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Case Report



Rapidly evolving cavitary lung lesion in a patient with severe COVID-19-An atypical pulmonary manifestation with the review of literature

Ram Singh, Brajesh Kumar Ratre, Prashant Sirohiya, Balbir Kumar.




Abstract
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The cavitary lung lesions are rare radiological findings in patients infected with COVID-19. The most common causes for such lesions are secondary infections with either bacterial, fungal, or viral pathogens, preexisting malignancy, or autoimmune diseases. None of the abovementioned reasons could be found in our patient. Pulmonary embolism and lung infarction have also been possible causes in COVID-19 patients. The persistent positivity of nasopharyngeal swab sample for coronavirus disease by reverse transcriptase-polymerase chain reaction test, clinical and laboratory evidence of thromboembolic phenomenon suggested the lesion to be a result of a complication of the COVID-19 infection with a possible microangiopathic mechanism.

Key words: COVID-19; Complication, Infarction, Pulmonary embolism






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