CASE 05: Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-COV-2) Pulmonary Involvement: COVID-19 Pneumonia

CXR of a kidney transplant recipient in his 50s with pulmonary complaints. Had undergone transplantation 1 year prior to presentation. Predisposing factors included exposure to a family member who had tested positive for COVID-19.

CXR 24 hours later at the time of emergency intubation and starting of renal replacement therapy due to hyperkalemia.

CXR on admission.

CXR 5 days later.

CT scan images on admission showing multifocal pneumonia and ARDS. There are extensive bilateral consolidations and groundglass airspace disease with peripheral and basilar predominance. Note as well the superimposed interstitial edema.

CT scan images on admission showing multifocal pneumonia and ARDS. There are extensive bilateral consolidations and groundglass airspace disease with peripheral and basilar predominance. Note as well the superimposed interstitial edema.

CT scan images on admission showing multifocal pneumonia and ARDS. There are extensive bilateral consolidations and groundglass airspace disease with peripheral and basilar predominance. Note as well the superimposed interstitial edema.

CXR on admission (Figure 112-20) and 7 days later (Figure 112-21) showing worsening bilateral lung opacities.

CXR on admission (Figure 112-20) and 7 days later (Figure 112-21) showing worsening bilateral lung opacities.

CXR on presentation with respiratory complaints.

After 5 days there is extensive airspace ...