Enhanced Diagnosis of Severe Community-acquired Pneumonia by Lung Ultrasound.

Abstract

Lung ultrasound (LUS) has emerged as a crucial tool in the diagnosis and monitoring of acute respiratory failure, particularly in critically ill patients. In this case, a man in his late 50s presented to the emergency department with respiratory distress and rapidly deteriorated, requiring invasive ventilation and intensive care unit admission for septic shock and multiorgan dysfunction. LUS revealed extensive consolidation with linear-arborescent dynamic air bronchogram, specific for community-acquired and ventilator-associated pneumonia, with a global LUS score of 22, indicating significant severity. LUS demonstrated greater sensitivity and specificity compared to chest radiography, allowing for a more reliable and timely diagnosis. The use of LUS was especially valuable given the patient's hemodynamic instability, which made computed tomography unfeasible. As a portable, radiation-free imaging modality, LUS offers significant advantages over traditional methods, particularly in emergency and critical care settings, where rapid bedside assessments are essential for guiding treatment and ensuring continuous patient monitoring.