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Evidence of the Sequential Changes of Lung Sounds in COVID-19 Pneumonia Using a Novel Wireless Stethoscope with the Telemedicine System
Authors:Akinari Noda  Takeshi Saraya  Kikuko Morita  Masaoki Saito  Teppei Shimasaki  Daisuke Kurai  Keitaro Nakamoto  Haruyuki Ishii
Affiliation:1.Department of Respiratory Medicine, Kyorin University School of Medicine, Japan; 2.Department of Infectious Disease, Kyorin University School of Medicne, Japan
Abstract:A 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.
Keywords:COVID-19   lung auscultation   wireless stethoscope   telemedicine   telemedicine system
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