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局限性脓胸与新型冠状病毒肺炎感染:两例报告及文献综述

Loculated Empyema and SARS-CoV-2 Infection: A Report of Two Cases and Review of the Literature.

作者信息

Ayad Sarah, Gergis Kirolos, Elkattawy Sherif, Mirza Noreen, Abdelazeem Basel, Patel Latika, Remolina Carlos

机构信息

Internal Medicine, Rutgers-New Jersey Medical School/Trinitas Regional Medical Center, Elizabeth, New Jersey, USA.

Internal Medicine, McLaren Health Care, Flint, Michigan, USA.

出版信息

Eur J Case Rep Intern Med. 2021 Jul 15;8(7):002706. doi: 10.12890/2021_002706. eCollection 2021.

DOI:10.12890/2021_002706
PMID:34377699
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8336741/
Abstract

UNLABELLED

Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Clinical manifestations are diverse and can vary from mild respiratory symptoms to severe hypoxic respiratory failure. In severe cases, infection can cause gastrointestinal, renal, cardiac, neurological and haematological complications and result in multi-organ failure. There are very few reports of parapneumonic effusion in patients with COVID-19. We describe two patients with COVID-19 who had loculated empyema and discuss the clinical course and therapeutic options.

LEARNING POINTS

The clinical manifestations of COVID-19 vary from mild to severe disease and can result in multi-organ failure.Pleural empyema is usually treated with a combination of antibiotics and surgical drainage of the pleural cavity.

摘要

未标注

2019冠状病毒病(COVID-19)由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起。其临床表现多样,可从轻微呼吸道症状到严重的低氧性呼吸衰竭。在严重病例中,感染可导致胃肠道、肾脏、心脏、神经和血液系统并发症,并导致多器官功能衰竭。关于COVID-19患者并发肺炎旁胸腔积液的报道非常少。我们描述了两名患有局限性脓胸的COVID-19患者,并讨论了临床病程和治疗选择。

学习要点

COVID-19的临床表现从轻症到重症不等,可导致多器官功能衰竭。胸腔脓胸通常采用抗生素联合胸腔手术引流进行治疗。

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The incidence of pleural effusion in COVID-19 pneumonia: State-of-the-art review.COVID-19 肺炎合并胸腔积液的发生率:最新综述。
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Surgical treatment of pleural empyema in Coronavirus disease 19 patients: the Southern Switzerland experience.COVID-19 患者脓胸的外科治疗:瑞士南部经验。
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Bronchopleural fistula development in the setting of novel therapies for acute respiratory distress syndrome in SARS-CoV-2 pneumonia.新型疗法治疗新型冠状病毒肺炎急性呼吸窘迫综合征时支气管胸膜瘘的发生情况
Radiol Case Rep. 2020 Nov;15(11):2378-2381. doi: 10.1016/j.radcr.2020.09.026. Epub 2020 Sep 18.
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CT findings of COVID-19 in follow-up: comparison between progression and recovery.新冠肺炎 CT 随访表现:进展与恢复的比较。
Diagn Interv Radiol. 2020 Jul;26(4):301-307. doi: 10.5152/dir.2019.20176.
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CT imaging features of 34 patients infected with COVID-19.34 例新冠病毒感染患者的 CT 影像学特征。
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The novel coronavirus outbreak in Wuhan, China.中国武汉新型冠状病毒疫情。
Glob Health Res Policy. 2020 Mar 2;5:6. doi: 10.1186/s41256-020-00135-6. eCollection 2020.
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Thoracic empyema: a 12-year study from a UK tertiary cardiothoracic referral centre.胸腔积脓:来自英国三级心胸转诊中心的 12 年研究。
PLoS One. 2012;7(1):e30074. doi: 10.1371/journal.pone.0030074. Epub 2012 Jan 20.
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Diagnosis and management of parapneumonic effusions and empyema.肺炎旁胸腔积液和脓胸的诊断与管理
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