COVID-19: case 40

Marco Di Serafino, Francesca Iacobellis, Giovanna Russo, Luigia Romano.

AORN “Antonio Cardarelli” – Napoli

53-year-old patient with history of HTA and coronary
artery disease recently detected at cardiac CT, waiting for coronarography,
admitted to ED for syncope with no chest pain, dyspnea, lower limbs edema or
fever (36°). No potential risk for SARS-CoV 2 exposure.

Blood tests: WBC (3,47 x10^3/ul, normal values. 4,5 –
10,0), Fibrinogen 650 mg/dL (normal values 150-450), troponin and ESR in the
normal ranges.

In the evening, body temperature increased (37°C).

Chest film

The day after, the body temperature reached 38.5°C.

CT

Multiple and bilateral confluent ground-glass
opacities with consolidations with subpleural distribution, particularly in the
apical segment of the RUL, apicoposterior of the LUL, lingula segment, and at
the bases. No pleural effusion.

RT-PCR from nasopharyngeal swap was positive.