id author title date pages extension mime words sentences flesch summary cache txt cord-300712-gc8770l9 Ruch, Yvon Rapid Radiological Worsening and Cytokine Storm Syndrome in COVID-19 Pneumonia 2020-07-02 .txt text/plain 771 60 48 BACKGROUND: In June 2020, a large randomised controlled clinical trial in the UK found that dexamethasone was effective in reducing the number of deaths in patients with severe coronavirus disease 2019 (COVID-19). CASE DESCRIPTION: We describe a patient with rapid worsening of COVID-19 pneumonia and its dramatic improvement under corticosteroids. COVID-19, coronavirus, cytokine storm syndrome, computed tomography, corticosteroids CASE DESCRIPTION In March 2020, a 48-year-old man with a history of diabetes and former smoking presented with a 5-day history of fever and abdominal pain. Our patient experienced rapid worsening of COVID-19 pneumonia after 2 weeks of evolution, with a dramatic increase in thoracic CT lesions within hours. Risk factors associated with acute respiratory distress syndrome and death in patients with coronavirus disease 2019 pneumonia in Wuhan, China Low-cost dexamethasone reduces death by up to one third in hospitalised patients with severe respiratory complications of COVID-19 ./cache/cord-300712-gc8770l9.txt ./txt/cord-300712-gc8770l9.txt