inflammatory drugs (me - admitted to the emergency department of Union Hospital (Tongji ropenem, linezolid), with supportive care from January 1, 2020, Medical College, Wuhan, Hubei Province) due to a high-grade until his discharge on January 25, 2020. Serial imaging studies in fever (39.6°C [103.28°C]), cough, and fatigue for 1 week. Bilat- the Figure illustrate the patient’s improvement after therapy. eral coarse breath sounds with wet rales distributed at the bases Acknowledgments: We thank all colleagues for helping us during the current of both lungs were heard on auscultation. Laboratory studies study. We are also grateful to the many members of the frontline medical staff for showed leukopenia (white blood cell count, 2.88 3 10 /L) and their selfless dedication and heroic dedication in the face of this outbreak, despite the potential threat to their own lives and the lives of their families. lymphocytosis (lymphocyte cell count, 0.90 3 10 /L). The white blood cell diff erential count displayed 56.6% neutrophils, 32.1% Disclosures of Conflicts of Interest: H.S. disclosed no relevant relationships. lymphocytes, and 10.2% monocytes. Several additional labora- X.H. disclosed no relevant relationships. C.Z. disclosed no relevant relationships. tory tests were abnormal, including C-reactive protein (158.95 mg/L; normal range, 0–10 mg/L), erythrocyte sedimentation rate References (38 mm/h; normal range, ,20 mm/h), serum amyloid A protein 1. World Health Organization. Novel coronavirus–China. http://www.who. int/csr/don/12-january-2020-novel-coronavirus-china/en. Published January (607.1 mg/L; normal range, ,10 mg/L), aspartate aminotransfer- 12, 2020. ase (53 U/L; normal range, 8–40 U/L), and alanine aminotrans- 2. World Health Organization. WHO/Novel Coronavirus–China. Geneva, ferase (60 U/L; normal range, 5–40 U/L). Real-time ñuorescence Switzerland: World Health Organization, 2020. This copy is for personal use only. To order printed copies, contact [email protected] http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Radiology Pubmed Central

Evolution of CT Manifestations in a Patient Recovered from 2019 Novel Coronavirus (2019-nCoV) Pneumonia in Wuhan, China

Shi, Heshui; Han, Xiaoyu; Zheng, Chuansheng
Radiology – Feb 7, 2020
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Publisher
Pubmed Central
Copyright
2020 by the Radiological Society of North America, Inc.
ISSN
0033-8419
eISSN
1527-1315
DOI
10.1148/radiol.2020200269
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Abstract

REVIEWS AND COMMENTARY IMAGES IN RADIOLOGY Evolution of CT Manifestations in a Patient Recovered from 2019 Novel Coronavirus (2019-nCoV) Pneumonia in Wuhan, China Heshui Shi, MD, PhD • Xiaoyu Han, MD • Chuansheng Zheng, MD, PhD From the Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Rd, Wuhan, Hubei Province 430022, The People’s Republic of China; and Hubei Province Key Laboratory of Molecular Imaging, Wuhan, The People’s Republic of China. Received February 1, 2010; accepted February 4. Address correspondence to C.Z. (e-mail: [email protected]). Conflicts of interest are listed at the end of this article. Radiology 2020; 00:0–0 https://doi.org/10.1148/radiol.2020200269 Content code: © RSNA, 2020 • • • A, Chest radiograph obtained on day 7 after the onset of symptoms shows opacities in the left lower and right upper lobes. B, C, CT scans obtained on day 9 show multifocal bilateral ground-glass opacities. D, CT scan obtained on day 15 shows evolution to a mixed pattern of ground-glass opacities and consolidation. E, CT scan obtained on day 19 shows healing of the consolidations and ground-glass opacities. F, CT scan obtained on day 31 shows complete resolution. new type of pneumonia caused by the 2019 novel coronavi- polymerase chain reaction of the patient’s sputum was positive for A rus (2019-nCoV) broke out in December 2019 in Wuhan the 2019-nCoV nucleic acid. The patient was treated with antiviral City, China (1,2). On January 1, 2020, a 42-year-old man was drugs (ganciclovir, oseltamivir) and anti-inflammatory drugs (me - admitted to the emergency department of Union Hospital (Tongji ropenem, linezolid), with supportive care from January 1, 2020, Medical College, Wuhan, Hubei Province) due to a high-grade until his discharge on January 25, 2020. Serial imaging studies in fever (39.6°C [103.28°C]), cough, and fatigue for 1 week. Bilat- the Figure illustrate the patient’s improvement after therapy. eral coarse breath sounds with wet rales distributed at the bases Acknowledgments: We thank all colleagues for helping us during the current of both lungs were heard on auscultation. Laboratory studies study. We are also grateful to the many members of the frontline medical staff for showed leukopenia (white blood cell count, 2.88 3 10 /L) and their selfless dedication and heroic dedication in the face of this outbreak, despite the potential threat to their own lives and the lives of their families. lymphocytosis (lymphocyte cell count, 0.90 3 10 /L). The white blood cell diff erential count displayed 56.6% neutrophils, 32.1% Disclosures of Conflicts of Interest: H.S. disclosed no relevant relationships. lymphocytes, and 10.2% monocytes. Several additional labora- X.H. disclosed no relevant relationships. C.Z. disclosed no relevant relationships. tory tests were abnormal, including C-reactive protein (158.95 mg/L; normal range, 0–10 mg/L), erythrocyte sedimentation rate References (38 mm/h; normal range, ,20 mm/h), serum amyloid A protein 1. World Health Organization. Novel coronavirus–China. http://www.who. int/csr/don/12-january-2020-novel-coronavirus-china/en. Published January (607.1 mg/L; normal range, ,10 mg/L), aspartate aminotransfer- 12, 2020. ase (53 U/L; normal range, 8–40 U/L), and alanine aminotrans- 2. World Health Organization. WHO/Novel Coronavirus–China. Geneva, ferase (60 U/L; normal range, 5–40 U/L). Real-time ñuorescence Switzerland: World Health Organization, 2020. This copy is for personal use only. To order printed copies, contact [email protected]

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Radiology – Pubmed Central

Published: Feb 7, 2020

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