PMC7655238_01
Chest X-ray: diffuse bilateral lung infiltrates with basilar predominance.
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Emergency Use authorization approved 2/4/2020) were performed on nasopharyngeal swab specimens of both nostrils coming back both negative. A chest X-ray was obtained (Figure 1) showing bilateral interstitial infiltrates; blood cultures were sent. Empiric ceftriaxone 1 gm IV daily, doxycycline 100 mg orally twice a day, 1 L of normal saline, and acetaminophen 1 gm orally were given at the ED.
Chest CT: bilateral mixed interstitial and ground-glass infiltrates. Lower lobe predominance. Small right pleural effusion.
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COVID-19. CT chest with IV contrast was obtained (Figure 2), and pulmonary embolism was ruled out.