Pulmonary Embolism in an Asymptomatic COVID-19 Patient Detected on Ventilation/Perfusion SPECT/CT

被引:8
作者
Mahaletchumy, Thanuja [1 ]
Muhamad, Maimanah [1 ]
Mohammad Kazmin, Nur Ezzaty [2 ,3 ]
Kori, Najma [2 ]
Periyasamy, Petrick [2 ]
机构
[1] Univ Kebangsaan Malaysia, Med Ctr, Dept Mol Imaging & Nucl Med, Jalan Yaacob Latif, Cheras 56000, Malaysia
[2] Univ Kebangsaan Malaysia, Med Ctr, Dept Med, Cheras, Malaysia
[3] Univ Sains Islam Malaysia, Fac Med & Hlth Sci, Kuala Lumpur, Malaysia
关键词
COVID-19; pulmonary embolism; V/Q scan; SPECT/CT;
D O I
10.1097/RLU.0000000000003513
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Severe COVID-19 infection is associated with significant coagulopathy. We would like share a case of an asymptomatic 26-year-old man who tested positive for COVID-19 and had elevated d-dimer levels. Because of inconclusive CTPA findings, V/Q (ventilation/perfusion) SPECT/CT was performed, which confirmed the presence of pulmonary embolism. This case highlights the fact that pulmonary embolism should not be overlooked in a COVID-19 patient who has raised d-dimer levels, even in the absence of symptoms. It also highlights the importance of performing a V/Q study when CTPA results are inconclusive or when there are contraindications for iodinated contrast media.
引用
收藏
页码:E360 / E362
页数:3
相关论文
共 11 条
[1]  
Burger IA., 2020, EUR J NUCL MED MOL I, P1
[2]   Lung Scintigraphy Imaging Features in a Young Patient With COVID-19 [J].
Goetz, Christian ;
Fassbender, Thomas F. ;
Meyer, Philipp T. .
CLINICAL NUCLEAR MEDICINE, 2020, 45 (12) :E523-E524
[3]   Detection of Pulmonary Embolism with Combined Ventilation-Perfusion SPECT and Low-Dose CT: Head-to-Head Comparison with Multidetector CT Angiography [J].
Gutte, Henrik ;
Mortensen, Jann ;
Jensen, Claus Verner ;
Johnbeck, Camilla Bardram ;
von der Recke, Peter ;
Petersen, Claus Leth ;
Kjaergaard, Jesper ;
Kristoffersen, Ulrik Sloth ;
Kjaer, Andreas .
JOURNAL OF NUCLEAR MEDICINE, 2009, 50 (12) :1987-1992
[4]   Coronavirus (COVID-19) Outbreak: What the Department of Radiology Should Know [J].
Kooraki, Soheil ;
Hosseiny, Melina ;
Myers, Lee ;
Gholamrezanezhad, Ali .
JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY, 2020, 17 (04) :447-451
[5]   Additional value of combining low-dose computed tomography to V/Q SPECT on a hybrid SPECT-CT camera for pulmonary embolism diagnosis [J].
Le Roux, Pierre-Yves ;
Robin, Philippe ;
Delluc, Aurelien ;
Abgral, Ronan ;
Palard, Xavier ;
Tissot, Valentin ;
Morel, Agnes ;
Rousset, Jean ;
Couturaud, Francis ;
le Gal, Gregoire ;
Salaun, Pierre-Yves .
NUCLEAR MEDICINE COMMUNICATIONS, 2015, 36 (09) :922-930
[6]   Perfusion SPECT/CT to diagnose pulmonary embolism during COVID-19 pandemic [J].
Lu, Yang ;
Macapinlac, Homer A. .
EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING, 2020, 47 (09) :2064-2065
[7]  
Notghi A., 2020, NUCL MED COMMUN, V12
[8]   COVID-19 pandemic: guidance for nuclear medicine departments [J].
Paez, D. ;
Gnanasegaran, G. ;
Fanti, S. ;
Bomanji, J. ;
Hacker, M. ;
Sathekge, M. ;
Bom, H. S. ;
Cerci, J. J. ;
Chiti, A. ;
Herrmann, K. ;
Scott, A. M. ;
Czernin, J. ;
El-Haj, N. ;
Estrada, E. ;
Pellet, O. ;
Orellana, P. ;
Giammarile, F. ;
Abdel-Wahab, M. .
EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING, 2020, 47 (07) :1615-1619
[9]   Diagnosis of Pulmonary Embolism: Conventional Ventilation/Perfusion SPECT Is Superior to the Combination of Perfusion SPECT and Nonenhanced CT [J].
Palmowski, Karin ;
Oltmanns, Ute ;
Kreuter, Michael ;
Mottaghy, Felix M. ;
Palmowski, Moritz ;
Behrendt, Florian F. .
RESPIRATION, 2014, 88 (04) :291-297
[10]  
Thanuja M, 2020, Med J Malaysia, V75, P490