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一名既往健康的新冠肺炎男性患者出现双侧肺气囊,导致自发性双侧气胸和继发感染。

Bilateral pneumatoceles resulting in spontaneous bilateral pneumothoraces and secondary infection in a previously healthy man with COVID-19.

作者信息

Natarajan Piruthiviraj, Skidmore James, Aduroja Olufemi, Kunam Vamsi, Schuller Dan

机构信息

Department of Internal Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, Texas.

Paul L Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, Texas.

出版信息

Proc (Bayl Univ Med Cent). 2021 May 25;34(5):590-592. doi: 10.1080/08998280.2021.1927410. eCollection 2021 Sep.

DOI:10.1080/08998280.2021.1927410
PMID:34456480
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8366923/
Abstract

An acute COVID-19 infection can result in cystic lung changes that have a unique presentation and are inherently difficult to manage with or without preexisting conditions. Even though reportedly very few COVID-19 patients develop secondary bacterial infections due to unclear mechanisms, a postviral sequela with typical and atypical organisms can prolong the course of lung damage. The long-term effects of COVID-19 lung damage are still unclear, as the morbidity of the disease process is yet to be fully understood. This report presents a rare complication of COVID pneumonia with bilateral necrotizing pneumatoceles presenting with hemoptysis and bilateral pneumothoraces with positive sputum cultures for and It highlights rare complications of COVID-19 requiring multiple hospital admissions and ongoing home oxygen therapy.

摘要

急性新冠病毒感染可导致肺部出现囊性改变,这种改变具有独特的表现形式,无论有无基础疾病,其治疗都具有内在的难度。尽管据报道,由于机制不明,很少有新冠病毒患者会继发细菌感染,但由典型和非典型病原体引起的病毒感染后遗症会延长肺部损伤的病程。新冠病毒肺部损伤的长期影响仍不明确,因为该疾病过程的发病率尚未完全了解。本报告介绍了一例罕见的新冠病毒肺炎并发症,患者出现双侧坏死性肺大疱,伴有咯血和双侧气胸,痰培养阳性,分别为 和 。它强调了新冠病毒感染的罕见并发症,这些并发症需要多次住院治疗并持续进行家庭氧疗。

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COVID-19 Complicated by Spontaneous Pneumothorax.新型冠状病毒肺炎合并自发性气胸
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Bilateral spontaneous pneumothorax in SARS-CoV-2 infection: A very rare, life-threatening complication.SARS-CoV-2 感染导致双侧自发性气胸:一种非常罕见且危及生命的并发症。
Am J Emerg Med. 2021 Jan;39:258.e1-258.e3. doi: 10.1016/j.ajem.2020.07.018. Epub 2020 Jul 12.
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Lancet Respir Med. 2020 May;8(5):475-481. doi: 10.1016/S2213-2600(20)30079-5. Epub 2020 Feb 24.
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Pneumonitis and pneumatoceles following accidental hydrocarbon aspiration in children.儿童意外吸入碳氢化合物后的肺炎和气囊肿
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