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首页> 外文期刊>Advances in Surgical Sciences >Pulmonary Cavitation Post COVID-19 Pneumonia: A Case Report
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Pulmonary Cavitation Post COVID-19 Pneumonia: A Case Report

机译:肺空穴后Covid-19肺炎:案例报告

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The coronavirus disease 2019 (COVID-19) is now rapidly spreading at a much faster rate than the first wave reported in December 2019. Computed tomography (CT) scans play crucial roles in the diagnosis of COVID-19 pneumonia where rRT-PCR test reported negative in strong clinical suspicion. Common chest radiological findings in COVID-19 are bilateral peripheral ground-glass opacities, consolidation, linear opacities and interstitial thickening. However, bilateral cavitary lung disease is a rare entity in COVID-19. Hare, we present the case of a 62-year-old patient with severe COVID-19 pneumonia with initial rRT-PCR was negative for COVID-19 and who had atypical manifestations of the COVID-19 disease on a CT scan showing multiple cavitation with consolidation in the lungs. Special blood investigations showed raised blood procalcitonin, galactomannan, fibrinogen, D- dimer and BAL fluid pseudomonas aeruginosa growth and raised galactomannan. However, deteriorated on antibiotics along with antifungal drugs and supportive treatment. On high suspicion of viral pneumonia repeated rRT-PCR for COVID-19 came positive leading to fatal outcome.
机译:2019年冠状病毒疾病(Covid-19)现在迅速蔓延,比2019年12月报告的第一波更快地蔓延。计算断层扫描(CT)扫描在诊断Covid-19肺炎的诊断中发挥关键作用,其中RRT-PCR试验报告强烈的临床怀疑是阴性。 Covid-19中的常见胸部放射发现是双侧外周覆盖玻璃不透明度,固结,线性不透射率和间质增厚。然而,双侧腔间肺病是Covid-19中的罕见实体。野兔,我们展示了一个62岁患者的患者严重的Covid-19肺炎,初始RRT-PCR对于Covid-19阴性是阴性的,并且在CT扫描上具有COVID-19疾病的非典型表现,显示了多个空化整合在肺部。特殊血液调查显示血液procalcitonin,半乳甘露胶,纤维蛋白原,d二聚体和bal流体假单胞菌铜绿假单胞菌生长和升高的半乳粥。然而,抗生素和抗真菌药物和支持性治疗恶化。关于病毒性肺炎的高疑似,Covid-19重复的RRT-PCR为致命结果导致积极。

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