Volume 25, Issue 110, April 2021

Clinical and radiological manifestations of Covid 2019 patients admitted to al-karak governmental hospital in south Jordan

Mahmoud Khasawneh^1♦, Mohammad Alsbou², Ana’am Mohammed³, Samir S Mahgoub^4,5, Yazeed Bagain⁶, Hamza Al Majali⁶, Anas Rawashdeh⁷, Hani Al-shagahin⁸

¹Department of Radiology, Faculty of Medicine, Mutah University, Jordan
²Department of Pharmacology, Faculty of Medicine, Mutah University, Jordan
³5th Year Medical Student, Faculty of Medicine, Mutah University, Jordan
⁴Department of Biochemistry, Molecular Biology and Physiology, Faculty of Medicine, Mutah University, Jordan
⁵Department of Biochemistry, Molecular Biology, Faculty of Medicine, Al-Minia University, Egypt
⁶Department of Radiology, Alkarak Governmental Hospital, Jordan
⁷Department of Internal Medicine, Alkarak Governmental Hospital, Jordan
⁸Department of Special Surgery, Faculty of Medicine, Mutah University, Jordan

^♦Corresponding author
Department of Radiology, Faculty of Medicine, Mutah University, Jordan; Email: mahmoudalkasawneh@yahoo.com

ABSTRACT

Background: Coronavirus disease 2019 (COVID-19) pandemic has emerged as an unprecedented health care crisis. There is limited research investigating the clinical and radiological features of COVID-19 patients in Jordan. Aim: To describe the clinical and radiological characteristics of COVID-19 patients. Patients and Methods: This retrospective observational study was conducted using the data of 145 COVID-19 confirmed patients admitted to Al-Karak Governmental Hospital between December 2020 to February 2021. Epidemiological, clinical, and radiological features of patients were obtained from the hospital electronic records. Results: Men were more affected than women, The majority of patients (61.4%) had moderate symptoms and radiological findings of pneumonia, (20%) of patients had mild symptoms such as fever, dry cough, arthralgia, and (18.6%) of patients admitted with severe symptoms. The most common clinical symptoms were shortness of breath (14.9%), cough (12.4%), chest pain (6.2%), and fever (4.8%). The most common underlying comorbidities were hypertension (47%), diabetes mellitus (19.3%), and heart diseases (4.1%). The predominant pattern of abnormality observed were ground-glass opacities (GGOs) (69.7%) and consolidation (23.2%), peripheral (23.3%) and bilateral (95.3%) distribution, which mainly involved the lower lobes (30.2%). Conclusion: Our study demonstrates similar clinical and radiological characteristics of COVID-19 patients in previously reported studies in other countries. Chest radiography and CT scan are important tools for diagnosis and follow up of pulmonary diseases associated with COVID-19. Chest radiography could be used as a tool for identifying COVID-19 pneumonia but is less sensitive than CT scan.

Keywords: SARS-CoV-2, COVID-19, Coronavirus, Pneumonia, Chest CT scan, Jordan.

Medical Science, 2021, 25(110), 859-867

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