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COVID-19 환자의 네 증례에서 폐 후유증에 대한 흉부 CT 소견

Chest CT Imaging Features of the Pulmonary Sequelae in Four Patients with COVID-19

  • 김태은 (인제대학교 의과대학 일산백병원 영상의학과) ;
  • 김수영 (인제대학교 의과대학 일산백병원 영상의학과) ;
  • 이병훈 (인제대학교 의과대학 일산백병원 영상의학과)
  • Tae-Eun Kim (Department of Radiology, Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Su Young Kim (Department of Radiology, Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Byung Hoon Lee (Department of Radiology, Ilsan Paik Hospital, Inje University College of Medicine)
  • 투고 : 2021.04.09
  • 심사 : 2021.08.10
  • 발행 : 2022.03.01

초록

Coronavirus disease 2019 (이하 COVID-19)의 대유행이 지속됨에 따라 COVID-19 감염에서 회복된 환자들의 후유증과 치료에 많은 관심이 발생하고 있다. COVID-19의 장기적인 후유증은 아직 알려지지 않았지만, 최근 발표된 문헌에 따르면 일부 환자들은 퇴원 후에도 증상이 지속되며 영상의학적 이상 소견을 보였다. 우리는 COVID-19 회복 후에 지속적인 호흡곤란이 있던 네 명의 환자들 증례에서 폐 섬유화 또는 기질화 폐렴 패턴을 나타내는 폐 후유증을 보고하고자 한다.

With the ongoing coronavirus disease 2019 (COVID-19) pandemic, there is an increasing interest in the sequelae and care in recovered patients. Although the long-term sequelae of COVID-19 are still unknown, recently published reports suggest that some of the patients have persistent symptoms and show radiologic abnormalities after discharge. Herein, we present cases of four patients with previous COVID-19 infection manifesting pulmonary sequelae, including pulmonary fibrosis or organizing pneumonia pattern with persistent dyspnea after recovery.

키워드

참고문헌

  1. Shi H, Han X, Jiang N, Cao Y, Alwalid O, Gu J, et al. Radiological findings from 81 patients with COVID-19 pneumonia in Wuhan, China: a descriptive study. Lancet Infect Dis 2020;20:425-434 https://doi.org/10.1016/S1473-3099(20)30086-4
  2. Vasarmidi E, Tsitoura E, Spandidos DA, Tzanakis N, Antoniou KM. Pulmonary fibrosis in the aftermath of the COVID-19 era (Review). Exp Ther Med 2020;20:2557-2560 https://doi.org/10.3892/etm.2020.8980
  3. Antonio GE, Wong KT, Hui DS, Wu A, Lee N, Yuen EH, et al. Thin-section CT in patients with severe acute respiratory syndrome following hospital discharge: preliminary experience. Radiology 2003;228:810-815 https://doi.org/10.1148/radiol.2283030726
  4. Han X, Fan Y, Alwalid O, Li N, Jia X, Yuan M, et al. Six-month follow-up chest CT findings after severe COVID-19 pneumonia. Radiology 2021;299:E177-E186 https://doi.org/10.1148/radiol.2021203153
  5. van Gassel RJJ, Bels JLM, Raafs A, van Bussel BCT, van de Poll MCG, Simons SO, et al. High prevalence of pulmonary sequelae at 3 months after hospital discharge in mechanically ventilated survivors of COVID-19. Am J Respir Crit Care Med 2021;203:371-374 https://doi.org/10.1164/rccm.202010-3823LE
  6. Wei J, Yang H, Lei P, Fan B, Qiu Y, Zeng B, et al. Analysis of thin-section CT in patients with coronavirus disease (COVID-19) after hospital discharge. J Xray Sci Technol 2020;28:383-389
  7. Drakopanagiotakis F, Polychronopoulos V, Judson MA. Organizing pneumonia. Am J Med Sci 2008;335:34-39 https://doi.org/10.1097/MAJ.0b013e31815d829d
  8. de Oliveira Filho CM, Vieceli T, de Fraga Bassotto C, da Rosa Barbato JP, Garcia TS, Scheffel RS. Organizing pneumonia: a late phase complication of COVID-19 responding dramatically to corticosteroids. Braz J Infect Dis 2021;25:101541
  9. Vadasz I, Husain-Syed F, Dorfmuller P, Roller FC, Tello K, Hecker M, et al. Severe organising pneumonia following COVID-19. Thorax 2021;76:201-204 https://doi.org/10.1136/thoraxjnl-2020-216088
  10. Kanaoka K, Minami S, Ihara S, Tanaka T, Yasuoka H, Komuta K. Secondary organizing pneumonia after coronavirus disease 2019: two cases. Respir Med Case Rep 2021;32:101356