Case study: COVID-19 pneumonia presented with cavitary lesions
Management, Body Systems, and Case Studies in COVID-19, Elsevier, ss.561-566, 2024
- Yayın Türü: Kitapta Bölüm / Araştırma Kitabı
- Basım Tarihi: 2024
- Doi Numarası: 10.1016/b978-0-443-18703-2.00040-2
- Yayınevi: Elsevier
- Sayfa Sayıları: ss.561-566
- Anahtar Kelimeler: Cavity, COVID-19, Pneumatocele, Pneumonia, SARS-CoV-2
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
The lungs are the most affected organ of a SARS-COV-2 infected person, and one-fifth of infected persons eventually develop COVID-19 pneumonia. Typical findings are pulmonary consolidations, ground-glass opacities, crazy paving patterns, and interlobular septal and pleural thickening. Lymphadenopathy, pleural effusion, cavitation, and pneumothorax are rare but may be noticed with the progression of COVID-19 pneumonia. Recognizing cavitary lesions like unusual radiological presentations and complications are important for prompt and appropriate treatment to prevent irreversible lung damage. Cavitary lesions are the consequences of COVID-19-related inflammatory mediators and microvascular thrombosis in pulmonary capillaries with or without the contribution of secondary infections. Cavities are fairly unusual but associated with high morbidity and mortality. Therefore, clinical and radiological alterations in patients with COVID-19 pneumonia should be closely monitored to detect a complicated course of infection such as cavity formation. Timely intervention with the identification of underlying pathology as well as the management of coinfection and superinfections can ensure minimal morbidity and mortality. Two COVID-19 pneumonia cases complicated with cavitary lesions are presented herein to demonstrate the management of this uncommon form of COVID-19 pneumonia. It was concluded that the cavity was caused by SARS-COV-2 viral pneumonia itself in Case One. The cavity was manifested by superinfections as a complication of progressed severe COVID-19 pneumonia in Case Two.