COVID-19: case 34

G.Patelli, F.Besana, S. Paganoni* , F.Codazzi* , A.Tedeschi**

*UOC Radiologia ASST Bergamo Est; **UOC Medicina ASST Bergamo Est

47-year-old male
patient with asthenia, arthralgia, headache, sick cough and fever 39°C since
March 1 presented to the ED on March 4.  No
prior medical history. pO2: 95%.

Chest radiography
March 4: unremarkable.

Due to the discrepancy between clinical and radiological findings, a CT is performed.

Ill-defined
consolidations suspected for early-stage of interstitial pneumonia.

In consideration
of the CT findings, a nasal swab was obtained resulting positive for SARS-CoV-2.

The patient was
then hospitalized on March 4 and treated with Ceftriaxone 2gr /day ed
Azitromicina 500 mg/day. On March 6, Kaletra 800+100 mg /day e Plaquenil 400
mg/day were introduced with improvement of the clinical conditions since March
9

On March 10 both chest film and CT are performed.

Chest radiography:

Alveolar and interstitial consolidations.

CT

Development of a dense consolidative pattern and interstitial bands, consistent with good evolution of the disease.