{"id":2121,"date":"2021-08-14T19:30:32","date_gmt":"2021-08-14T19:30:32","guid":{"rendered":"http:\/\/wp.cov19longhaulfoundation.org\/?p=2121"},"modified":"2021-08-14T19:30:32","modified_gmt":"2021-08-14T19:30:32","slug":"covid-19-associated-bronchiectasis-and-its-impact-on-prognosis","status":"publish","type":"post","link":"https:\/\/cov19longhaulfoundation.org\/?p=2121","title":{"rendered":"COVID-19-Associated Bronchiectasis and Its Impact on Prognosis"},"content":{"rendered":"\n

Authors: Aasir M. Suliman<\/a><\/a><\/sup>,\u00a0Bassel W. Bitar<\/a>,\u00a0Amer A. Farooqi<\/a>,\u00a0Anam M. Elarabi<\/a>,\u00a0Mohamed R. Aboukamar<\/a>,\u00a0Ahmed S. Abdulhadi<\/a><\/p>\n\n\n\n

Abstract<\/h3>\n\n\n\n

Coronavirus disease 2019 (COVID-19), which initially emerged in Wuhan, China, has rapidly swept around the world, causing grave morbidity and mortality. It manifests with several symptoms, on a spectrum from asymptomatic to severe illness and death. Many typical imaging features of this disease are described, such as bilateral multi-lobar ground-glass opacities (GGO) or consolidations with a predominantly peripheral distribution. COVID-19-associated bronchiectasis is an atypical finding, and it is not a commonly described sequel of the disease. Here, we present a previously healthy middle-aged man who developed progressive bronchiectasis evident on serial chest CT scans with superimposed bacterial infection following COVID-19 pneumonia. The patient’s complicated hospital course of superimposed bacterial infection in the setting of presumed bronchiectasis secondary to COVID-19 is alleged to have contributed to his prolonged hospital stay, with difficulty in weaning off mechanical ventilation. Clinicians should have high suspicion and awareness of such a debilitating complication, as further follow-up and management might be warranted.<\/p>\n\n\n\n

Introduction<\/h3>\n\n\n\n

Beginning in December 2019, a series of pneumonia cases were reported in Wuhan City, Hubei Province, China. Further investigations revealed that it was a new type of viral pneumonia caused by severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2), which was termed coronavirus disease 2019 (COVID-19). Symptoms are variable, nonspecific, and include dry cough, fever, fatigue, myalgia, dyspnea, anosmia, and ageusia [1]<\/a>. The real-time reverse transcription-polymerase chain reaction (rRT-PCR) test is the current gold standard for confirming infection and is performed using nasal or pharyngeal swab specimens.<\/p>\n\n\n\n

Computerized tomography of the thorax (CT thorax), as a routine imaging tool for pneumonia diagnosis, is of great importance in the early detection and treatment of patients affected by COVID-19. Chest CT may detect the early parenchymal abnormalities in the absence of positive rRT-PCR at initial presentation\u00a0[2]<\/a>.\u00a0Since chest CT was introduced as a diagnostic tool for COVID-19 pneumonia, many typical features of this disease were described such as bilateral multi-lobar ground-glass opacification (GGO) with a prevalent peripheral or posterior distribution, mainly in the lower lobes; sometimes, consolidative opacities superimposed on GGOs could be found\u00a0[3]<\/a>.\u00a0To our knowledge, bronchiectasis is not a classical finding in COVID-19 pneumonia, with a paucity of reporting on its development and progression during the disease course.<\/p>\n\n\n\n

For More Information: https:\/\/www.cureus.com\/articles\/59350-covid-19-associated-bronchiectasis-and-its-impact-on-prognosis<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Authors: Aasir M. Suliman,\u00a0Bassel W. Bitar,\u00a0Amer A. Farooqi,\u00a0Anam M. Elarabi,\u00a0Mohamed R. Aboukamar,\u00a0Ahmed S. Abdulhadi Abstract Coronavirus disease 2019 (COVID-19), which initially emerged in Wuhan, China, has rapidly swept around the […]<\/p>\n","protected":false},"author":2,"featured_media":2122,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[671,680,730,747,769,790,806,882,443,460,477],"tags":[],"class_list":["post-2121","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ageusia","category-anosmia","category-bronchiectasis","category-chest-ct","category-cough","category-dysgeusia","category-fever","category-myalgia-muscle-pain","category-pneumonia","category-prognosis","category-qrt-pcr"],"_links":{"self":[{"href":"https:\/\/cov19longhaulfoundation.org\/index.php?rest_route=\/wp\/v2\/posts\/2121","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cov19longhaulfoundation.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cov19longhaulfoundation.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cov19longhaulfoundation.org\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/cov19longhaulfoundation.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2121"}],"version-history":[{"count":0,"href":"https:\/\/cov19longhaulfoundation.org\/index.php?rest_route=\/wp\/v2\/posts\/2121\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cov19longhaulfoundation.org\/index.php?rest_route=\/wp\/v2\/media\/2122"}],"wp:attachment":[{"href":"https:\/\/cov19longhaulfoundation.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2121"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cov19longhaulfoundation.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2121"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cov19longhaulfoundation.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2121"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}