Hospital Santa Clara, Bogotá.
Monaldi Arch Chest Dis. 2021 Dec 3;92(3). doi: 10.4081/monaldi.2021.2046.
Radiological findings in chest radiography and respiratory symptomatology represent a great challenge of interpretation during the COVID-19 (Coronavirus Disease 2019) pandemic, as their patterns can generate uncertainty at the time of diagnosis. This case highlights the importance in achieving an adequate correlation between diagnostic imaging and the clinical picture. We present a male adult who was admitted for 8 days of respiratory symptoms. Management with steroids was initiated according to the RECOVERY (Randomized Evaluation of COVID-19 Therapy) protocol and later confirmation of SARS-CoV-2 infection was received. In the following weeks, he deteriorated slowly and progressively clinically, without reaching respiratory failure. Imaging showed a thick-walled cavitation in the right lower lobe. Tuberculosis was suspected and confirmed. The uniqueness of this case of COVID-19 coinfection in a patient with undiagnosed tuberculosis, represents a diagnostic and clinical management challenge, where the proper interpretation of chest radiology is a fundamental tool.
胸部放射摄影的放射学表现和呼吸症状在 COVID-19（2019 年冠状病毒病）大流行期间的解释极具挑战性，因为其模式在诊断时可能会产生不确定性。本病例强调了在诊断影像学和临床表现之间实现充分相关的重要性。我们介绍了一名成年男性，他因呼吸症状入院 8 天。根据 RECOVERY（COVID-19 治疗的随机评估）方案开始使用类固醇治疗，随后收到了 SARS-CoV-2 感染的确认。在接下来的几周里，他的病情缓慢且逐渐恶化，但没有发展为呼吸衰竭。影像学显示右下肺叶有一个壁厚的空洞。怀疑是结核病，并得到了证实。在未确诊结核病的患者中 COVID-19 合并感染的这种情况较为独特，这是一个诊断和临床管理方面的挑战，其中正确解读胸部放射学是一个基本工具。
