RADIOLOGICAL RESOLUTION IN A SEVERE COVID PATIENT: A FOLLOW-UP STUDY

Abstract

PULMONARY FIBROSIS IS A FREQUENT COMPLICATION IN PATIENTS WITH VIRAL PNEUMONIA-INDUCED ACUTE RESPIRATORY DISTRESS SYNDROME. HOWEVER, CT SCANS HAVE SHOWN THAT THE SIGNS OF PULMONARY FIBROSIS AFTER VIRAL PNEUMONIA CAN PARTIALLY REGRESS OVER TIME. SO NOW A DAYS, AS A PART OF COVID TREATMENT, FOR PREVENTING FIBROSIS, WE ARE GIVING ANTI FIBROTICS AND STEROIDS. BUT WE DON’T KNOW THE ACTUAL SEQUALE OF LESIONS IN LUNG DUE TO COVID. HERE WE WOULD LIKE TO DISCUSS ABOUT OUR CASE OF SEVERE COVID-19 INFECTION WHO WAS MANAGED WITH ANTI-FIBROTICS, NIV, ANTI-VIRALS, STEROIDS AND PRONE VENTILATION. THIS PARTICULAR PATIENT HAD CT SEVERITY SCORE OF 21/25 WITH B/L GGOs, FIBROTIC BANDS AND CONSOLIDATORY CHANGES. A 1 MONTH FOLLOW-UP CT SCAN SHOWED A REDUCTION IN CT SEVERITY SCORE (15/25) AND GROSS RESOLUTION IN CONSOLIDATORY CHANGES AND GGOs. THE CLINICAL CONDITION SHOWED A SIGNIFICANT IMPROVEMENT.