Diagnostics of complicated course of community-acquired pneumonia of viral etiology (COVID-19) via using chest computed tomography

BACKGROUND. To date, radiological criteria for the diagnosis of viral pneumonia associated with SARS-CoV-2 have been established, and treatment regimens patients depending on severity coronavirus disease (COVID-19) developed both outpatient inpatient settings. Many patients, regardless form infection, suffer from a range symptoms weeks or even months that reduce their quality life. Therefore, diagnostics complicated course community-acquired etiology via using computed tomography (CT) chest becomes relevant.
 OBJECT. diagnose according to CT chest.
 MATERIALS AND METHODS. A group referred National Institute Phthisiology Pulmonology named after F.G. Yanovsky NAMS Ukraine complications other medical institutions where they were treated 2-3 ago. Chest 20 (12 men 8 women aged 24 66 years) analyzed. All complained shortness breath, cough, lack significant improvement in general condition discharge hospital.
 RESULTS DISCUSSION. Typical determined by CT: 10 % showed gradual progression (numerous opacities identified as “ground glass”, consolidation “crazy paving” symptom); 15 – signs thrombosis pulmonary arteries branches; 25 exacerbation chronic obstructive preservation bilateral polysegmental pneumonia; asthma regression phase; 30 bullous emphysema (“vanishing lung syndrome”).
 CONCLUSIONS. indicate inflammatory process does not end presence negative PCR test, need further careful monitoring correction treatment. is an objective most informative diagnostic method (COVID-19).