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在 COVID-19 大流行期间因避免看牙医而出现新发性咯血和相关肺部肿块。

New-onset haemoptysis and associated lung mass in the setting of dental care avoidance during the COVID-19 pandemic.

机构信息

Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA

Pulmonary & Sleep Medicine, Avera McKennan Hospital and University Health Center, Sioux Falls, South Dakota, USA.

出版信息

BMJ Case Rep. 2021 Dec 30;14(12):e242850. doi: 10.1136/bcr-2021-242850.

Abstract

We present a case of new-onset haemoptysis and associated lung lesion on chest imaging in the setting of the COVID-19 pandemic. This was believed to be due to dental care avoidance after tooth fracture and long-term use of temporary dental filler, with subsequent aspiration and bronchial injury. Our patient underwent bronchoscopy due to persistent haemoptysis with findings of mild traumatic injury. She responded to conservative management with no pharmacologic intervention. With time, there was resolution of symptoms and radiographic improvement of the lung lesion. We include a brief discussion on the influence of the COVID-19 pandemic on healthcare avoidance, complications of tooth fracture and the differential diagnosis of a new solitary lung lesion on chest imaging.

摘要

我们报告了一例在 COVID-19 大流行期间发生的新发咯血和胸部影像学相关肺部病变的病例。据信,这是由于牙齿骨折后避免看牙医和长期使用临时牙填充物,随后发生吸入和支气管损伤所致。我们的患者因持续性咯血而行支气管镜检查,检查发现轻度创伤性损伤。她对保守治疗有反应,无需药物干预。随着时间的推移,症状得到缓解,肺部病变的放射学改善。我们简要讨论了 COVID-19 大流行对医疗保健回避的影响、牙齿骨折的并发症以及胸部影像学上新发孤立性肺病变的鉴别诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ee9/8719131/037db9c786a8/bcr-2021-242850f01.jpg

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