False-Negative Nasopharyngeal Swab RT-PCR Assays in Typical COVID-19: Role of Ultra-low-dose Chest CT and Bronchoscopy in Diagnosis

On 11 March 2020, the WHO declared COVID-19 a pandemic and global health emergency. We describe the clinical features and role of ultra-low-dose chest computed tomography (CT) and bronchoscopy in the diagnosis of coronavirus disease (COVID-19). In our patient, who was highly suggestive clinically an...

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Main Authors: Marco Marando, Adriana Tamburello, Pietro Gianella
Format: Article
Language:English
Published: SMC MEDIA SRL 2020-04-01
Series:European Journal of Case Reports in Internal Medicine
Subjects:
Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/1680
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author Marco Marando
Adriana Tamburello
Pietro Gianella
author_facet Marco Marando
Adriana Tamburello
Pietro Gianella
author_sort Marco Marando
collection DOAJ
description On 11 March 2020, the WHO declared COVID-19 a pandemic and global health emergency. We describe the clinical features and role of ultra-low-dose chest computed tomography (CT) and bronchoscopy in the diagnosis of coronavirus disease (COVID-19). In our patient, who was highly suggestive clinically and radiologically for COVID-19, we had two false-negative results for nasopharyngeal and oral swab reverse-transcriptase polymerase chain reaction (RT-PCR) assays for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Eventually, we confirmed the diagnosis using bronchoscopy and bronchoalveolar lavage (BAL).
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spelling doaj.art-758872b36ff14d618bfc733a10215ec42022-12-21T23:09:50ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942020-04-0110.12890/2020_0016801316False-Negative Nasopharyngeal Swab RT-PCR Assays in Typical COVID-19: Role of Ultra-low-dose Chest CT and Bronchoscopy in DiagnosisMarco Marando0Adriana Tamburello1Pietro Gianella2General Internal Medicine, Ente Ospedaliero Cantonale, Lugano, SwitzerlandGeneral Internal Medicine, Ente Ospedaliero Cantonale, Lugano, SwitzerlandGeneral Internal Medicine, Ente Ospedaliero Cantonale, Lugano, Switzerland; Pneumology, Ente Ospedaliero Cantonale, Lugano, SwitzerlandOn 11 March 2020, the WHO declared COVID-19 a pandemic and global health emergency. We describe the clinical features and role of ultra-low-dose chest computed tomography (CT) and bronchoscopy in the diagnosis of coronavirus disease (COVID-19). In our patient, who was highly suggestive clinically and radiologically for COVID-19, we had two false-negative results for nasopharyngeal and oral swab reverse-transcriptase polymerase chain reaction (RT-PCR) assays for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Eventually, we confirmed the diagnosis using bronchoscopy and bronchoalveolar lavage (BAL).https://www.ejcrim.com/index.php/EJCRIM/article/view/1680coronaviruscovid-19rt-pcrultra-low-dose chest ctbronchoscopy
spellingShingle Marco Marando
Adriana Tamburello
Pietro Gianella
False-Negative Nasopharyngeal Swab RT-PCR Assays in Typical COVID-19: Role of Ultra-low-dose Chest CT and Bronchoscopy in Diagnosis
European Journal of Case Reports in Internal Medicine
coronavirus
covid-19
rt-pcr
ultra-low-dose chest ct
bronchoscopy
title False-Negative Nasopharyngeal Swab RT-PCR Assays in Typical COVID-19: Role of Ultra-low-dose Chest CT and Bronchoscopy in Diagnosis
title_full False-Negative Nasopharyngeal Swab RT-PCR Assays in Typical COVID-19: Role of Ultra-low-dose Chest CT and Bronchoscopy in Diagnosis
title_fullStr False-Negative Nasopharyngeal Swab RT-PCR Assays in Typical COVID-19: Role of Ultra-low-dose Chest CT and Bronchoscopy in Diagnosis
title_full_unstemmed False-Negative Nasopharyngeal Swab RT-PCR Assays in Typical COVID-19: Role of Ultra-low-dose Chest CT and Bronchoscopy in Diagnosis
title_short False-Negative Nasopharyngeal Swab RT-PCR Assays in Typical COVID-19: Role of Ultra-low-dose Chest CT and Bronchoscopy in Diagnosis
title_sort false negative nasopharyngeal swab rt pcr assays in typical covid 19 role of ultra low dose chest ct and bronchoscopy in diagnosis
topic coronavirus
covid-19
rt-pcr
ultra-low-dose chest ct
bronchoscopy
url https://www.ejcrim.com/index.php/EJCRIM/article/view/1680
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AT adrianatamburello falsenegativenasopharyngealswabrtpcrassaysintypicalcovid19roleofultralowdosechestctandbronchoscopyindiagnosis
AT pietrogianella falsenegativenasopharyngealswabrtpcrassaysintypicalcovid19roleofultralowdosechestctandbronchoscopyindiagnosis