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Italian Journal of Emergency Medicine 2020 August;9(2):74-7

DOI: 10.23736/S2532-1285.20.00023-3

Copyright © 2020 THE AUTHORS

This is an open access article under the CC BY-NC-ND license

language: English

A pulmonary embolism-like pattern for the early identification of patients with SARS-CoV2 interstitial pneumonia: a case report

Gabriele CIONI

Department of Emergency, SS Cosma and Damiano Hospital, USL Toscana Centro, Pescia, Pistoia, Italy



Recent reports on the Chinese population provided clinical and laboratory characteristics of COVID-19 patients, and several authors investigated the role of coagulation markers in relation to pathogenesis and prognosis. In this case series we described three patients affected by SARS-CoV2-related interstitial pneumonia. Concurrent tachycardia, chest pain, hypocapnic respiratory failure, and signs of widespread lung involvement already on ultrasound examination, are associated with a greater severity of disease. In this context, high levels of D-dimer help identify patients with intensive care needs. In the suspicion of COVID-19 infection, what we have called pulmonary embolism-like pattern, could help identify patients with rapidly progressive disease early.


KEY WORDS: Pneumonia; Coronavirus; Hypocapnia

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