COVID Causing Severe Bronchiectasis

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DOI: COVID causing severe bronchiectasis in a previously healthy individual with no underlying lung conditions has not been reported in literature yet. We report an unusual case of bronchial dilatation in an adult as evidenced by high-resolution computed tomography caused by COVID virus. Its presentation is evolving, causing damage mainly to the respiratory system. Bronchiectasis is an irreversible bronchial dilatation caused by permanent chronic airway inflammation.

It is increasingly being recognized with the wider availability of high-resolution computed tomography. There are no well-defined guidelines for diagnosis of bronchiectasis but computed tomography is one of the best known imaging modalities to diagnose it. One of the common causes of bronchiectasis is transmural lung infections such as pulmonary tuberculosis and pneumonia.

During pneumonia, dilatations develop with destruction of segmental bronchi. It has also been associated with chronic obstructive pulmonary disease and asthma. There is high percentage of patients with no identifiable cause making the etiological diagnosis difficult and considered idiopathic. These recurrent bronchial dilatations in acute infectious illnesses can be defined as bronchiectasis.

Cough was initially dry but later became productive, producing tremendous amount of yellow sputum. At presentation, patient denied chest pain, shortness of breath, fever, nasal congestion, sore throat, headaches, abdominal pain, nausea, vomiting or diarrhea.

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