PMC8435476_01
(A and B) shows lymph node enlargement in the hilus pulmonis zone; (B-E) shows that enlarged lymph nodes shrank gradually in the hilus pulmonis zone.
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Chest computed tomography (CT) displayed patchy infiltrates in the right upper lung with enlargement of hilus pulmonis and mediastinal lymph nodes (Figure 1A). Re-examination of chest CT indicated that the enlarged hilar lymph nodes had gradually shrank (Figure 1B-E), and the lung lesions were significantly absorbed (Figure 3A-C).
(A and B) pathological examination of H&E staining (H&E, 100x; H&E, 400x) from the cervical lymph nodes suggested granulomatous inflammation. Granulomas is composed of epithelioid cells in the lymph nodes. PAS(-).
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Pathological examination of the cervical lymph nodes suggested granulomatous inflammation, but acid-fast staining and periodic acid-Schiff (PAS) staining were negative (Figure 2A and B).
(A) Chest CT shows patchy infiltrates, banded and nodular shadows, pleural effusion. (A-C) Lesions in the lower lobe of the right lung and the pleural effusion absorbed gradually.
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On March 19, 2020, chest CT showed patchy infiltrates, banded and nodular shadows, as well as pleural effusion (Figure 3A). Re-examination of chest CT indicated that the enlarged hilar lymph nodes had gradually shrank (Figure 1B-E), and the lung lesions were significantly absorbed (Figure 3A-C).
Treatment and manifestation timeline.
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The hospitalization and drug administration process throughout the history is summarized in Figure 4.