Discordance Between Clinical Status and Chest X-Ray (CXR) in COVID-19 Patient with Asymptomatic Transmission in Jakarta

Authors

  • Erlina Burhan Department of Pulmonology, Faculty of Medicine Universitas Indonesia - Persahabatan Hospital, Jakarta, Indonesia
  • Heidy Agustin Department of Pulmonology, Faculty of Medicine Universitas Indonesia - Persahabatan Hospital, Jakarta, Indonesia
  • Agus Dwi Susanto Department of Pulmonology, Faculty of Medicine Universitas Indonesia - Persahabatan Hospital, Jakarta, Indonesia
  • Ibrahim Nur Insan Putra Dharmawan Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia http://orcid.org/0000-0001-7661-2386
  • Markus Meyer Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
  • Rita Rogayah Department of Pulmonology, Faculty of Medicine Universitas Indonesia - Persahabatan Hospital, Jakarta, Indonesia

Keywords:

COVID-19, chest X-ray, asymptomatic transmission

Abstract

Coronavirus Disease 2019 (COVID-19) symptoms are highly various in each patient. CXR are routinely used to monitor the disease progression. However, it is not known whether chest X-Ray (CXR) is a good modality to assess COVID-19 pneumonia.Male, 55 years-old, with pneumonia caused by COVID-19. Discordance was found between patient’s clinical status and CXR lesion. On the 7th day of symptoms, patient was clinically well despite severe lesion shown on CXR. On the following day, patient clinically deteriorated despite the improvement on CXR lesion.Improvement of CXR does not always correlate well with patient’s clinical status. Clinician have to be careful when using CXR to monitor patient with COVID-19 pneumonia.

References

Q&A on coronaviruses (COVID-19) [Internet]. [cited 2020 Apr 3]. Available from: https://www.who.int/news-room/q-a-detail/q-a-coronaviruses.

Ye F, Xu S, Rong Z, et al. Delivery of infection from asymptomatic carriers of COVID-19 in a familial cluster. Int J Infect Dis. 2020 May;94:133–8.

Xie P, Ma W, Tang H, Liu D. Severe COVID-19: A review of recent progress with a look toward the future. Front Public Health. 2020;8:189.

Ye Z, Zhang Y, Wang Y, Huang Z, Song B. Chest CT manifestations of new coronavirus disease 2019 (COVID-19): a pictorial review. Eur Radiol. 2020;19:1–9.

Downloads

Published

2020-10-04

How to Cite

Burhan, E., Agustin, H., Susanto, A. D., Dharmawan, I. N. I. P., Meyer, M., & Rogayah, R. (2020). Discordance Between Clinical Status and Chest X-Ray (CXR) in COVID-19 Patient with Asymptomatic Transmission in Jakarta. Acta Medica Indonesiana, 52(3), 297. Retrieved from https://actamedindones.org/index.php/ijim/article/view/1521

Issue

Section

MEDICAL ILLUSTRATION