Point-of-Care Ultrasound Can Suggest COVID-19

Affiliations

25 August 2020

-

doi: 10.12890/2020_001915


Abstract

Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and the World Health Organization (WHO) declared it a pandemic on 11 March 2020. Point-of-care ultrasound (POCUS) is a real-time bedside tool used by physicians to guide rapid, focused and accurate evaluation in order to identify or rule out various pathologies. We describe the case of an elderly man who had fallen at home 3 days previously and was hypoxic at presentation to the emergency department (ED). POCUS in the ED helped to identify a combination of lung and vascular involvement that indicated COVID-19 infection, which was confirmed by a laboratory test.

Learning points: COVID-19 is a contagious disease caused by SARS-CoV-2 that attacks endothelial cells and most organs, resulting in different manifestations and clinical scenarios.Point-of-care ultrasound in the emergency room including lung ultrasound (LUS) and focused echocardiography (FECHO) can be useful in identifying pulmonary and vascular manifestations of COVID-19 disease during the current pandemic.Characteristic LUS signs suggesting bilateral interstitial pneumonia in addition to signs of acute right ventricular strain suggesting pulmonary embolism on FECHO raised the suspicion of COVID-19 infection in our patient.

Keywords: B lines; COVID-19; POCUS; flashing phenomenon; pulmonary embolism.

Conflict of interest statement

Conflicts of Interests: The Authors declare that there are no competing interests.


Similar articles

Lung Ultrasound Findings in COVID-19: A Descriptive Retrospective Study.

Omer T, Cousins C, Lynch T, Le NN, Sajed D, Mailhot T.Cureus. 2022 Mar 21;14(3):e23375. doi: 10.7759/cureus.23375. eCollection 2022 Mar.PMID: 35475095 Free PMC article.

Point-of-care ultrasound (PoCUS) in the early diagnosis of novel coronavirus 2019 disease (COVID-19) in a first-level emergency department during a SARS-CoV-2 outbreak in Italy: a real-life analysis.

Bianchi S, Savinelli C, Paolucci E, Pelagatti L, Sibona E, Fersini N, Buggea M, Tozzi C, Allescia G, Paolini D, Lanigra M.Intern Emerg Med. 2022 Jan;17(1):193-204. doi: 10.1007/s11739-021-02643-w. Epub 2021 Apr 21.PMID: 33881727 Free PMC article.

Lung Ultrasound (LUS) in COVID-19 Pneumonia: Usefulness in Two Atypical Cases.

Giugno V, Di Marzio G, Domanico A, Accogli E.Eur J Case Rep Intern Med. 2020 Jun 26;7(8):001800. doi: 10.12890/2020_001800. eCollection 2020.PMID: 32789143 Free PMC article.

Early Lung Ultrasound Findings in Patients With COVID-19 Pneumonia: A Retrospective Multicenter Study of 479 Patients.

Caroselli C, Blaivas M, Marcosignori M, Tung Chen Y, Falzetti S, Mariz J, Fiorentino R, Pinto Silva R, Gomes Cochicho J, Sebastiani S, Carlini M, Polati E, Simonini V, Malagola S, Raffaldi I, Longo D.J Ultrasound Med. 2022 Oct;41(10):2547-2556. doi: 10.1002/jum.15944. Epub 2022 Jan 18.PMID: 35040507 Free PMC article.


References

https://pubmed.ncbi.nlm.nih.gov/