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[Lesions on CT scan in patients hospitalized for coronavirus pneumonia during the first wave of the SARS-CoV-2 pandemic at the University Clinics in Kinshasa (DRC)]. / Lésions tomodensitométriques chez les patients hospitalisés pour pneumonie à COVID-19 lors de la première vague de la pandémie à SARS-CoV-2 aux Cliniques Universitaires de Kinshasa (RDC).
Tshienda, Frederick Tshibasu; Tshikwela, Michel Lelo; Risasi, Jean-Robert Makulo; Situakibanza, Hippolyte Nani Tuma; Salem, Randa; Ndjock, Patrick Sekele Marob; Makwala, René Ngiyulu; Aundu, Antoine Molua; Mabiala, Joseph Bodi; Ntumba, Jean-Marie Kayembe; Longo-Mbenza, Benjamin.
  • Tshienda FT; Service d´Imagerie Médicale, Cliniques Universitaires de Kinshasa, Kinshasa, République Démocratique du Congo.
  • Tshikwela ML; Service d´Imagerie Médicale, Cliniques Universitaires de Kinshasa, Kinshasa, République Démocratique du Congo.
  • Risasi JM; Service de Néphrologie, Cliniques Universitaires de Kinshasa, Kinshasa, République Démocratique du Congo.
  • Situakibanza HNT; Service des Maladies Infectieuses, Cliniques Universitaires de Kinshasa, Kinshasa, République Démocratique du Congo.
  • Salem R; Service d´Imagerie Médicale, Hôpital Universitaire Fatouma Bourkiba, Monastir, Tunisie.
  • Ndjock PSM; Département d´Odontostomatologie, Cliniques Universitaires de Kinshasa, Kinshasa, République Démocratique du Congo.
  • Makwala RN; Département de Pédiatrie, Cliniques Universitaires de Kinshasa, Kinshasa, République Démocratique du Congo.
  • Aundu AM; Service d´Imagerie Médicale, Cliniques Universitaires de Kinshasa, Kinshasa, République Démocratique du Congo.
  • Mabiala JB; Département de Pédiatrie, Cliniques Universitaires de Kinshasa, Kinshasa, République Démocratique du Congo.
  • Ntumba JK; Service de Pneumologie, Cliniques Universitaires de Kinshasa, Kinshasa, République Démocratique du Congo.
  • Longo-Mbenza B; Service de Cardiologie, Cliniques Universitaires de Kinshasa, Kinshasa, République Démocratique du Congo.
Pan Afr Med J ; 39: 230, 2021.
Article in French | MEDLINE | ID: covidwho-1464030
ABSTRACT

INTRODUCTION:

the main purpose of this study is to describe chest computed tomography (CT) findings in 26 patients hospitalized with COVID-19 pneumonia during the first wave of the SARS-CoV-2 pandemic at the University Clinics in Kinshasa (UCK).

METHODS:

we conducted a descriptive study of chest CT findings in 26 patients hospitalized with coronavirus pneumonia at the UCK over a 9-month period, from March 17 to November 17, 2020. Hitachi - CT-scanner 16 slice was used in all our patients. After analyzing lesions, these were divided into lesions suggestive and non-suggestive of SARS-CoV-2 infection.

RESULTS:

the average age of patients was 53.02 years. Male sex was the most affected (76.9%). Respiratory distress was the most common clinical symptom (61.5%). Arterial hypertension and renal failure were the most common comorbidities (3O% and 6%). Bilateral ground-glass opacities, with a predominantly peripheral distribution, accounted for 69.2% of cases, followed by condensations (57.7%) and crazy paving (19.2%). Severe COVID-19 was most frequently found (34.61%). Distal and proximal pulmonary embolism was the most common complication (11.5%). Among the associated diseases, pleurisy and pulmonary PAH were most frequently found (30.8%). The majority of our patients had parenchymal lung lesions, corresponding to early-stage disease on CT (50%).

CONCLUSION:

at the UCK, during the first wave of SARS-CoV-2 pandemic, lesions on CT suggestive of COVID-19 were dominated by plaque-like ground-glass opacities, followed by nonsystematized parenchymatous condensations and crazy paving. The less observed atypical lesions consisted of unilateral, peribronchovascular pseudo-nodular condensations and infection in the remodeled lung. Severe COVID-19 was the most common CT finding. Proximal and distal pulmonary embolism was the most common complication. This study highlights that these findings are consistent with those reported in the literature.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Tomography, X-Ray Computed / COVID-19 / Hospitalization Type of study: Prognostic study Topics: Long Covid Limits: Adolescent / Adult / Aged / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged Country/Region as subject: Africa Language: French Journal: Pan Afr Med J Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Tomography, X-Ray Computed / COVID-19 / Hospitalization Type of study: Prognostic study Topics: Long Covid Limits: Adolescent / Adult / Aged / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged Country/Region as subject: Africa Language: French Journal: Pan Afr Med J Year: 2021 Document Type: Article