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肾功能损害的高级别移行细胞癌切除术后感染新型冠状病毒的风险。

Risk of Covid-19 infection after resection of high grade transitional cell carcinoma with renal impairment.

作者信息

Murshidi Mujalli Mhailan, Ihmeidan Mohammad Khaled, Murshidi Muayyad Mujalli, Murshidi Rand Mujalli Sheikh Moh'd, Murshidi Raghad Mujalli

机构信息

Department of Special Surgery/Division of Urology, The University of Jordan, School of Medicine, Queen Rania Street, Amman 11942, Jordan.

Department of Special Surgery/Division of Urology, The University of Jordan, School of Medicine, Queen Rania Street, Amman 11942, Jordan.

出版信息

Int J Surg Case Rep. 2021 May;82:105924. doi: 10.1016/j.ijscr.2021.105924. Epub 2021 Apr 27.

Abstract

INTRODUCTION AND IMPORTANCE

Covid-19 pandemic has had huge impact on health care system and put the health care system under strain, so efforts made to minimize the elective surgeries however some surgeries especially those for high risk malignant tumors cannot be postponed.The aim of this case report is to highlight the importance of screening cancer patients and those with co-morbidities such as renal impairment for Covid-19 and encouraging them to get vaccinated before undergoing elective surgeries.

CASE PRESENTATION

We report a case of an 80 year old male patient with renal impairment who developed Covid-19 infection after transurethral resection of high grade transitional cell carcinoma of urinary bladder.

CLINICAL DISCUSSION

Although intra-hospital contagion of Covid-19 is not rare, increased risk of acquiring Covid-19 among cancer patient particularly if they have co-morbidities like renal impairment should be kept in mind and strict protective measures for Covid-19 for those patients should be done before, during and after the procedure.

CONCLUSION

We theorized that patients with high grade transitional cell carcinoma of urinary bladder should be screened for Covid-19 and get vaccinated before the procedure.

摘要

引言与重要性

新冠疫情对医疗系统产生了巨大影响,使医疗系统不堪重负,因此人们努力减少择期手术,但某些手术,尤其是那些针对高危恶性肿瘤的手术无法推迟。本病例报告的目的是强调对癌症患者以及患有合并症(如肾功能损害)的患者进行新冠病毒筛查的重要性,并鼓励他们在接受择期手术前接种疫苗。

病例介绍

我们报告一例80岁男性肾功能损害患者,在经尿道膀胱高级别移行细胞癌切除术后感染了新冠病毒。

临床讨论

虽然新冠病毒在医院内传播并不罕见,但应牢记癌症患者,尤其是那些患有肾功能损害等合并症的患者感染新冠病毒的风险增加,并且在手术前、手术中和手术后应对这些患者采取严格的新冠病毒防护措施。

结论

我们推测,膀胱高级别移行细胞癌患者应在手术前进行新冠病毒筛查并接种疫苗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81e4/8113852/583aaa1e62ad/gr1.jpg

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