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Coronavirus Disease 2019 Suspicion: A Case Report Regarding a Male Emergency Medical Service Pilot With Newly Diagnosed Sarcoidosis.
Momenzadeh, Mahmud; Shahali, Hamze; Farahani, Azade Amirabadi.
  • Momenzadeh M; Aerospace and Sub-Aquatic Medical Faculty, Aja University of Medical Sciences, Tehran, Iran.
  • Shahali H; Aerospace and Sub-Aquatic Medical Faculty, Aja University of Medical Sciences, Tehran, Iran. Electronic address: hamze.shahali@ajaums.ac.ir.
  • Farahani AA; Tehran University of Medical Sciences, Tehran, Iran; Iran Forensic Medical Organization, Tehran, Iran.
Air Med J ; 39(4): 296-297, 2020.
Article in English | MEDLINE | ID: covidwho-655636
ABSTRACT
A 38-year-old emergency medical service Bell 214 male pilot with a dry cough, fever, anorexia, fatigue, and sweating for the past 3 days; an oral temperature of 38°C; blood pressure of 105/65 mm Hg; heart rate of 94 beats/min; respiratory rate of 21 breaths/min; and pulse oximetry of 93% on room air was suspicious for coronavirus disease 2019. Surprisingly, reverse transcription polymerase chain reaction was negative, but bilateral hilar adenopathy was reported in his chest radiography as a new challenge. The pathologic report of the adenopathy biopsy was noncaseating sarcoid-type granulomas. Serologic tests showed a serum angiotensin-converting enzyme level of 58 nmol/mL/min. The bronchoalveolar lavage fluid CD4/CD8 ratio was 3.68. The bronchoalveolar lavage findings provided an accurate sarcoidosis diagnosis, and a high-resolution computed tomographic scan revealed stage 1 pulmonary involvement. Because of the pulmonary involvement, clinical manifestations, use of inhaled fluticasone, and need for longer and accurate follow-up and to protect against coronavirus disease 2019, he has been temporarily suspended until the final assignment.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Sarcoidosis, Pulmonary / Coronavirus Infections / Air Ambulances / Pilots Type of study: Case report / Cohort study / Diagnostic study / Prognostic study Topics: Long Covid Limits: Adult / Humans / Male Language: English Journal: Air Med J Journal subject: Aerospace Medicine / Emergency Medicine Year: 2020 Document Type: Article Affiliation country: J.amj.2020.04.014

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Sarcoidosis, Pulmonary / Coronavirus Infections / Air Ambulances / Pilots Type of study: Case report / Cohort study / Diagnostic study / Prognostic study Topics: Long Covid Limits: Adult / Humans / Male Language: English Journal: Air Med J Journal subject: Aerospace Medicine / Emergency Medicine Year: 2020 Document Type: Article Affiliation country: J.amj.2020.04.014