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Abstract
Background: computer tomography (CT) features of COVID-19, their temporal changes and differences from other pulmonary (viral and bacterial pneumonia) and non-pulmonary diseases are well described in recent publications. The prevalence and characteristics of signs of concomitant problems that could be identified at chest CT are less studied.Aim: to analyze the prevalence and characteristics of chest CT features of COVID-19, its complications and comorbidities.Methods: retrospective analysis of CT and clinical data of 354 patients hospitalized with suspected COVID at April and May of 2020.Results: 962 CT scans were analyzed (3 (2-3) scans per patient). First CT was performed at 8 (5-11) day of sickness. Several roentgenological scenarios could be highlighted: patients with coronavirus pneumonia (n=295; 83%); with combination of COVID-19 and another pathology (n=36; 10%); with complications of COVID-19 (n=12; 3%); with alternative pathology (n=2; 1%); without any pathological signs (n=9; 3%). Several cases, illustrating CT signs of coronavirus pneumonia, its complications and comorbidities are reported.Conclusion: CT possibilities are not limited to detect typical COVID-19 signs, it also helps to differentiate pulmonary and other thoracis pathology.
Highlights
For citation: Petrovichev V.S., Melekhov A.V., Sayfullin M.A. et al The Role of Computed Tomography in Differentiation of Coronavirus Pneumonia, its Complications and Comorbidities
Background: computer tomography (CT) features of COVID-19, their temporal changes and differences from other pulmonary and non-pulmonary diseases are well described in recent publications
The prevalence and characteristics of signs of concomitant problems that could be identified at chest CT are less studied
Summary
3 — ФГБУ «Национальный исследовательский центр эпидемиологии и микробиологии имени почетного академика Н.Ф. КОМПЬЮТЕРНАЯ ТОМОГРАФИЯ ПРИ КОРОНАВИРУСНОЙ ИНФЕКЦИИ: ДИФФЕРЕНЦИАЛЬНЫЙ ДИАГНОЗ НА КЛИНИЧЕСКИХ ПРИМЕРАХ. Введение: большое количество литературы посвящено дифференциальному диагнозу рентгенологических симптомов COVID-19, их отличиям от других вариантов легочного поражения (другие вирусные и бактериальные пневмонии), не-легочных заболеваний. В реальной клинической практике коронавирусная пневмония может развиваться у пациентов, имеющих рентгенологические признаки и другого, интеркурентного заболевания. Методы: ретроспективный анализ рентгенологических и клинических данных 354 пациентов, госпитализированных в ФГАУ «НМИЦ Лечебно-реабилитационный центр» Минздрава России с подозрением на коронавирусную инфекцию в период апрель-май 2020 г. На основании выявляемых рентгенологических симптомов выделено несколько групп пациентов: с коронавирусной пневмонией (n=295; 83%); с сочетанием коронавирусной пневмонии и другого заболевания (n=36; 10%); с осложнениями COVID-19 (n=12; 3%); с альтернативной патологией (n=2; 1%); без патологии (n=9; 3%). Ключевые слова: COVID-19, коронавирусная пневмония, мультиспиральная компьютерная томография, дифференциальный диагноз Конфликт интересов. Что данная работа, её тема, предмет и содержание не затрагивают конкурирующих интересов
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