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Gaceta médica de México

On-line version ISSN 2696-1288Print version ISSN 0016-3813

Abstract

CONCHA-REBOLLAR, Luis A. et al. Tomographic behavior of pneumonia caused by SARS-CoV-2. Gac. Méd. Méx [online]. 2020, vol.156, n.5, pp.396-404.  Epub May 27, 2021. ISSN 2696-1288.  https://doi.org/10.24875/gmm.20000376.

Background:

From the first report of the respiratory disease caused by SARS-Cov-2 towards the end of 2019, in Wuhan, China, to June 8, 2020, 6,931,000 people had been affected in the world, and 113,619 in Mexico, where there is a lack of literature describing the tomographic behavior of this disease throughout its evolution and its correlation with patient clinical data.

Objective:

To identify, describe and classify the manifestations detected on chest computed tomography images of patients with pneumonia caused by SARS-CoV-2.

Method:

Hospitalized patients with RT-PCR-confirmed SARS-CoV-2 infection and who underwent a plain chest tomography were included.

Results:

The most common tomographic patterns were ground glass opacity, consolidation, cobblestone pattern and mixed pattern, with peripheral and subpleural distribution and bilateral involvement in up to 95 %. Subpleural bands that distorted the architecture were identified in up to 62 % of patients, with an average of seven days of evolution. The most common extrapulmonary finding was an increase in pulmonary artery transverse axis.

Conclusion:

Knowing the behavior of this type of pneumonia allows becoming familiarized with the characteristic tomographic patterns, in order to aid timely detection and treatment.

Keywords : Pneumonia caused by coronavirus; Covid-19; SARS-CoV-2; Tomographic findings.

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