Clinico-radiological profile of COVID-19 in Kashmiri population: A descriptive study

Mir Shahnawaz; Abdul H Wani; Shivani Upadhyay; Sasmita Pattnaik; Hena Mustafa; Aaliya-Mohi-Ud-Din Azad; Syed Suraiya Arjumand Farooq; Waseem Nabi; Yasir Hassan; Nayeem U Din Wani; Bikram S Datta; Naveed N Shah; Inaamul Haq; Khurshid A Dar

doi:10.4103/jfmpc.jfmpc_1178_20

Clinico-radiological profile of COVID-19 in Kashmiri population: A descriptive study

J Family Med Prim Care. 2021 Mar;10(3):1473-1478. doi: 10.4103/jfmpc.jfmpc_1178_20. Epub 2021 Apr 8.

Affiliations

¹ Department of Respiratory Diseases, Government Chest Disease Hospital, Srinagar, Jammu and Kashmir, India.
² Department of Radiology, Government Medical College, Srinagar, Jammu and Kashmir, India.
³ Department of Microbiology, Government Medical College, Srinagar, Jammu and Kashmir, India.
⁴ Department of Respiratory Medicine, Government Medical College Srinagar, Jammu and Kashmir, India.
⁵ Department of Community Medicine, Government Medical College, Srinagar, Jammu and Kashmir, India.

Abstract

Aim: The purpose of our study was to assess the presentation of COVID-19 disease in terms of clinical and radiological features in our population.

Methods: 64 RT-PCR documented COVID-19 patients were included in the study. Clinical, biochemical, and radiological data were collected and analyzed retrospectively from last week of March to 30^th April 2020.

Results: Out of the 64 patients, 38 (59.4%) were males, 44 (68.7%) had a history of contact with COVID-19 positive patient. 26.6%patients were in the age group of 21-30 years. 53.1% patients were asymptomatic while as cough and fever were the most common symptoms in 21.8 and 20.3% patients, respectively. Anosmia was present in four patients. Hypertension and hypothyroidism were the most common comorbid illnesses among the study population in 9.4% patients each. Lymphopenia was present in 38% of patients CRP was increased in 83% patients, LDH in 90.2%, and ferritin in 51.5% of patients. 17 (26.6%) patients had bilateral disease in CT. RUL was the most common lobe involved in 18 (28.1%) patients. GGO and consolidation were seen in 22 (34.45) and 13 (20.3%) patients, respectively. Vessel enlargement was observed in 11 (17.2%) patients. All five lobes were involved in 9 (14.1%) patients. Five patients developed severe disease with respiratory comprise; two of them eventually died.

Conclusion: The clinical and radiological characteristics of COVID-19 patients vary among different populations. Although there are no radiological features which seems to be characteristic of COVID-19, but CT helps in evaluation of the patients as many asymptomatic ones have some radiological findings suggestive of viral pneumonia.

Keywords: Anosmia; ground glass opacity (GGO); lymphopenia; vessel enlargement.