Open AccessAcute Pulmonary Embolism Mimicking Covid-19 Pneumonia
Author(s) -
Najwa Benslima,
Hay Hassani Avenue Taib Naciri,
Mouna Kacimi,
S. Berrada
Publication year - 2020
Publication title -
journal of clinical case studies reviews and reports
Language(s) - English
Resource type - Journals
ISSN - 2634-680X
DOI - 10.47363/jccsr/2020(2)153
Subject(s) - medicine , pneumonia , pulmonary embolism , eosinophilia , leukocytosis , chest pain , radiology , respiratory distress , tachypnea , lung , ground glass opacity , pathology , tachycardia , adenocarcinoma , cancer
We report the case of a 21 years old male patient, with a history of asthma since the age of 8 months, without follow-up, presenting a severe respiratory distress appeared suddenly, associated with a right basithoracic pain, and moderate hemoptysis. The non-contrast CT-chest scan showed a basal ground-glass opacity of the right lung leading to suspicion of Covid 19s’ pneumonia. Laboratory tests reveal an elevated levels of D-dimers (D-D), a thrombocytopenia, a neutrophilic leukocytosis and a hyper eosinophilia. The molecular test RT-PCR is negative. With the persistence of the right-side basithoracic pain and the presence of a hyper eosinophilia and increased levels of D-Dimers. A thoracic CT angiography was indicated that shows a bilateral distal pulmonary embolism with a right-sided basal sub segmental ischemia. We discuss a fortuitous discovery of an idiopathic pulmonary embolism associated to peripheral basal ground-glass opacities similar to the radiological findings found in the case of a SARS-Cov-2 pneumonia.