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CASE REPORT / SHORT REPORT   Open accessopen access

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 distributed under the terms of the CC BY-NC-ND 4.0 license which allows users to copy and distribute the manuscript, as long as this is not done for commercial purposes and further does not permit distribution of the manuscript if it is changed or edited in any way, and as long as the user gives appropriate credits to the original author(s) and the source (with a link to the formal publication through the relevant DOI) and provides a link to the 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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