Orozco-Hernández Juan Pablo, Montoya-Martínez Juan José, Pacheco-Gallego Manuel Conrado, Céspedes-Roncancio Mauricio, Porras-Hurtado Gloria Liliana
Grupo de Investigación Salud Comfamiliar, Clínica Comfamiliar, Pereira, Risaralda, Colombia; Programa de Medicina, Universidad Tecnológica de Pereira, Risaralda, Colombia.
Grupo de Investigación Salud Comfamiliar, Clínica Comfamiliar, Pereira, Risaralda, Colombia.
Biomedica. 2020 Oct 30;40(Supl. 2):34-43. doi: 10.7705/biomedica.5516.
The current SARS-CoV-2 pandemic has caused a huge global public health problem. We report the case of a young adult patient with laboratory-confirmed SARS-CoV-2. We describe the identification of the virus and the clinical course, diagnosis, and treatment of the infection including her rapid clinical deterioration from the mild initial symptoms, which progressed to multilobar pneumonia requiring admission to the intensive care unit. This case highlights the importance of establishing a diagnosis based on the clinical findings and the patient’s history bearing in mind the possibility of gastrointestinal symptoms in addition to respiratory ones. Besides, the presence of risk factors should be investigated; in this case, we proposed obesity as a possible risk factor. Furthermore, limitations in diagnostic tests and the possibility of co-infection with other respiratory pathogens are highlighted. We describe the imaging, laboratory findings, and treatment taking into account the limited current evidence.
当前的新型冠状病毒肺炎大流行已造成巨大的全球公共卫生问题。我们报告了一例实验室确诊的新型冠状病毒肺炎青年成年患者的病例。我们描述了病毒的鉴定以及感染的临床病程、诊断和治疗情况，包括她从最初的轻微症状迅速临床恶化，进展为需要入住重症监护病房的多叶性肺炎。该病例突出了基于临床发现和患者病史进行诊断的重要性，同时要考虑到除呼吸道症状外出现胃肠道症状的可能性。此外，应调查危险因素的存在；在本病例中，我们提出肥胖可能是一个危险因素。此外，还强调了诊断测试的局限性以及与其他呼吸道病原体合并感染的可能性。我们根据目前有限的证据描述了影像学、实验室检查结果及治疗情况。
