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COVID-19 并发丝虫病:首例 SARS-CoV-2 与班氏丝虫混合感染。

COVID-19 unfolding filariasis: The first case of SARS-CoV-2 and Wuchereria bancrofti coinfection.

机构信息

Medicine Department, Hamad Medical Corporation, Doha, Qatar.

Department of Laboratory Medicine and Pathology, Hematology Section, Hamad Medical Corporation, Doha, Qatar.

出版信息

PLoS Negl Trop Dis. 2020 Nov 9;14(11):e0008853. doi: 10.1371/journal.pntd.0008853. eCollection 2020 Nov.

Abstract

With the evolution of the Coronavirus Disease 2019 (COVID-19) pandemic, the number of patients brought to medical attention has increased. This has led to the unmasking of many coexisting occult infections and comorbidities such as tuberculosis, dengue, human immunodeficiency viral infection, diabetes, and hypertension. We report the first case of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection, unveiling the diagnosis of asymptomatic filariasis. A 37-year-old gentleman presented with shortness of breath, fever, and cough. He was found to have COVID-19 pneumonia. During his stay, microfilaria of Wuchereria bancrofti was detected incidentally on a blood smear exam. Consequently, the patient received appropriate treatment for both conditions. In order not to miss relevant concomitant diagnoses, it is prudent to keep a broad differential diagnosis when faced with SARS-CoV-2-infected patients; this is especially true when atypical symptoms are present or in areas endemic with other infections.

摘要

随着 2019 年冠状病毒病(COVID-19)大流行的演变,被送往医疗机构的患者数量有所增加。这导致许多潜伏的合并感染和合并症(如结核病、登革热、人类免疫缺陷病毒感染、糖尿病和高血压)暴露出来。我们报告了首例严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)感染病例,揭示了无症状丝虫病的诊断。一位 37 岁的男性出现呼吸急促、发热和咳嗽症状。他被诊断为 COVID-19 肺炎。在住院期间,偶然在血涂片检查中发现班氏吴策线虫的微丝蚴。因此,患者接受了两种疾病的适当治疗。为了不错过相关的合并诊断,当面对 SARS-CoV-2 感染患者时,保持广泛的鉴别诊断是谨慎的;当存在非典型症状或在其他感染流行地区时尤其如此。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/814a/7652262/2ad1a2f4ae65/pntd.0008853.g001.jpg

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