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急性会厌炎是 2019 冠状病毒病的一种罕见临床表现:病例报告。

Acute epiglottitis is a rare clinical presentation of coronavirus disease 2019: a case report.

机构信息

Faculty of Medicine, Department of Neurosurgery, Selcuk University, Konya, Turkey.

出版信息

Infect Dis (Lond). 2022 Apr;54(4):308-310. doi: 10.1080/23744235.2021.2014560. Epub 2021 Dec 8.

DOI:10.1080/23744235.2021.2014560
PMID:34879768
Abstract

BACKGROUND

In humans, coronavirus disease 2019 (COVID-19) has a variable presentation ranging from mild self-limiting respiratory tract infections to severe acute respiratory distress syndrome. Methods: We present the case of a patient who developed acute epiglottitis after surgery for an intracranial tumour and was subsequently diagnosed with COVID-19.

RESULTS

A 58-year-old female patient developed acute-onset respiratory distress on day 6 after intracranial surgery. Neck computed tomography revealed near-total airway obstruction due to severe edoema of the epiglottis and periepiglottis. The patient's SARS-CoV-2 polymerase chain reaction test was positive. Viral respiratory tract panel and sputum and blood cultures were negative. She completed the antiviral and antibacterial treatment regimens recommended by the chest disease department.

CONCLUSIONS

We conclude that epiglottitis can be an unusual manifestation of COVID-19.

摘要

背景

在人类中,2019 年冠状病毒病(COVID-19)的表现各不相同,从轻度自限性呼吸道感染到严重的急性呼吸窘迫综合征都有。

方法

我们报告了一例颅内肿瘤手术后发生急性会厌炎,随后被诊断为 COVID-19 的患者。

结果

一名 58 岁女性患者在颅内手术后第 6 天出现急性呼吸窘迫。颈部计算机断层扫描显示由于会厌和会厌周围严重水肿导致气道几乎完全阻塞。该患者的 SARS-CoV-2 聚合酶链反应检测结果为阳性。病毒呼吸道面板以及痰和血液培养结果均为阴性。她完成了胸部疾病科推荐的抗病毒和抗菌治疗方案。

结论

我们得出结论,会厌炎可能是 COVID-19 的一种不常见表现。

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