Lung ultrasound may help in the differential diagnosis of suspected oligosymptomatic COVID-19 patients on hemodialysis: A case report.
Marco AllinoviSelene LaudicinaLorenzo DallariIacopo GianassiEgrina DervishiMaria BiaginiLino CiramiPublished in: Hemodialysis international. International Symposium on Home Hemodialysis (2021)
There are many reasons for a patient on dialysis to present shortness of breath, fever, and multiple B-lines at LUS assessment (such as heart failure, fluid overload, vascular access infection, interstitial pneumonia) but the recognition of typical ultrasound patterns of the COVID-19 pneumonia is helpful for differential diagnosis. LUS may have an important role in the screening process of hemodialysis patients during the COVID-19 pandemic, especially in oligosymptomatic patients before the SARS-CoV-2 diagnostic tests, and in those with suspected symptoms and/or known exposure with unexpected negative SARS-CoV-2 diagnostic tests.
Keyphrases
- sars cov
- end stage renal disease
- chronic kidney disease
- peritoneal dialysis
- heart failure
- respiratory syndrome coronavirus
- magnetic resonance imaging
- newly diagnosed
- pulmonary embolism
- ejection fraction
- coronavirus disease
- case report
- ultrasound guided
- prognostic factors
- depressive symptoms
- computed tomography
- atrial fibrillation
- contrast enhanced ultrasound
- left ventricular
- community acquired pneumonia
- physical activity