Document Detail


Radiographic features of a case of severe acute respiratory syndrome with fatal outcome.
MedLine Citation:
PMID:  12968561     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Severe acute respiratory syndrome (SARS) is a new form of atypical pneumonia caused by a coronavirus. We present the clinical course and chest radiographic findings of a case of SARS with fatal outcome. CLINICAL PICTURE: A 39-year-old Chinese male presented with fever, sore throat and non-productive cough. During his illness, serial chest radiographs showed increasingly severe air-space shadowing in both lungs. TREATMENT AND OUTCOME: The patient was treated with supplemental oxygen, levofloxacin, oseltamivir, ribavirin and methylprednisolone. As his condition worsened, the required ventilatory and inotropic support. He later developed a myocardial infarct and coagulopathy, and succumbed to his illness. CONCLUSION: The reported case mortality of SARS is about 9% worldwide. In Singapore, the mortality is 15.5%. Acute respiratory distress syndrome (ARDS) is believed to be a contributory factor to our patient's demise. We report this case to show the radiographic changes of ARDS in a patient with SARS.
Authors:
D Y Tan; G J Kaw; I Y Tsou; G K Wansaicheong; J A Green; D Y Tai; T S Chee
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of the Academy of Medicine, Singapore     Volume:  32     ISSN:  0304-4602     ISO Abbreviation:  Ann. Acad. Med. Singap.     Publication Date:  2003 Jul 
Date Detail:
Created Date:  2003-09-12     Completed Date:  2004-01-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7503289     Medline TA:  Ann Acad Med Singapore     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  542-6     Citation Subset:  IM    
Affiliation:
Department of Diagnostic Radiology, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433. diana_tan@ttsh.com.sg
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MeSH Terms
Descriptor/Qualifier:
Adult
Combined Modality Therapy
Disease Progression
Fatal Outcome
Humans
Male
Multiple Organ Failure
Radiography, Thoracic / methods*
Severe Acute Respiratory Syndrome / radiography*,  therapy
Severity of Illness Index
Singapore

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