• Internal medicine · Dec 2020

    Case Reports

    Evidence of the Sequential Changes of Lung Sounds in COVID-19 Pneumonia Using a Novel Wireless Stethoscope with the Telemedicine System.

    • Akinari Noda, Takeshi Saraya, Kikuko Morita, Masaoki Saito, Teppei Shimasaki, Daisuke Kurai, Keitaro Nakamoto, and Haruyuki Ishii.
    • Department of Respiratory Medicine, Kyorin University School of Medicine, Japan.
    • Intern. Med. 2020 Dec 15; 59 (24): 3213-3216.

    AbstractA 60-year-old woman was admitted to our hospital due to coronavirus disease 2019 (COVID-19) pneumonia with a chief complaint of persistent low-grade fever and dry cough for two weeks. Thoracic computed tomography demonstrated a crazy paving pattern in the bilateral lower lobes. In a COVID-19 ward, we used a novel wireless stethoscope with a telemedicine system and successfully recorded and shared the lung sounds in real-time between the red and green zones. The fine crackles at the posterior right lower lung fields changed from mid-to-late (day 1) to late inspiratory crackles (day 3), which disappeared at day 5 along with an improvement in both the clinical symptoms and thoracic CT findings.

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