新冠病毒肺炎合并胸腔积液在风湿性心脏病中伪装成心力衰竭
COVID-19 Associated Pneumonia and Pleural Effusion Masquerading as Heart Failure in Rheumatic Heart Disease.
作者信息
Malik Jahanzeb, Javed Nismat, Naeem Hesham, Sattar Rana Abdul, Ikram Umar
机构信息
Rawalpindi Institute of Cardiology, Rawal Road, Rawalpindi, Pakistan.
Shifa College of Medicine, Shifa Tameer-e-Millat University, Islamabad, Pakistan.
出版信息
Eur J Case Rep Intern Med. 2020 Jul 10;7(8):001842. doi: 10.12890/2020_001842. eCollection 2020.
UNLABELLED
The ongoing outbreak of coronavirus disease 2019 (COVID-19) that began in Wuhan, China, became an international emergency when thousands of people were infected around the world. COVID-19 emerged in Pakistan in April 2020, precipitating a nationwide lockdown. While some countries are now recovering from the pandemic, its peak is not estimated to occur in Pakistan until August 2020. We present a case of rheumatic heart disease with fever, myalgia and an unusual radiological finding of the virus.
LEARNING POINTS
Unusual radiological findings are being seen in COVID-19 patients.Pleural effusion in a mildly symptomatic patient is a rare presentation of the disease.Early aggressive treatment can produce dramatic improvement in COVID-19 pneumonia.
未标注
始于中国武汉的2019冠状病毒病（COVID-19）疫情不断蔓延，当全球数千人感染时，它成为了一场国际紧急事件。2020年4月COVID-19在巴基斯坦出现，促使全国实施封锁。虽然一些国家目前正在从疫情中恢复，但预计在巴基斯坦要到2020年8月才会达到疫情高峰。我们报告一例患有风湿性心脏病且伴有发热、肌痛以及该病毒不寻常影像学表现的病例。
学习要点
COVID-19患者出现了不寻常的影像学表现。症状轻微的患者出现胸腔积液是该疾病的罕见表现。早期积极治疗可使COVID-19肺炎显著改善。
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