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An 84-year-old man with a past medical history of hypertension was brought to the emergency department in respiratory distress after being found at home with oxygen saturation of 40%. The… Click to show full abstract
An 84-year-old man with a past medical history of hypertension was brought to the emergency department in respiratory distress after being found at home with oxygen saturation of 40%. The patient reported fever, shortness of breath, cough, and abdominal pain for 2 weeks leading up to presentation. On examination, he was found to have a nonreactive, pinpoint left pupil and new onset atrial fibrillation with rapid ventricular response. Laboratory analysis revealed lymphopenia of 0.29 x 103/uL, procalcitonin of 0.25 ng/mL, elevated D-dimer of 21.6 mcg/mL, and elevated troponin T of 35 ng/mL. Reverse transcription polymerase chain reaction (RTPCR) COVID-19 testing was positive. As his respiratory status deteriorated, the patient was expeditiously intubated.
Journal Title: Radiology
Year Published: 2020
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