19 August 2020: Articles
Comparison of the Clinical Course of COVID-19 Pneumonia and Acute Respiratory Distress Syndrome in 2 Passengers from the Cruise Ship Diamond Princess in February 2020
Unusual or unexpected effect of treatment, Rare disease
Kazuki Matsumura A , Yukitoshi Toyoda A* , Shokei Matsumoto A , Yoshiaki Kawai E , Takaaki Mori E , Kosei Omasa E , Takuya Fukada E , Masaki Yamada F , Taku Kazamaki E , Shintaro Furugori A , Nao Hiroe F , Satomi Senoo F , Masayuki Shimizu F , Tomohiro Funabiki E , Motoyasu Yamazaki ADOI: 10.12659/AJCR.926835
Am J Case Rep 2020; 21:e926835
Figure 1. Chest computed tomographic images of a 72-year-old patient with severe acute respiratory distress syndrome due to COVID-19-associated pneumonia. (A) Images obtained on the day of admission exhibit multiple ground-glass opacities with a mosaic-like pattern in bilateral lungs. (B) Images taken on the fifth day, after intubation and introduction of veno-venous extracorporeal membrane oxygenation (VV ECMO), show diffuse large regions with a crazy-paving pattern in both lungs mixed with consolidation on the peripheral side. (C) Images taken on the 18th day show exacerbation of consolidation of both dorsal sides due to atelectasis and unchanged ground-glass opacities. (D) Images taken on the 28th day, 3 days after weaning off VV ECMO, reveal almost resolved consolidation in both lungs.