Open AccessCHILAIDITI SYNDROME IN A 49-YEAR-OLD MALE WITH COVID-19 INFECTION – CASE REPORT
Author(s) -
Rosana Mihaela Manea,
M.D. Hogea,
Ramona Mihaela Popa,
A.C. Szasz
Publication year - 2022
Publication title -
bulletin of the "transilvania" university of braşov. series vi, medical sciences
Language(s) - English
Resource type - Journals
eISSN - 2065-2224
pISSN - 2065-2216
DOI - 10.31926/but.ms.2021.63.14.2.5
Subject(s) - chills , medicine , abdominal distension , complication , emergency department , surgery , radiology , covid-19 , physical examination , irritation , disease , infectious disease (medical specialty) , psychiatry , immunology
The authors illustrate a case of a 49-year-old male patient admitted to our Emergency Department with dry persistent cough, fever, chills, vague abdominal discomfort and a recent history of dyspnoea and fatigability,symptomssuggestiveofCOVID-19infection.Physicalexamination showed mild abdominal distension and no signs of peritoneal irritation. The patient was tested positive for COVID-19 and d-dimers were also found positive, raising a strong suspicion diagnosis of pulmonary thromboembolism as a complication of SARS-COV-2 infection, which required an immediate CT scan. No signs of pulmonary thromboembolism were present on the CT scan. Apart from bilateral pulmonary condensation areas having a ground glass pattern with a peripheral distribution, which are the characteristic radiologic feature of SARS-COV-2 infection, the CT scan also revealed the anterior interposition of the colon between the liver and diaphragm, this being highly suggestive for Chilaiditi Syndrome.