PMC8608020_01
Chest CT images of the acute tonsillitis patient after admission. (A) Chest CT image on March 19th, 2020, the admission day 1; (B) chest CT image on March 21st, 2020, the admission day 3; (C) chest CT image on March 27th, 2020, the admission day 8; (D) chest CT image on April 2nd, 2020, after discharge.
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The patient, at the time of admission, had obvious pharyngeal congestion, enlarged tonsil and enlarged lymph nodes with tenderness on both side of the neck; the lung auscultation breath sound was clear, and no obvious dry and wet rales were heard; the patient's temperature was 39.5 C, heart rate was 118 beats/min, respiratory rate was 20 breaths/min, with blood pressure 113/77 mm Hg; the laboratory examination showed that the percentage of neutrophils (NE%) was 84.0%, white blood cell count (WBC) was 12.0x109/L and hypersensitive C-reactive protein (Hs-CRP) was 236.85 mg/L; the result of chest CT was normal (Figure 1A). Chest CT showed: the progress was faster than that when admitted on day 1, multiple ground glass opacity in both lungs, and a small amount of pleural effusion on both sides and pericardial effusion (Figure 1B). Consulting the result of chest CT re-examination (Figure 1C), ECMO was removed since the condition had an obvious improvement on March 28th. One month after discharge, the chest CT re-examination of the patient showed normal (Figure 1D).