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ISSN: 2690-5760

Journal of Clinical & Community Medicine

Case Report(ISSN: 2690-5760)

Nodular COVID-19 Pneumonia with Wavy Triple Sign or Yasser’s Sign and Movable Phenomenon; Poor Prognostic Value but Dramatic Response: at Home Management Volume 3 - Issue 3

Yasser Mohammed Hassanain Elsayed*

  • Critical Care Unit, Damietta Health Affairs, Egyptian Ministry of Health (MOH), Egypt

Received:August 02, 2021   Published: August 17, 2021

Corresponding author:Yasser Mohammed Hassanain Elsayed, Critical Care Unit, Damietta Health Affairs, Egyptian Ministry of Health (MOH), Damietta, Egypt

DOI: 10.32474/JCCM.2021.03.000167

 

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Abstract

Rationale: COVID-19 pandemic with severe acute respiratory manifestations had emerged in Wuhan, China in December 2019. Wavy triple sign or Yasser’s sign is a novel diagnostic and therapeutic sign for hypocalcemic patients. Interestingly, the tachypnea or hyperventilation syndrome presentation is an impact on respiratory alkalosis and subsequent hypocalcemia. Metastatic carcinoma is considered a serious differential diagnosis.

Patient concerns: A young-aged housewife female COVID-19 thin patient presented to physician outpatient clinic with nodular COVID-19 pneumonia with Wavy triple sign or Yasser’s sign and Movable phenomenon.

Diagnosis: Nodular COVID-19 pneumonia with Wavy triple sign or Yasser’s sign and Movable phenomenon. Interventions: Non-contrasted chest CT scan, electrocardiography, and oxygenation.

Outcomes: Dramatic of both clinical, electrocardiographic, and radiological improvement had happened.

Lessons: The nodular COVID-19 pneumonic presentation maybe carries poor prognostic value but a dramatic response. It signifies the role of anticoagulants, antiplatelet, anti-infective drugs, and steroids in COVID-19 patients with nodular COVID-19 pneumonia. The presence of the Wavy triple sign or Yasser’s sign and the Movable phenomenon of hypocalcemia with a COVID-19 pneumonic patient was reasonable

Keywords: COVID-19; Coronavirus; Nodular Pneumonia; Hypocalcemia; Wavy Triple Sign or Yasser’s Sign; Movable Phenomenon; Nodules

Abbreviations: CBC: Complete Blood Count; COVID-19: Coronavirus Disease 2019; CT: Computed Tomography; ECG: Electrocardiography; O2: Oxygen; POC: Physician Outpatient Clinic; SGOT: Serum Glutamic-Oxaloacetic Transaminase; SGPT: Serum Glutamic-Pyruvic Transaminase; VR: Ventricular Rate

Abstract| Introduction| Case Presentation| Discussion| Conclusion and Recommendations| Conflicts Of Interest| Acknowledgment| References|

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