PATIENTS NON-COVID-19 DIAGNOSIS IN PANDEMIC CLINICS: THREE CASE REPORTS

Year 2022, Volume: 23 Issue: 4, 471 - 474, 17.10.2022

Serdar Özdemir Hatice Akça İbrahim Altunok Abdullah Algın Kamil Kokulu

https://doi.org/10.18229/kocatepetip.780004

Abstract

With the pandemic process, the frequency of clinicians' referrals for thoracic imaging has increased. In this article, three cases diagnosed other than COVID-19 in pandemic clinics are presented. A 33-years-old male admitted to the pandemic clinic with sore throat and dyspnea for two days. A large pneumothorax was observed on thorax imaging. The tube thoracostomy was performed. The patient was discharged after 14 days of follow-up. A 31-years-old female patient was admitted to pandemic clinic with the complaints of exertional dyspnea, cough, sore throat and abdominal pain for two weeks. Massive effusion was observed on thorax imaging. As a result of further examinations, the patient was diagnosed with metastatic colon carcinoma. An 18-years-old male patient was admitted to the pandemic clinic with chest pain lasting for a day. Mediastinal emphysema was observed on thorax imaging. The increased number of thoracic imaging during the pandemic process will lead to an increase in the incidence of asymptomatic and subclinical thoracic pathologies. This increase of incidence should be reveled with further epidemiological studies.

Keywords

Pandemics, Pneumothorax, Colonic neoplasms, Mediastinal emphysema

PANDEMİ KLİNİKLERİNDE COVİD-19 DIŞI TANI KONULAN HASTALAR: ÜÇ OLGU SUNUMU

Abstract

Pandemi süreciyle birlikte klinisyenlerin toraks görüntülesine başvuru sıklığı artmıştır. Bu yazımızda pandemi kliniklerinde COVİD-19 dışı tanı konulan üç olgu sunulmuştur. Otuzüç yaşında erkek hasta pandemi kliniğine iki gündür devam eden göğüs ağrısı nefes darlığı şikayeti ile başvurdu. Toraks görüntülemesinde geniş pnömotoraks izlendi. Hastaya tüp torakostomi uygulandı. Hasta 14 gün izlem sonrası taburcu edildi. Otuzbir yaşında kadın hasta pandemi kliniğine iki haftadır devam eden efor dispnesi, öksürük, göğüs ağrısı ve karın ağrısı şikayeti ile başvurdu. Toraks görüntülemesinde massif efüzyon izlendi. Ileri tetkikler sonucu hastaya metastatic kolon carsinomu tanısı konuldu. Onsekiz yaşında erkek hasta pandemi kliniğine bir gündür devam eden göğüs ağrısı nedeniyle kabul edildi. Toraks görüntülemesinde mediastinal amfizem izlendi. Pandemik süreç sırasında artan torasik görüntüleme sayısı, asemptomatik ve subklinik torasik patolojilerin görülme sıklığında artışa neden olacaktır. İnsidanslardaki bu artış geniş epidemiyolojik çalışmalar ile ortaya konulmalıdır.

Keywords

Pandemi, Pnömotoraks, Kolon kanseri, Mediastinal amfizem

References

• 1. Eroglu SE, Aksel G, Altunok I, et al. Can Google® trends predict emergency department admissions in pandemic periods? Medicine Science. 2021;10(1):111-7.
• 2. Bai HX, Hsieh B, Xiong Z, et al. Performance of radiologists in differentiating COVID-19 from non-COVID-19 viral pneumonia at Chest CT. Radiology. 2020;(296):46-54.
• 3. Yavuz B, Aydın N. Yeni Tip Coronavirüs Hastalığı'nın (COVID-19) Toraks Bilgisayarlı Tomografi Bulgularına Genel Bakış. Osmangazi Tıp Dergisi. 2022; 44(2): 290-300.
• 4. Sanliturk D, Yilmaz A. Evaluation of Covid-19 Triage Assessment Scale in Patients Attending the Emergency Department. J Basic Clin Health Sci. 2022;(6):55-65.
• 5. COVID-19 Algoritmalar [Internet] [cited. Apr 15, 2020]. Available from: https://covid19bilgi.saglik.gov.tr/tr/algoritmalar.
• 6. Ai T, Yang Z, Hou H, et al. Correlation of chest CT and RT-PCR testing in coronavirus disease 2019 (COVID-19) in China: a report of 1014 cases. Radiology. 2020:2020; 296:32–40.
• 7. Shoji H, Fonseca EKUN, Teles GBDS, et al. Structured thoracic computed tomography report for COVID-19 pandemic. Einstein (São Paulo). 2020; 18:eED5720.
• 8. Houshyar R, Tran-Harding K, Glavis-Bloom J, et al. Effect of shelter-in-place on emergency department radiology volumes during the COVID-19 pandemic. Emerg Radiol. 2020;5;1-4.