Development of cavitary lung disease as a long-term complication of coronavirus disease 2019 in a young previously healthy patient: a case report

Journal of Medical Case Reports

Harvey J. Friedman¹  Maria Adriana Yanez-Bello²  Goar Egoryan²  Ammar H. Mushtaq²  Daniela Patricia Trelles-Garcia²  Guillermo Rodriguez-Nava²  Elise Hyser² 

[1] Critical Care Units, AMITA Health Saint Francis Hospital, Evanston, IL, USA;Clinical Associate Professor of Medicine, University of Illinois College of Medicine, Chicago, IL, USA;Department of Internal Medicine, AMITA Health Saint Francis Hospital, 355 Ridge Ave, 60202, Evanston, IL, USA;

关键词: SARS-CoV-2;    COVID-19;    Chest computed tomography;    Cavitary lung lesion;   

DOI  :  10.1186/s13256-021-02961-9

来源: Springer

【 摘 要 】

BackgroundCavities are frequent manifestations of a wide variety of pathological processes involving the lung. There has been a growing body of evidence of coronavirus disease 2019 leading to a cavitary pulmonary disease.Case presentationA healthy 29-year-old Filipino male presented to the hospital a couple of months after convalescence from coronavirus disease 2019 with severe pleuritic chest pain, fever, chills, and shortness of breath, and was found to have a cavitary lung lesion on chest computed tomography. While conservative management alone failed to improve the patient’s condition, he ultimately underwent left lung video-assisted thoracoscopic surgery decortication. Even though the surgical pathology revealed only necrosis with dense acute inflammation and granulation tissue with no microorganisms, he gradually improved with medical therapy adjunct with surgical therapy.ConclusionDocumented cases of cavitary lung disease secondary to coronavirus disease 2019 have been mostly reported in the acute or subacute phase of the infection. However, clinicians should recognize this entity as a late complication of coronavirus disease 2019, even in previously healthy individuals.

【 授权许可】

CC BY