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Chylothorax found in a patient with COVID-19.
Satriano, Francesco; Scioscia, Giulia; Cagnazzo, Maria Grazia; Maci, Federica; Refolo, Leonida; Fuso, Paolo; Gerardi, Emanuele; Grasso, Diego; Soccio, Piera; Lacedonia, Donato.
  • Satriano F; Respiratory Unit Covid2 Pneumologia 2 Covid - DEA "V. Fazzi" Hospital Lecce Italy.
  • Scioscia G; Department of Medical and Surgical Sciences Universitary Hospital, Policlinico Riuniti di Foggia Foggia Italy.
  • Cagnazzo MG; Respiratory Unit Covid2 Pneumologia 2 Covid - DEA "V. Fazzi" Hospital Lecce Italy.
  • Maci F; Department of Medical and Surgical Sciences Universitary Hospital, Policlinico Riuniti di Foggia Foggia Italy.
  • Refolo L; Respiratory Unit Covid2 Pneumologia 2 Covid - DEA "V. Fazzi" Hospital Lecce Italy.
  • Fuso P; Department of Medical and Surgical Sciences Universitary Hospital, Policlinico Riuniti di Foggia Foggia Italy.
  • Gerardi E; Respiratory Unit Covid2 Pneumologia 2 Covid - DEA "V. Fazzi" Hospital Lecce Italy.
  • Grasso D; Respiratory Unit Covid2 Pneumologia 2 Covid - DEA "V. Fazzi" Hospital Lecce Italy.
  • Soccio P; Department of Medical and Surgical Sciences Universitary Hospital, Policlinico Riuniti di Foggia Foggia Italy.
  • Lacedonia D; Department of Medical and Surgical Sciences Universitary Hospital, Policlinico Riuniti di Foggia Foggia Italy.
Respirol Case Rep ; 10(2): e0836, 2022 Feb.
Article in English | MEDLINE | ID: covidwho-1653341
ABSTRACT
Coronavirus disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and its clinical spectrum ranges from mild to moderate or severe illness. A 78-year-old male was presented at emergency department with dyspnoea, dry cough and severe asthenia. The nasopharyngeal swab by real-time polymerase chain reaction confirmed a SARS-CoV-2 infection. The x-ray and the thoracic ultrasound revealed right pleural effusion. A diagnostic-therapeutic thoracentesis drained fluid identified as chylothorax. Subsequently, the patient underwent a chest computed tomography which showed the radiological hallmarks of COVID-19 and in the following weeks he underwent a chest magnetic resonance imaging to obtain a better view of mediastinal and lymphatic structures, which showed a partial thrombosis affecting the origin of superior vena cava and the distal tract of the right subclavian vein. For this reason, anticoagulant therapy was optimized and in the following weeks the patient was discharged for clinical and radiological improvement. This case demonstrates chylothorax as a possible and uncommon complication of COVID-19.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Prognostic study Language: English Journal: Respirol Case Rep Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Prognostic study Language: English Journal: Respirol Case Rep Year: 2022 Document Type: Article