PMC8349091_01
a) Chest radiography at admission (Day 1) showing extensive infiltration shadows, mainly in all left lung fields and in the right lower lung field. b) Improvement in the infiltration shadows by Day 12.
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Chest radiography at admission showed extensive infiltration shadows, mainly in the left whole lung fields and in the right lower lung field (Fig. 1a). The infiltration shadows observed at the time of admission improved by Day 12 (Fig. 1b).
Head computed tomography at admission showing a hematoma extending from the right basal ganglia and putamen to the thalamus.
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On admission, head CT showed a hematoma extending from the right basal ganglia and putamen to the thalamus (Fig. 2).
Chest computed tomography at admission showing consolidation with segmental ground-glass opacities primarily in the middle lobe of the right lung and in the upper and lower lobes of the left lung.
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Chest CT findings at admission revealed consolidations admixture with ground-glass opacities mainly in the middle lobe of the right lung and the upper and lower lobes of the left lung (Fig. 3).
The clinical course. Management in the ventilator mode was started using meropenem and levofloxacin. The partial pressure of oxygen in arterial blood/fraction of inspired oxygen (PaO2/FiO2: P/F ratio) was 128.75. Prednisolone was started at 1 mg/kg/day. The infiltration shadows observed at admission improved by Day 12. Since the P/F ratio improved and was maintained at >=250, she was extubated on the same day.
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The clinical course of the patient is presented in Fig. 4. Following leukocytopenia (white blood count [WBC], 1900/muL) and the low serum CRP level (3.6 mg/dL) on admission, respiratory viral pneumonia might have been considered the initial differential diagnosis (Fig. 4).