A Case of Focal Pulmonary Consolidation with An Air Bronchogram in A Patient with Coronavirus Disease-2019

Sato, Ryuichi; Nagasaki, Tadao; Kusuta, Risa; Hama, Yuma; Ueda, Tetsuya; Azuma, Masanori; Miyazaki, Yoshimune; Ota, Kazuhisa; Kusakabe, Yusuke; Fukushima, Yusei; Yasui, Yoshinori; Tanaka, Atsuo; Hasegawa, Yoshinori

doi:10.11150/kansenshogakuzasshi.95.21

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“…It is assumed that GGO is caused by the absence of alveolar exudate and edema in the early stage of the disease. Over time the alveolar space fills with exudate and becomes infiltrated [ 2 , 3 ]. In the present case, unilateral and peripheral GGO with thickening of the interlobular and intralobular septa was observed, known as a “crazy-paving” pattern.…”

Section: Discussionmentioning

confidence: 99%

Patient with suspected severe acute respiratory syndrome coronavirus 2 infection with successful emergency surgery for ulcerative colitis-associated toxic megacolon

et al. 2023

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Background In patients with acute severe ulcerative colitis with concomitant severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, the treatment strategy should consider the presence of pneumonia, respiratory status, and the severity of the ulcerative colitis (UC). We report a case of a 59-year-old man with SARS-CoV-2 infection who was diagnosed with toxic megacolon caused by UC. Case presentation Preoperative computed tomography scanning of the chest showed ground-glass opacities. The patient was treated conservatively until the pneumonia improved, but developed bleeding and liver dysfunction associated with UC. As the patient’s condition worsened, emergency surgery with subtotal colorectal resection, ileostomy, and rectal mucous fistula creation was performed while undertaking adequate infection control measures. Intraoperatively, contaminated ascites was observed, and the intestinal tract was markedly dilated and fragile. Nevertheless, the postoperative outcome was positive, with no pulmonary complications. The patient was discharged on postoperative day 77. Conclusions The COVID-19 pandemic presented challenges in surgical scheduling. Patients with SARS-CoV-2 infection required close monitoring for postoperative pulmonary complications.

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Section: Discussionmentioning

confidence: 99%