Original article

Chest x-ray resolution after SARS-CoV-2 infection

Authors

• • Besim Prnjavorac Besim Prnjavorac ORCID profile. (opens in new tab)
• • Aida Mujaković
• • Lejla Prnjavorac
• • Tamer Bego
• • Edin Jusufović
• • Edin Begić
• • Vildana Torlak-Arnaut
• • Mutapčić Meliha
• • Hasan Škiljo
• • Enes Hodžić
• • Emina Karahmet
• • Maja Malenica
• • Tanja Dujić
• • Jusuf Mehić
• • Nedžada Irejiz
• • Rifat Sejdinović
• • Anel Mahmutović
• • Ajdin Ibrahimović

Abstract

Aim To analyse the resolution of chest X-ray findings in relation to laboratory parameters in patients infected with acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in a two- month follow-up. Analysis of chest X-ray findings in the first few months after the disease is the main goal of our work. Methods Out of the total of 343 patients chest X-ray findings were followed in 269 patients. Patients were divided into groups according to the severity of findings. D-dimer, inflammatory markers, blood cell count, neutrophil lymphocyte ratio (NLR) were analysed. Chest X-ray was analysed during the hospitalization on the day of admission, on the third, the seventh and the fourteenth day (scoring method was used). After discharge chest X-ray was performed in a two-week follow-up, then after one and two months, and after three months if necessary. Results Incomplete chest X-ray resolution was identified in 24 (39.34%) patients with severe, 27 (22.31 %) patients with moderate and in three (3.91%) patients with mild findings. Statistical significance was established in overall score by comparison between all groups (p<0.001), and in the moderate compared to the mild group (p=0.0051). The difference of NLR in the severe compared to the moderate group was observed (p=0.0021) and in the severe group compared to the mild group (p=0.00013). Conclusion Chest X-ray findings persisted mostly in the severe group followed by the moderate and mild ones. Long-term follow-up is necessary for the appropriate treatment and prevention of fibrosis, and reduction of symptoms.

Keywords: COVID-19, fibrosis, inflammation, lung

How to Cite: Prnjavorac, B. , Mujaković, A. , Prnjavorac, L. , Bego, T. , Jusufović, E. , Begić, E. , Torlak-Arnaut, V. , Meliha, M. , Škiljo, H. , Hodžić, E. , Karahmet, E. , Malenica, M. , Dujić, T. , Mehić, J. , Irejiz, N. , Sejdinović, R. , Mahmutović, A. & Ibrahimović, A. (2021) “Chest x-ray resolution after SARS-CoV-2 infection”, Medicinski glasnik. 18(2). doi: https://doi.org/10.17392/1391-21