This study aimed to analyze the early high-resolution CT(HRCT)manifestations and dynamic imaging changes of coronavirus disease 2019(COVID-19)in Qinghai Province.A total of 24 nucleic acid-positive COVID-19 patients a...This study aimed to analyze the early high-resolution CT(HRCT)manifestations and dynamic imaging changes of coronavirus disease 2019(COVID-19)in Qinghai Province.A total of 24 nucleic acid-positive COVID-19 patients admitted to our hospital between January 2020 and November 2021 were included.All patients underwent HRCT examinations,and lesion characteristics—including number,distribution,morphology,and surrounding involvement were analyzed.Among the 24 patients,systemic and respiratory circulatory symptoms were more common than other symptoms(P<0.05).There were no significant differences in the lung lobes,relative positions,quantity,size,and density of lesions across different stages of the disease course(P>0.05).Within the same disease stage,lesions were primarily located in the lower lobes of both lungs,the peripheral lung fields,and a combination of peripheral and central regions,with single and multiple lesions being the most common.Lesion morphology varied significantly across disease stages(P<0.05),including differences between patchy and striped lesions,striped and massive lesions(P<0.05),and patchy and massive lesions(P<0.05).The incidence of striped lesions was higher in the progressive and recovery stages than in the early stage,showing an upward trend.There were no significant differences in pleural thickening,pleural effusion,mediastinal lymph node enlargement,or pericardial effusion across different disease stages(P>0.05).Common HRCT signs observed at all stages included air bronchograms,paving stone patterns,halo signs,subpleural lines,and grid-like patterns.The main patterns of lesion progression were an increase in lesion size(16/24,66.67%),an increase in the number of lesions(17/24,70.83%),changes in lesion density(20/24,80.33%),and localized lesion increase and partial absorption(6/24,25.00%).In conclusion,the HRCT manifestations and evolution of lung lesions in COVID-19 patients are complex and varied,with a progressive increase in striped lesions potentially serving as a characteristic imaging feature of the disease.展开更多
Objective:To analyze the characteristics,dynamic changes,and outcomes of the first imaging manifestations of 3 patients with severe COVID-19 in our hospital.Methods:Computed tomography(CT)findings of 3 patients with s...Objective:To analyze the characteristics,dynamic changes,and outcomes of the first imaging manifestations of 3 patients with severe COVID-19 in our hospital.Methods:Computed tomography(CT)findings of 3 patients with severe COVID-19 who tested positive by the nucleic acid test in our hospital were selected,mainly focusing on the morphology,distribution characteristics,and dynamic changes of the first CT findings.Results:3 patients with severe pneumonia were older,with one aged 80.The first chest CT examination for all 3 patients differed.Imaging showed a leafy distribution of consolidation,primarily affecting the lower lobes of both lungs and extending subpleurally.A grid-like pattern was observed,along with changes in the consolidation and air bronchogram.These changes had slower absorption,especially in patients with underlying diseases.Conclusion:CT manifestations of severe COVID-19 have specific characteristics and the analysis of their characteristics and dynamic changes provide valuable insights for clinical treatment.展开更多
Human babesiosis is an infection caused by intraerythrocytic protozoa of the genus Babesia and is a worldwide emerging tick-borne disease(1).Babesia is mainly parasitized in erythrocytes of human or other vertebrates ...Human babesiosis is an infection caused by intraerythrocytic protozoa of the genus Babesia and is a worldwide emerging tick-borne disease(1).Babesia is mainly parasitized in erythrocytes of human or other vertebrates and transmitted by the bite of ticks,blood transfusion,or organ transplantation(1).Humans are generally susceptible to Babesia,especially those who are immunocompromised with conditions such as splenectomy or splenic dysfunction,as well as those of old age,with infirmity,or with other severe diseases.展开更多
基金Qinghai Provincial Health Commission Medical and Health Science and Technology(Project No.:2022-wjzdx-63)。
