COVID-19感染患者的类白血病反应1例

IF 0.4 Q4 CRITICAL CARE MEDICINE

Journal of Acute Disease Pub Date : 2022-01-01 DOI:10.4103/2221-6189.347780

N. Pursnani, P. Agrawal, A. Gautam, Anjana Pandey, Harendra Kumar

{"title":"COVID-19感染患者的类白血病反应1例","authors":"N. Pursnani, P. Agrawal, A. Gautam, Anjana Pandey, Harendra Kumar","doi":"10.4103/2221-6189.347780","DOIUrl":null,"url":null,"abstract":"Rationale: COVID-19 usually presents with flu-like symptoms and signs, but some rare presentations like leukemoid symptoms cannot be ignored. Patient's concerns: A 37-year-old female presented to the outpatient department with flu-like symptoms. Diagnosis: The RT-PCR test for SARS-CoV-2 infection was positive, while complete blood cell and peripheral blood smear showed leukemoid reaction. Intervention: Paracetamol and fexofenadine for flu-like symptoms and leukemoid presentation. Outcomes: On the 10th day, the patient was asymptomatic and RT-PCR was negative. So the patient was discharged and leukemoid presentation subsided after clearance of viral disease. Lessons: COVID-19 has a myriad of presentations, and unusual symptoms/signs especially in this pandemic could be induced by COVID-19 infection.","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"1 1","pages":""},"PeriodicalIF":0.4000,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Leukemoid reaction in a patient with COVID-19 infection: A case report\",\"authors\":\"N. Pursnani, P. Agrawal, A. Gautam, Anjana Pandey, Harendra Kumar\",\"doi\":\"10.4103/2221-6189.347780\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Rationale: COVID-19 usually presents with flu-like symptoms and signs, but some rare presentations like leukemoid symptoms cannot be ignored. Patient's concerns: A 37-year-old female presented to the outpatient department with flu-like symptoms. Diagnosis: The RT-PCR test for SARS-CoV-2 infection was positive, while complete blood cell and peripheral blood smear showed leukemoid reaction. Intervention: Paracetamol and fexofenadine for flu-like symptoms and leukemoid presentation. Outcomes: On the 10th day, the patient was asymptomatic and RT-PCR was negative. So the patient was discharged and leukemoid presentation subsided after clearance of viral disease. Lessons: COVID-19 has a myriad of presentations, and unusual symptoms/signs especially in this pandemic could be induced by COVID-19 infection.\",\"PeriodicalId\":45984,\"journal\":{\"name\":\"Journal of Acute Disease\",\"volume\":\"1 1\",\"pages\":\"\"},\"PeriodicalIF\":0.4000,\"publicationDate\":\"2022-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Acute Disease\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.4103/2221-6189.347780\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"CRITICAL CARE MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Acute Disease","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.4103/2221-6189.347780","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CRITICAL CARE MEDICINE","Score":null,"Total":0}

引用次数: 0

摘要

理由:COVID-19通常表现为流感样症状和体征，但一些罕见的症状，如白血病症状，也不容忽视。患者关注:37岁女性，以流感样症状就诊于门诊部。诊断:SARS-CoV-2感染RT-PCR检测阳性，全血细胞及外周血涂片呈白血病样反应。干预:扑热息痛和非索非那定治疗流感样症状和白血病样表现。结果:第10天，患者无症状，RT-PCR阴性。因此，病人出院，白血病症状在病毒清除后消退。经验教训:COVID-19有无数的表现，特别是在这次大流行中，不寻常的症状/体征可能是由COVID-19感染引起的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Leukemoid reaction in a patient with COVID-19 infection: A case report

Rationale: COVID-19 usually presents with flu-like symptoms and signs, but some rare presentations like leukemoid symptoms cannot be ignored. Patient's concerns: A 37-year-old female presented to the outpatient department with flu-like symptoms. Diagnosis: The RT-PCR test for SARS-CoV-2 infection was positive, while complete blood cell and peripheral blood smear showed leukemoid reaction. Intervention: Paracetamol and fexofenadine for flu-like symptoms and leukemoid presentation. Outcomes: On the 10th day, the patient was asymptomatic and RT-PCR was negative. So the patient was discharged and leukemoid presentation subsided after clearance of viral disease. Lessons: COVID-19 has a myriad of presentations, and unusual symptoms/signs especially in this pandemic could be induced by COVID-19 infection.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Journal of Acute Disease CRITICAL CARE MEDICINE-

自引率

20.00%

发文量

652

审稿时长

12 weeks

期刊介绍： The articles published mainly deal with pre-hospital and hospital emergency medicine, cardiopulmonary-cerebral resuscitation, critical cardiovascular disease, sepsis, severe infection, multiple organ failure, acute and critical diseases in different medical fields, sudden cardiac arrest, Intensive Care Unit (ICU), critical care medicine, disaster rescue medicine (earthquakes, fires, floods, mine disaster, air crash, et al.), acute trauma, acute toxicology, acute heart disease, and related topics. JAD sets up columns for special subjects in each issue.