Page 52 - Living-on-the-frontline-of-COVID-19-in-MCO-and-CMCO

Case 2

This is a 70 years old Malay non-smoker woman. She is an elderly woman with co-

morbid. She was diagnosed with COVID-19 positive. She was intubated for two
weeks, mainly for respiratory failure. She didn't actually undergo any form of

dialysis. After one month of hospitalization, she managed to be discharged without
any oxygen support.

Diagram 10: Lung CT scan finding of case 2 by Dr. Syazatul Syakirin binti Sirol
Aflah, Institute of Respiratory Medicine, KL.

Her chest X-ray at the 3rd week of illness, you could see is a lot of lines. All these
lines represent fibrosis. When we looked at the CT scan, from thoracic Inlet to
thoracic outlet and from apex to the base of the lung, you can see all these white

lines which are all the fibrosis. This is what we called a pattern of fibrotic
organizing pneumonia. You can see the jagged bronchial wall here which is called

traction bronchial disease where the scar of the lung is pulling the bronchus, so it
becomes more prominent.