A 37-year-old woman with recent travel history from the UK presented to the emergency department with high fever, dry cough and
weakness. Due to the COVID-19 pandemic she was admitted to the
isolated COVID-19 unit and tested positive for SARS-CoV-2 through
pharyngeal swab PCR. Chest x-ray revealed no lung opacities rather
than mediastinum enlargement. CT scan showed a mediastinum
mass and small subpleural lung opacities bilaterally. PET SCAN was
performed followed by radical excision of the mass through VATS.
The histologic analysis revealed type B2 Thymoma with partial
invasion of the capsule, thus the patient underwent postoperative
radiotherapy. This case report could be the principle for further
investigation in the field of association between thymous gland
and SARS-COV-2 infection through immunity pathway disorders.
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Shelly S, Agmon-Levin N, Altman A, et al. Thymoma and autoimmunity. Cellular & Molecular Immunology 2011; 8:199–202.
Cuvelier Pelagia, Roux H, Couedel-Courteille A et al. Protective Thymus Hyperplasia in the COVID-19 Acute Respiratory Distress Syndrome, Research 8/2020 (under review).
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