RESUMEN
Acute COVID-19 pneumonia may result in persistent changes with various imaging and histopathological patterns, including organizing pneumonia and pulmonary fibrosis. In addition, SARS-CoV-2 infection is associated with increased risk of pulmonary vascular endothelialitis and thrombosis. Herein, current findings on pulmonary consequences of COVID-19 with implications for clinical management are summarized based on a selective literature review.
Asunto(s)
COVID-19/complicaciones , Neumonía en Organización Criptogénica/complicaciones , Neumonía Viral/complicaciones , Fibrosis Pulmonar/complicaciones , Enfermedad Aguda , COVID-19/diagnóstico por imagen , COVID-19/terapia , Neumonía en Organización Criptogénica/diagnóstico por imagen , Neumonía en Organización Criptogénica/terapia , Estudios de Seguimiento , Humanos , Neumonía Viral/diagnóstico por imagen , Neumonía Viral/terapia , Fibrosis Pulmonar/diagnóstico por imagen , Fibrosis Pulmonar/terapiaRESUMEN
The long-term sequelae of COVID-19 on are not yet predictable. Radiological and histopathological data on COVID-19 and observational studies after the SARS-CoV-1 pandemic 2003/2004 suggest that in a proportion of COVID-19 patients, functional limitations due to pulmonary fibrosis and other patterns of lung damage may persist. Systematic follow-up, based on prudent pulmonary function testing, is warranted for the correct diagnosis, graduation and treatment of the underlying pathology at an early stage. This review summarizes the potential spectrum of Post-COVID-19 pulmonary disease patterns and provides recommendations for the follow-up care of COVID-19 patients in the field of respiratory medicine.
Asunto(s)
Infecciones por Coronavirus , Lesión Pulmonar , Pandemias , Neumonía Viral , Fibrosis Pulmonar , Betacoronavirus , COVID-19 , Infecciones por Coronavirus/complicaciones , Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/fisiopatología , Infecciones por Coronavirus/terapia , Humanos , Lesión Pulmonar/terapia , Lesión Pulmonar/virología , Neumonía Viral/complicaciones , Neumonía Viral/diagnóstico , Neumonía Viral/fisiopatología , Neumonía Viral/terapia , Guías de Práctica Clínica como Asunto , Fibrosis Pulmonar/terapia , Fibrosis Pulmonar/virología , Neumología , SARS-CoV-2RESUMEN
This information provided by the Thoracic Imaging Section of the German Radiological Society is intended to give physicians recommendations on the use of thoracic imaging procedures in the context of the current COVID-19 pandemic. It represents the consensus of the authors based on the previous scientific knowledge and is intended to provide guidance for unified, structured CT reporting if COVID-19 pneumonia is suspected. The recommendations presented correspond to state of knowledge at the time of print and will be updated according to the results of ongoing and future scientific studies. KEY POINTS:: · COVID-19. · chest imaging. · German Radiological Society. CITATION FORMAT: · Vogel-Claussen J, Ley-Zaporozhan J, Agarwal P etâal. Recommendations of the Thoracic Imaging Section of the German Radiological Society for clinical application of chest imaging and structured CT reporting in the COVID-19 pandemic. Fortschr Röntgenstr 2020; DOI: 10.1055/a-1174-8378.