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Non-Infectious Diseases Compatible With COVID-19 Pneumonia.
| Content Provider | Europe PMC |
|---|---|
| Author | Baran Ketencioğlu, Burcu Yiğit, Fatma Almadqa, Mohammed Tutar, Nuri Yılmaz, İnsu |
| Editor | Muacevic, Alexander Adler, John R |
| Copyright Year | 2020 |
| Abstract | While the definitive diagnosis of the coronavirus disease 19 (COVID-19) is mainly made by the polymerase chain reaction (PCR), some PCR-negative cases are diagnosed typically by a computed tomography (CT) scan's radiology. However, there are many different infectious and non-infectious diseases that have radiology like COVID-19. We are presenting a case of a patient having symptoms and a CT scan radiology comparable to that of COVID-19 and also having eosinophilia. The patient was initially diagnosed and treated as a COVID-19 patient. The patient stated that she had always complained of having dyspnea and cough, but it had increased even more in the past few days. Her thorax CT revealed bilateral ground-glass opacities with upper lobe predominance, which was reported as highly compatible with COVID-19 by radiologists. COVID-19 PCR result was negative twice. In laboratory results, eosinophil count was 2,850/mm3 and total Ig was 768 IU/mL. However, when the laboratory values and the radiological findings were combined with the patient's history, COVID-19 was excluded and the chronic eosinophilic pneumonia was accepted as a diagnosis. Clinicians more focused on COVID-19 while questioning the patients and while evaluating the laboratory and the radiological findings make it easier to miss other infectious and non-infectious diseases. Assessing the complete blood count result, focusing on the lymphocyte value, also makes it easy to skip eosinophilia. |
| Journal | Cureus |
| Volume Number | 12 |
| DOI | 10.7759/cureus.9989 |
| PubMed Central reference number | PMC7511072 |
| Issue Number | 8 |
| PubMed reference number | 32983689 |
| e-ISSN | 21688184 |
| Language | English |
| Publisher | Cureus |
| Publisher Date | 2020-08-24 |
| Publisher Place | Palo Alto (CA) |
| Access Restriction | Open |
| Subject Keyword | coronavirus disease 2019 (covid-19) rt-pcr (real time - reverse transcription polymerase chain reaction) ct (computed tomography) imaging peripheral eosinophilia |
| Content Type | Text |
| Resource Type | Case study |
| Subject | Medicine |
