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CT 扫描不能确诊新冠病毒感染:一个警示性病例报告。

CT scan does not make a diagnosis of Covid-19: A cautionary case report.

机构信息

Department of Pediatrics, University Hospital of Nîmes, Place du Pr Debré, 30029, Nîmes, France; IRMB, INSERM U1183-Montpellier University, 80 Rue Augustin Fliche, 34295, Montpellier, France; Montpellier University, 641 Avenue du Doyen Gaston Giraud, 34000, Montpellier, France.

IRMB, INSERM U1183-Montpellier University, 80 Rue Augustin Fliche, 34295, Montpellier, France; Department of Immunology, University Hospital of Nîmes, Place du Pr Debré, 30029, Nîmes, France.

出版信息

Int J Infect Dis. 2020 Nov;100:182-183. doi: 10.1016/j.ijid.2020.08.073. Epub 2020 Sep 2.

DOI:10.1016/j.ijid.2020.08.073
PMID:32890723
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7467017/
Abstract

Here, we report the clinical case of a 12-year-old girl presenting with flu-like symptoms, cough, anosmia, ageusia, breathing difficulties, and patchy ground glass opacities on TDM chest scan who turned out to be Coronavirus 229E-infected. This case draws attention to the risk of false COVID-19 diagnosis when over-relying on CT scan imaging.

摘要

在这里,我们报告了一例 12 岁女孩的临床病例,她表现出流感样症状、咳嗽、嗅觉丧失、味觉丧失、呼吸困难和 TDM 胸部扫描有斑片状磨玻璃影,结果被证实为 229E 型冠状病毒感染。该病例提醒人们,当过度依赖 CT 扫描成像时,可能会导致 COVID-19 诊断错误。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cff/7467017/e3c6855240b5/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cff/7467017/e3c6855240b5/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cff/7467017/e3c6855240b5/gr1_lrg.jpg

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本文引用的文献

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Diagnostic Performance of CT and Reverse Transcriptase Polymerase Chain Reaction for Coronavirus Disease 2019: A Meta-Analysis.CT 与逆转录聚合酶链反应检测 2019 年冠状病毒病的诊断性能:一项荟萃分析。
Radiology. 2020 Sep;296(3):E145-E155. doi: 10.1148/radiol.2020201343. Epub 2020 Apr 17.
2
Olfactory neuropathy in severe acute respiratory syndrome: report of A case.严重急性呼吸综合征中的嗅觉神经病变:一例报告
Acta Neurol Taiwan. 2006 Mar;15(1):26-8.
SARS-CoV-2 感染引起的嗅觉丧失和味觉障碍:发生率及其对 COVID-19 严重程度和死亡率的影响,以及可能的病理生物学机制——系统评价和荟萃分析。
F1000Res. 2021 Jan 21;10:40. doi: 10.12688/f1000research.28393.1. eCollection 2021.