Lung point-of-care (POCUS) ultrasound in a pediatric COVID-19 case
Fecha
2020Autor
Alilio, Prisca M.
Ebeling-Koning, Natalie E.
Roth, Kevin R.
Desai, Tasha
Resumen
The World Health Organization categorized coronavirus disease 2019 (COVID-19) as a pandemic due to its high contagion rate and widespread infectivity in February 2020. In the
United States, one of the public health concerns is the adequacy of resources to treat infected cases. We describe a case of a previously well, 9-year-old obese boy who presented to
the emergency department with shortness of breath, fever, abdominal pain, and cough with
chest pain. He was diagnosed with COVID-19 through significant family contact, confirmed
by polymerase chain reaction and found to be at high risk of venous thromboembolism
due to abnormal d-dimer. Lung point-of-care ultrasound (POCUS) in the emergency department observed significant lung pathology, including pleural thickening, consolidation, and
B lines. A chest X-ray found bilateral ground glass opacities and interstitial prominences
consistent with viral pneumonia. Our case suggests that lung POCUS can provide adequate
and rapid imaging to assess lung pathology of COVID-19 in a pediatric patient. As there is
limited literature on use of lung POCUS in pediatric patients infected with SARS-CoV-2, our
case emphasizes its function as a potentially efficient modality in bedside assessment.
Palabras clave
POCUS; Covid-19; Lung ultrasoundEnlace al recurso
https://doi.org/10.1016/j.radcr.2020.09.007Colecciones
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