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117961

Ultrasound in Suspected Pneumonic COVID-19: Our Experience

Article

Last updated: 24 Dec 2024

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Subjects

-

Tags

Internal Medicine

Abstract

Background:  Coronavirus disease-19 [COVID-19] is a pandemic spreading all over the world. The novel corona virus has a specific tropism for the low respiratory airways causing viral pneumonia. Early diagnosis of suspicious COVID-19 pneumonia represents a pillar for immediate management. Computed tomography [CT] scan is considered the gold-standard screening tool, but it has several limitations. A chest ultrasound could play a role in COVID-19. 
Aim of the work:To evaluate the role of lung ultrasound [LUS] in diagnosis of suspicious COVID-19 pneumonia.
Patients and Methods:Sixty patients with suspected COVID-19 pneumonia were included. They were initially evaluated in triage and initial diagnosis [Al-Azhar University Hospital; Damietta] and followed up by the surveillance and infection control team till the final diagnosis or discharge from isolation hospitals. All were evaluated clinically, by imaging modalities [LUS, chest computed tomography [CT]] and diagnosis confirmed by polymerase chain reaction. Data of LUS and chest CT compared to results of PCR.
Results: LUS had sensitivity of 88.2%, specificity of 11.5%, PPV of 56.6%, NPV of 42.8% and overall diagnostic accuracy of 55.0%. on the other side, CT scan had 94.1%, 3.85, 56.14%, 33.33% and 57.0% for sensitivity, specificity, positive predictive value, negative predictive value and overall diagnostic accuracy, successively. Results of LUS are slightly lower than CT.
Conclusion: US is a useful screening and monitoring tool in suspected COVID-19. It is feasible, portable with an accepted rate of sensitivity. However, it is advisable to be used as an integrated diagnostic tool.

DOI

10.21608/ijma.2020.43493.1176

Keywords

COVID-19, lung ultrasound, pneumonia, Screening, Diagnosis

Authors

First Name

Atef

Last Name

Alrifai

MiddleName

-

Affiliation

Department of Chest Diseases and Allergy, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

atefchest@gmail.com

City

Mansoura

Orcid

-

First Name

Fathiya Mostafa

Last Name

El-Raey

MiddleName

-

Affiliation

Department of Hepatology, Gastroenterology and Infectious Diseases, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

faresmd76@yahoo.com

City

Damietta

Orcid

-

First Name

Ahmed M.

Last Name

Yousef

MiddleName

-

Affiliation

Department of Public Health and Community Medicine, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

ahmed.mayousef@domazhermedicine.edu.eg

City

-

Orcid

0000-0003-2226-8684

First Name

Samy

Last Name

Zaky

MiddleName

-

Affiliation

Department of Hepatology, Gastroenterology, and Infectious Diseases, Faculty of Medicine for Girls, Al-Azhar University, Egypt

Email

samyzs55@yahoo.com

City

Cairo

Orcid

0000-0003-4123-9221

Volume

2

Article Issue

4

Related Issue

17986

Issue Date

2020-10-01

Receive Date

2020-09-19

Publish Date

2020-10-01

Page Start

682

Page End

689

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 2_Issue 4_Pages 682-689.pdf

PDF . 2.3MB

Link

https://ijma.journals.ekb.eg/article_117961.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=117961

Order

1

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Ultrasound in Suspected Pneumonic COVID-19: Our Experience

Details

Type

Article

Created At

22 Jan 2023