PDF(Pubmed)
Abstract：
The coronavirus disease 2019 (COVID-19) pandemic has changed the way we manage patients, especially those with respiratory illnesses. Clinical manifestations, chest imaging, and reverse-transcription polymerase chain reaction (RT-PCR) play major roles in diagnosing respiratory infections during a pandemic. However, several infections can mimic COVID-19 regarding its clinical signs, symptoms, and imaging appearance. Diagnosing pneumonia other than COVID-19 is a big challenge in developing countries, given the limited resources available. We presented a case of a 25-year-old female with clinical symptoms and radiological characteristics typical of COVID-19 but a repeated negative RT-PCR test. Further workups found lung tuberculosis as her primary diagnosis. Our patient continued treatment with an antituberculosis agent and a short course of steroids, with a remission of symptoms.
摘要：
2019年冠状病毒病(COVID-19)大流行改变了我们管理患者的方式，尤其是那些患有呼吸道疾病的人。临床表现,胸部成像,逆转录聚合酶链反应（RT-PCR）在大流行期间诊断呼吸道感染中起着重要作用。然而,几种感染可以模仿COVID-19的临床症状，症状,和成像外观。在发展中国家，诊断除COVID-19以外的肺炎是一个巨大的挑战，鉴于可用资源有限。我们介绍了一例25岁女性，其临床症状和放射学特征典型为COVID-19，但RT-PCR检测重复阴性。进一步的检查发现肺结核是她的主要诊断。我们的病人继续用抗结核药和短期类固醇治疗，症状缓解.
