Affiliation:
1. Department of Radiology, Yunus Emre State Hospital, Eskişehir, Turkey
2. Department of İnternal Medicine, Yunus Emre State Hospital, Eskişehir, Turkey
3. Department of Radiology, Kırşehir Ahi Evran University Medical Faculty, Kırşehir, Turkey
Abstract
Introduction:
The disease caused by the novel coronavirus (COVID -19) is a vital public
health problem that has now affected approximately 68,037,473 people and caused 1,552,802 deaths
around the world. We aimed to correlate the frequency of the lung involvement patterns, the segmental
distribution of lung infiltration, and TLSS in COVID-19 pneumonia patients with and without splenomegaly.
Material and Methods:
This retrospective study included patients admitted to Yunus Emre State Hospital
Emergency, Internal Medicine and Infectious Disease Departments between March 11, 2020, and
June 10, 2020, and diagnosed with COVID-19 by PCR test with a throat and nasal swab. The thoracic
and upper abdomen CTs and the clinical and demographic features of the patients were analyzed at the
time of initial diagnosis.
Results:
Consolidation (group 1 - 18 (47%), group 2 - 69 (28.2%); P = 0017), crazy pavement pattern
(15 (39.5%), 42 (17.1%); p = 0.001), pleural band formations (24 (63.2%), 87 (35.5%); p = 0.001), interlobular
septal thickening (23 (60.5%), 79 (32.2%); p = 0.001), and sequelae of secondary tuberculosis
(4 (10.5%), 8 (3.3%); p = 0.039) were more frequent in the patient with splemomegaly. The total lung
severity score was high in the group with splenomegaly (7.32 ± 6.15, 3.69 ± 5.16; p = 0.001).
Conclusion:
Consolidation, interlobular septal thickening, tuberculosis sequela, pleural band, and crazy
pavement patterns were frequent in the COVID-19 pneumonia patients with splenomegaly. The most
frequently affected segment was the superior segment of the right lower lobe. TLSS was higher in the
COVID-19 pneumonia patients with splenomegaly.
Publisher
Bentham Science Publishers Ltd.
Subject
Radiology, Nuclear Medicine and imaging