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严重急性呼吸综合征冠状病毒2型与合并感染:一例罕见的支气管食管瘘病例

SARS-CoV-2 and coinfection: A case of unusual bronchoesophageal fistula.

作者信息

Aissaoui Houari, Louvel Dominique, Drak Alsibai Kinan

机构信息

Department of Medicine, Pulmonology Unit, Cayenne Hospital Center Andrée Rosemon, F-97300 Cayenne, French Guiana.

Department of Medicine B, Cayenne Hospital Center Andrée Rosemon, F-97300 Cayenne, French Guiana.

出版信息

J Clin Tuberc Other Mycobact Dis. 2021 Aug;24:100247. doi: 10.1016/j.jctube.2021.100247. Epub 2021 May 27.

Abstract

Tuberculosis is a treatable and curable bacterial disease caused by that most often affects the lung. Since 2018, it has become the leading cause of death from infectious diseases. Tuberculosis is a public health problem in French Guiana. The majority of reported cases are diagnosed among people coming from neighboring Latin American countries. Since March 2020, French Guiana has been affected, like the rest of the world, by the new infectious disease COVID19 linked to the SARS-CoV-2 coronavirus. We here report a case of COVID19 and pulmonary tuberculosis coinfection. COVID19 pneumonia was the mode of discovery of the tuberculosis. In the present case, the tuberculosis appeared as parenchymal and endobronchial pseudotumoral lesion, which has been complicated by a bronchoesophageal fistula. The evolution of the parenchymal, endobronchial lesion and bronchoesophageal fistula was favorable after two months of anti-tuberculosis treatment.

摘要

结核病是一种由细菌引起的可治疗且可治愈的疾病,最常影响肺部。自2018年以来,它已成为传染病致死的主要原因。结核病在法属圭亚那是一个公共卫生问题。大多数报告病例是在来自邻近拉丁美洲国家的人群中诊断出来的。自2020年3月以来,法属圭亚那与世界其他地区一样,受到了与SARS-CoV-2冠状病毒相关的新型传染病COVID-19的影响。我们在此报告一例COVID-19与肺结核合并感染的病例。COVID-19肺炎是发现结核病的途径。在本病例中,结核病表现为实质性和支气管内假瘤样病变,并伴有支气管食管瘘。经过两个月的抗结核治疗,实质性、支气管内病变及支气管食管瘘的病情得到了改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7be/8182260/8b037836a8a5/gr1.jpg

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