Analysis of SARS-CoV-2 PCR and Chest CT Findings at a Single Facility in Tokyo (Machida Municipal Hospital)

Introduction. The SARS-CoV-2 reverse transcription polymerase chain reaction (RT-PCR) test is useful for diagnosing COVID-19, and the RT-PCR positive rate is an important indicator for estimating the incidence rate and number of infections. COVID-19 pneumonia is also associated with characteristic f...

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Main Authors: Taisuke Kazuyori, Akihito Sato, Yasuhiro Morimoto, Kazuyoshi Kuwano
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Pulmonary Medicine
Online Access:http://dx.doi.org/10.1155/2021/6680232
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author Taisuke Kazuyori
Akihito Sato
Yasuhiro Morimoto
Kazuyoshi Kuwano
author_facet Taisuke Kazuyori
Akihito Sato
Yasuhiro Morimoto
Kazuyoshi Kuwano
author_sort Taisuke Kazuyori
collection DOAJ
description Introduction. The SARS-CoV-2 reverse transcription polymerase chain reaction (RT-PCR) test is useful for diagnosing COVID-19, and the RT-PCR positive rate is an important indicator for estimating the incidence rate and number of infections. COVID-19 pneumonia is also associated with characteristic findings on chest CT, which can aid in diagnosis. Methods. We retrospectively evaluated patient background characteristics, the number of cases, the positivity rate, and chest CT findings for positive and negative cases in 672 patients who underwent RT-PCR for suspected COVID-19 at our hospital between April 3 and August 28, 2020. In addition, we compared trends in the positive rates at approximately weekly intervals with trends in the number of new infections in Machida City, Tokyo. Results. The study included 323 men and 349 women, with a median age of 46 years (range: 1 month–100 years). RT-PCR findings were positive in 37 cases, and the positive rate was 5.51%. Trends in the positive rate at our hospital and the number of new COVID-19 cases in the city were similar during the study period. Among patients with positive results, 15 (40.5%) had chest CT findings, and 14 had bilateral homogeneous GGOs. Among patients with negative results, 190 had chest CT findings at the time of examination, and 150 were diagnosed with bacterial pneumonia or bronchitis, with main findings consisting of consolidations and centrilobular opacities. Only 11 of these patients exhibited bilateral homogeneous GGOs. Conclusion. Bilateral homogeneous GGOs are characteristic of COVID-19 pneumonia and may aid in the diagnosis of COVID-19.
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spelling doaj-art-c6f6f66ecf4e4f4fbd8f4dc79565c1812025-08-20T03:22:58ZengWileyPulmonary Medicine2090-18362090-18442021-01-01202110.1155/2021/66802326680232Analysis of SARS-CoV-2 PCR and Chest CT Findings at a Single Facility in Tokyo (Machida Municipal Hospital)Taisuke Kazuyori0Akihito Sato1Yasuhiro Morimoto2Kazuyoshi Kuwano3Machida Municipal Hospital, Department of Respiratory Medicine, Tokyo 194-0023, JapanMachida Municipal Hospital, Department of Respiratory Medicine, Tokyo 194-0023, JapanMachida Municipal Hospital, Department of Respiratory Medicine, Tokyo 194-0023, JapanThe Jikei University School of Medicine, Division of Respiratory Medicine, Tokyo 105-8461, JapanIntroduction. The SARS-CoV-2 reverse transcription polymerase chain reaction (RT-PCR) test is useful for diagnosing COVID-19, and the RT-PCR positive rate is an important indicator for estimating the incidence rate and number of infections. COVID-19 pneumonia is also associated with characteristic findings on chest CT, which can aid in diagnosis. Methods. We retrospectively evaluated patient background characteristics, the number of cases, the positivity rate, and chest CT findings for positive and negative cases in 672 patients who underwent RT-PCR for suspected COVID-19 at our hospital between April 3 and August 28, 2020. In addition, we compared trends in the positive rates at approximately weekly intervals with trends in the number of new infections in Machida City, Tokyo. Results. The study included 323 men and 349 women, with a median age of 46 years (range: 1 month–100 years). RT-PCR findings were positive in 37 cases, and the positive rate was 5.51%. Trends in the positive rate at our hospital and the number of new COVID-19 cases in the city were similar during the study period. Among patients with positive results, 15 (40.5%) had chest CT findings, and 14 had bilateral homogeneous GGOs. Among patients with negative results, 190 had chest CT findings at the time of examination, and 150 were diagnosed with bacterial pneumonia or bronchitis, with main findings consisting of consolidations and centrilobular opacities. Only 11 of these patients exhibited bilateral homogeneous GGOs. Conclusion. Bilateral homogeneous GGOs are characteristic of COVID-19 pneumonia and may aid in the diagnosis of COVID-19.http://dx.doi.org/10.1155/2021/6680232
spellingShingle Taisuke Kazuyori
Akihito Sato
Yasuhiro Morimoto
Kazuyoshi Kuwano
Analysis of SARS-CoV-2 PCR and Chest CT Findings at a Single Facility in Tokyo (Machida Municipal Hospital)
Pulmonary Medicine
title Analysis of SARS-CoV-2 PCR and Chest CT Findings at a Single Facility in Tokyo (Machida Municipal Hospital)
title_full Analysis of SARS-CoV-2 PCR and Chest CT Findings at a Single Facility in Tokyo (Machida Municipal Hospital)
title_fullStr Analysis of SARS-CoV-2 PCR and Chest CT Findings at a Single Facility in Tokyo (Machida Municipal Hospital)
title_full_unstemmed Analysis of SARS-CoV-2 PCR and Chest CT Findings at a Single Facility in Tokyo (Machida Municipal Hospital)
title_short Analysis of SARS-CoV-2 PCR and Chest CT Findings at a Single Facility in Tokyo (Machida Municipal Hospital)
title_sort analysis of sars cov 2 pcr and chest ct findings at a single facility in tokyo machida municipal hospital
url http://dx.doi.org/10.1155/2021/6680232
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