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Journal of Case Reports
A Covid-19 Case Showing Atypical Clinical and Radiological Course with Bilateral Pleural Effusion and Consecutive Negative PCR Test
Sezai Çelik1, Nazmi Demirtas2, Nermin Eriz3, Yasar Bükte4
Departments of 1Thoracic Surgery, 2Chest Diseases, 3Infectious Diseases, Avicenna Hospital, Istanbul, Turkey; 4Department of Radiology, University of Health Sciences Umraniye Training and Research Hospital, Istanbul, Turkey.
Corresponding Author:
Assoc. Prof. Sezai Çelik 
Email: siyamie@gmail.com
Received: 13-JUL-2020 Accepted: 01-NOV-2020 Published Online: 30-JAN-2021
DOI: http://dx.doi.org/10.17659/01.2021.0006
Background: Covid-19 diagnosis may be difficult in patients with pleural effusion and pneumonia symptoms with heart failure and having atypical clinical course with consecutive negative RT-PCR tests. Case Report: An 80-year-old woman, with the history of chronic dyspnea, previous coronary bypass surgery, heart failure, and obesity was diagnosed as Covid-19 with chest tomography findings. Conclusion: It is observed that despite the improvement of symptoms in the first week, it is possible for a second phase to develop in such patients, which may result in mortality so clinicians should keep in mind that negative consecutive RT-PCR tests do not necessarily rule out Covid-19 pneumonia with bilaterally pleural effusion.
Keywords : Computed Tomography, Dyspnea, Heart Failure, Pleural Effusion, Polymerase Chain Reaction.
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