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10.1016/j.amj.2020.04.014

http://scihub22266oqcxt.onion/10.1016/j.amj.2020.04.014
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32690307!7196390!32690307
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suck abstract from ncbi


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pmid32690307      Air+Med+J 2020 ; 39 (4): 296-297
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  • Coronavirus Disease 2019 Suspicion: A Case Report Regarding a Male Emergency Medical Service Pilot With Newly Diagnosed Sarcoidosis #MMPMID32690307
  • Momenzadeh M; Shahali H; Farahani AA
  • Air Med J 2020[Jul]; 39 (4): 296-297 PMID32690307show ga
  • A 38-year-old emergency medical service Bell 214 male pilot with a dry cough, fever, anorexia, fatigue, and sweating for the past 3 days; an oral temperature of 38 degrees C; blood pressure of 105/65 mm Hg; heart rate of 94 beats/min; respiratory rate of 21 breaths/min; and pulse oximetry of 93% on room air was suspicious for coronavirus disease 2019. Surprisingly, reverse transcription polymerase chain reaction was negative, but bilateral hilar adenopathy was reported in his chest radiography as a new challenge. The pathologic report of the adenopathy biopsy was noncaseating sarcoid-type granulomas. Serologic tests showed a serum angiotensin-converting enzyme level of 58 nmol/mL/min. The bronchoalveolar lavage fluid CD4/CD8 ratio was 3.68. The bronchoalveolar lavage findings provided an accurate sarcoidosis diagnosis, and a high-resolution computed tomographic scan revealed stage 1 pulmonary involvement. Because of the pulmonary involvement, clinical manifestations, use of inhaled fluticasone, and need for longer and accurate follow-up and to protect against coronavirus disease 2019, he has been temporarily suspended until the final assignment.
  • |*Air Ambulances[MESH]
  • |*Pilots[MESH]
  • |Adult[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Testing[MESH]
  • |Clinical Laboratory Techniques[MESH]
  • |Coronavirus Infections/*diagnosis[MESH]
  • |Diagnosis, Differential[MESH]
  • |Emergency Medical Services[MESH]
  • |Humans[MESH]
  • |Lymphadenopathy/diagnostic imaging/pathology[MESH]
  • |Male[MESH]
  • |Mediastinum[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*diagnosis[MESH]
  • |SARS-CoV-2[MESH]


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