Marta Brandani, Medico Radiologo, Ospedale Santa Maria alla Gruccia (Valdarno, Provincia di Arezzo)
77-years-old male admitted to ED for diarrhea, vomit and epigastralgia for 15 days.
Exposure to Covid-19 patient.
Medical history: HTA, polymyalgia rheumatica, Horton’s arteritis, ex-smoker.
Slight increase of LDH and CPR, lymphopenia.
Chest sonography: unremarkable
Chest radiography
The next morning: fever 39 C°, pO2 96% con O2 3 l/min. In the afternoon: EGA in O2 3l/min (PH 7.49, pO2 80.3, pCO2 31, satO2 95%, HCO3 24). Next check with ventimask 40%: PH 7.47, pO2 109, pCO2 35, satO2 97%, HCO3 25.
Chest sonography: bilateral interstitial disease with consolidations.
RT-PCR positive for SARS-CoV-2.