文摘This study aimed to analyze the early high-resolution CT(HRCT)manifestations and dynamic imaging changes of coronavirus disease 2019(COVID-19)in Qinghai Province.A total of 24 nucleic acid-positive COVID-19 patients admitted to our hospital between January 2020 and November 2021 were included.All patients underwent HRCT examinations,and lesion characteristics—including number,distribution,morphology,and surrounding involvement were analyzed.Among the 24 patients,systemic and respiratory circulatory symptoms were more common than other symptoms(P<0.05).There were no significant differences in the lung lobes,relative positions,quantity,size,and density of lesions across different stages of the disease course(P>0.05).Within the same disease stage,lesions were primarily located in the lower lobes of both lungs,the peripheral lung fields,and a combination of peripheral and central regions,with single and multiple lesions being the most common.Lesion morphology varied significantly across disease stages(P<0.05),including differences between patchy and striped lesions,striped and massive lesions(P<0.05),and patchy and massive lesions(P<0.05).The incidence of striped lesions was higher in the progressive and recovery stages than in the early stage,showing an upward trend.There were no significant differences in pleural thickening,pleural effusion,mediastinal lymph node enlargement,or pericardial effusion across different disease stages(P>0.05).Common HRCT signs observed at all stages included air bronchograms,paving stone patterns,halo signs,subpleural lines,and grid-like patterns.The main patterns of lesion progression were an increase in lesion size(16/24,66.67%),an increase in the number of lesions(17/24,70.83%),changes in lesion density(20/24,80.33%),and localized lesion increase and partial absorption(6/24,25.00%).In conclusion,the HRCT manifestations and evolution of lung lesions in COVID-19 patients are complex and varied,with a progressive increase in striped lesions potentially serving as a characteristic imaging feature of the disease.
基金Qinghai Provincial Health Commission Medical and Health Science and Technology Project Guiding Topics“Analysis of Dynamic Changes in Chest Imaging of New Coronavirus Pneumonia in Qinghai Province”(2022-wjzdx-63)。
文摘Objective:To analyze the characteristics,dynamic changes,and outcomes of the first imaging manifestations of 3 patients with severe COVID-19 in our hospital.Methods:Computed tomography(CT)findings of 3 patients with severe COVID-19 who tested positive by the nucleic acid test in our hospital were selected,mainly focusing on the morphology,distribution characteristics,and dynamic changes of the first CT findings.Results:3 patients with severe pneumonia were older,with one aged 80.The first chest CT examination for all 3 patients differed.Imaging showed a leafy distribution of consolidation,primarily affecting the lower lobes of both lungs and extending subpleurally.A grid-like pattern was observed,along with changes in the consolidation and air bronchogram.These changes had slower absorption,especially in patients with underlying diseases.Conclusion:CT manifestations of severe COVID-19 have specific characteristics and the analysis of their characteristics and dynamic changes provide valuable insights for clinical treatment.
基金supported by the General Program Shanghai Municipal Commission of Health and Family Planning of China(Grant No.201840286 and 201640278)the Program for the Shanghai Natural Science Foundation of China(Grant No.18ZR1443500)+3 种基金the Youth Science Foundation of Chinese Center for Disease Control and Prevention(Grant No.2018A105)the Shenzhen San-Ming Project for prevention and research on vector-borne diseases(Grant No.SZSM201611064)the National Science and Technology Major Program of China(Grant No.2018ZX10734-404)the National Sharing Service Platform for Parasite Resources(Grant No.NPRC-2019-194-30).
文摘Human babesiosis is an infection caused by intraerythrocytic protozoa of the genus Babesia and is a worldwide emerging tick-borne disease(1).Babesia is mainly parasitized in erythrocytes of human or other vertebrates and transmitted by the bite of ticks,blood transfusion,or organ transplantation(1).Humans are generally susceptible to Babesia,especially those who are immunocompromised with conditions such as splenectomy or splenic dysfunction,as well as those of old age,with infirmity,or with other severe diseases.
