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在资源有限的情况下,对癌症患者中的 COVID-19 进行筛查可能具有挑战性。

COVID-19 in cancer patients can be challenging to screen in a resource limited setting.

机构信息

Division of Medical Oncology, Department of Medicine, University of the Philippines and Philippine General Hospital.

Division of Medical Oncology, Department of Medicine, University of the Philippines and Philippine General Hospital; Department of Pharmacology and Toxicology, College of Medicine, University of the Philippines Manila.

出版信息

Cancer Treat Res Commun. 2020;25:100214. doi: 10.1016/j.ctarc.2020.100214. Epub 2020 Sep 29.

DOI:10.1016/j.ctarc.2020.100214
PMID:33038570
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7524517/
Abstract

During this COVID-19 pandemic, patients with symptoms such as fever, cough, sore throat, and coryza were advised to have RT-PCR testing for SARS-CoV-2 infection. We described here an elderly female with chronic lymphocytic leukemia, who presented with atypical symptoms that were not directly attributable to COVID-19. This patient was admitted to the non-COVID-19 ward for supportive care. Later, her chest x-ray revealed pneumonia that was confirmed to be COVID-19 by RT-PCR testing several days later. In resource-poor settings where molecular testing results suffered from delays or were altogether unavailable, the use of diagnostic imaging such as a chest x-ray could serve as a quick guide in the assessment and management of these patients especially if the imaging results suggest COVID-19 infection.

摘要

在 COVID-19 大流行期间,建议出现发热、咳嗽、咽痛和流涕等症状的患者进行 SARS-CoV-2 感染的 RT-PCR 检测。我们在此描述了一位患有慢性淋巴细胞白血病的老年女性,她表现出不典型症状,这些症状不能直接归因于 COVID-19。该患者因支持性护理被收入非 COVID-19 病房。后来,她的胸部 X 光片显示肺炎,几天后 RT-PCR 检测结果证实为 COVID-19 感染。在资源匮乏的环境中,分子检测结果延迟或根本无法获得,使用胸部 X 光等诊断影像学可以作为评估和管理这些患者的快速指南,特别是如果影像学结果提示 COVID-19 感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6095/7524517/cad5c55a14f5/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6095/7524517/cad5c55a14f5/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6095/7524517/cad5c55a14f5/gr1_lrg.jpg

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Low Humoral Immune Response and Ineffective Clearance of SARS-Cov-2 in a COVID-19 Patient With CLL During a 69-Day Follow-Up.一名慢性淋巴细胞白血病(CLL)合并新型冠状病毒肺炎(COVID-19)患者在69天随访期间的低体液免疫反应及对严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的清除无效
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