COMPARISON OF CLINICAL FEATURES AND CT MANIFESTATIONS OF COVID 19 AND NON COVID 19 PNEUMONIAS IN DIFFERENT PATIENTS PRESENTING IN ALLIED HOSPITAL RADIOLOGY DEPARTMENT

Hasan Bokhari; Asim Shaukat; Huma Asim; Prof Zafar Ali Chaudhry; NOsheen Ahmad; Abdul Rauf Rauf

COMPARISON OF CLINICAL FEATURES AND CT MANIFESTATIONS OF COVID 19 AND NON COVID 19 PNEUMONIAS IN DIFFERENT PATIENTS PRESENTING IN ALLIED HOSPITAL RADIOLOGY DEPARTMENT

Hasan Bokhari, Asim Shaukat, Huma Asim, Prof Zafar Ali Chaudhry, NOsheen Ahmad, Abdul Rauf Rauf

Abstract

Objectives: To compare clinical features and CT manifestations of COVID 19 and non COVID 19 pneumonias and to find out if there are any discriminatory factors between the two. Study design: Descriptive cross-sectional study. Setting: Radiology Department Allied Hospital Faisalabad CT scan section. Duration: 1 month i.e. 1st May to 1st June, 2020. Methodology: 60 patients were taken for the study including both genders. Baseline characteristics and labs were asked from the patient and from their chart. HRCT chest findings interpreted and statistical analysis applied. Results: Age range was from 30y to 60y for COVID and 36 to 62 for non COVID patients. No statistical difference in baseline characteristics was found except in leukocyte and platelet count that was found to be lower in COVID 19 patients as compared to non COVID 19 patients. Predominant pattern for COVID 19 is GGO (100% versus 83%) and peripheral distribution (100% versus 16.6%). Conclusion: Most common manifestation of COVID 19 pneumonia was peripheral distribution of ground glass haze, with more lobes and segmental involvement as compared to non COVID pneumonia.

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References

Dennie, C., Hague, C., Lim, R.S., Manos, D., Memauri, B.F., Nguyen, E.T. and Taylor, J., 2020. Canadian Association of Thoracic Radiology/Canadian Association of Radiologists Consensus Statement Regarding Chest Imaging in Suspected and Confirmed COVID-19. Canadian Association of Radiologists Journal, p.0846537120924606.

Li, Y., Yang, Z., Ai, T., Wu, S. and Xia, L., 2020. Association of “initial CT” findings with mortality in older patients with coronavirus disease 2019 (COVID-19). European Radiology, pp.1-8.

Guan, W.J., Ni, Z.Y., Hu, Y., Liang, W.H., Ou, C.Q., He, J.X., Liu, L., Shan, H., Lei, C.L., Hui, D.S. and Du, B., 2020. Clinical characteristics of coronavirus disease 2019 in China. New England journal of medicine, 382(18), pp.1708-1720.

Jayaweera, M., Perera, H., Gunawardana, B. and Manatunge, J., 2020. Transmission of COVID-19 virus by droplets and aerosols: A critical review on the unresolved dichotomy. Environmental Research, p.109819.

Fu, F., Lou, J., Xi, D., Bai, Y., Ma, G., Zhao, B., Liu, D., Bao, G., Lei, Z. and Wang, M., 2020. Chest computed tomography findings of coronavirus disease 2019 (COVID-19) pneumonia. European Radiology, p.1.

Shahzeb, M., Khan, A. and Muhammad, A., 2020. Role of Imaging Technology and Current Status of 2019 Novel Corona Virus (COVID-19): A critical review. Pakistan Heart Journal, 53(1).

Altmayer, S., Zanon, M., Pacini, G.S., Watte, G., Barros, M.C., Mohammed, T.L., Verma, N., Marchiori, E. and Hochhegger, B., 2020. Comparison of the Computed Tomography Findings in COVID-19 and Other Viral Pneumonia in Immunocompetent Adults: A Systematic Review and Meta-Analysis. European Radiology, available at https://doi.org/10.1007/s00330-020-07018-x

Worldometers, 2020. Assessed on : 19 july 2020 Available at :https://www.worldometers.info/coronavirus/?utm_campaign=homeAdvegas1?

Cheng, Z., Lu, Y., Cao, Q., Qin, L., Pan, Z., Yan, F. and Yang, W., 2020. Clinical features and chest CT manifestations of coronavirus disease 2019 (COVID-19) in a single-center study in Shanghai, China. American Journal of Roentgenology, pp.1-6.

Matoori, S., Khurana, B., Balcom, M.C., Koh, D.M., Froehlich, J.M., Janssen, S., Kolokythas, O. and Gutzeit, A., 2020. Intimate partner violence crisis in the COVID-19 pandemic: how can radiologists make a difference?. European Radiology, https://doi.org/10.1007/s00330-020-07043-w

. Chen, H.J., Qiu, J., Wu, B., Huang, T., Gao, Y., Wang, Z.P., Chen, Y. and Chen, F., 2020. Early chest CT features of patients with 2019 novel coronavirus (COVID-19) pneumonia: relationship to diagnosis and prognosis. European Radiology, p.1.

Wei, W., Hu, X.W., Cheng, Q., Zhao, Y.M. and Ge, Y.Q., 2020. Identification of common and severe COVID-19: the value of CT texture analysis and correlation with clinical characteristics. European Radiology, pp.1-9.

Wang, Y.C., Luo, H., Liu, S., Huang, S., Zhou, Z., Yu, Q., Zhang, S., Zhao, Z., Yu, Y., Yang, Y. and Wang, D., 2020. Dynamic evolution of COVID-19 on chest computed tomography: experience from Jiangsu Province of China. European Radiology, pp.1-10.

Böger, B., Fachi, M.M., Vilhena, R.O., de Fátima Cobre, A., Tonin, F.S. and Pontarolo, R., 2020. Systematic review with meta-analysis of the accuracy of diagnostic tests for COVID-19. American Journal of Infection Control.

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