Síndrome de distrés respiratorio agudo por Plasmodium vivax con coinfección de tuberculosis pulmonar en época de pandemia por covid-19. Reporte de caso

Ronald Medina , Daniel Molano , Andrés Villa , Cristian Duran , Víctor Gerardino , Said Sánchez
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Abstract

Adult respiratory distress syndrome is a common cause of admission to the intensive care unit, which has been related to high morbidity, mortality and costs. Malaria is a disease mainly caused by Plasmodium falciparum infection and occasionally by Plasmodium vivax. We report the case of a 53-year-old patient who presents with acute respiratory distress syndrome due to Plasmodium vivax and coinfection with Mycobacterium tuberculosis. The diagnosis was made by microbiological and molecular studies respectively. From a clinical perspective, this case represents a diagnostic challenge since it occurs during the SARS CoV-2/covid-19 virus pandemic, being this the main an etiology of adult respiratory distress syndrome during the period of time when our case presented, leaving the microorganisms described in our patient to the minority of causes of adult respiratory distress syndrome.
Covid-19大流行期间合并肺结核感染的间日疟原虫急性呼吸窘迫综合征。病例报告
成人呼吸窘迫综合征是重症监护病房的常见病因,与高发病率、高死亡率和高成本有关。疟疾是一种主要由恶性疟原虫感染引起的疾病,偶尔也会由间日疟原虫感染引起。我们报告了一例 53 岁患者的病例,该患者因间日疟原虫并发结核分枝杆菌感染而出现急性呼吸窘迫综合征。诊断分别是通过微生物学和分子研究得出的。从临床角度来看,本病例是一个诊断难题,因为它发生在非典 CoV-2/covid-19 病毒大流行期间,而这是本病例发病期间成人呼吸窘迫综合征的主要病因,因此本病例中描述的微生物只占成人呼吸窘迫综合征病因的少数。
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