covid后肺曲霉病合并肺血栓栓塞和肺动脉高压揭示前驱糖尿病1例报告

Anjali Kamath, Gyanshankar P. Mishra, R. Munje, J. Atram
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引用次数: 0

摘要

在全球范围内报告了COVID-19感染期间和之后的多种并发症。最严重和危及生命的是血栓栓塞和侵袭性真菌疾病。我们报告了一例covid -19后肺部真菌感染和肺血栓栓塞合并肺动脉高压和揭露前驱糖尿病的并发症。患者男,53岁,主诉咳嗽、发热、用力性呼吸困难15天,胸痛、声音嘶哑7天。患者10个月前有新冠肺炎病史,无合并症。经肺部计算机断层血管造影、支气管镜检查等检查,发现患者有肺血栓栓塞、肺曲霉病、肺动脉高压。两性霉素B治疗21天,抗凝治疗6个月。随着栓塞的消除,他的临床和放射学有了显著的改善。covid -19后免疫抑制患者成功护理的关键因素包括高怀疑指数,在抗真菌药物和抗凝血剂的帮助下早期使用适当的诊断测试,以及控制高血糖等危险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Post-COVID Pulmonary Aspergillosis with Pulmonary Thromboembolism and Pulmonary Artery Hypertension Unmasking Prediabetes: A Case Report
Multiple complications during and following COVID-19 infection are being reported worldwide. The most serious and life-threatening are thromboembolism and invasive fungal diseases. We report a post-COVID-19 case with complications of fungal infection of the lungs and pulmonary thromboembolism with pulmonary hypertension and unmasking prediabetes. A 53-year-old male patient presented with complaints of cough, fever, exertional breathlessness for 15 days, chest pain and hoarseness of voice for 7 days. He had a prior history of COVID 10 months earlier and no comorbidities. On further investigation by computed pulmonary tomography angiography, bronchoscopy and other investigations, the patient was found to have pulmonary thromboembolism, pulmonary aspergillosis and pulmonary artery hypertension. He was treated with amphotericin B for 21 days and anticoagulants for 6 months. He had significant clinical and radiological improvement with the resolution of the embolism. The crucial factors for successful care in post-COVID-19 immune-suppressed patients include a high index of suspicion, early use of adequate diagnostic tests helped by antifungal medications, anticoagulants and control of risk factors such as hyperglycaemia.
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