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新型冠状病毒肺炎期间磨玻璃影的病因:肺炎。

An etiology of ground - glass images during COVID-19: pneumonia.

作者信息

Yehouenou Tessi Romeo Thierry, Onka Behyamet, El Bakkari Asaad, Jerguigue Hounayda, Latib Rachida, Omor Youssef

机构信息

Department of Radiology, National Institute of Oncology, UHC Ibn Sina, Mohamed V University, Rabat, Morocco.

出版信息

SAGE Open Med Case Rep. 2022 Apr 14;10:2050313X221091391. doi: 10.1177/2050313X221091391. eCollection 2022.

Abstract

pneumonia is a common pathology in HIV-infected but also in uninfected immunocompromised individuals. The pandemic coronavirus disease 2019 (COVID-2019) is a new type of coronavirus disease caused by SARS-COV-2, and the chest imaging is often used as complementary tool in patients' evaluation. The imaging finding is similar with many pulmonary pathologies. Chest computed tomography scan is gold standard imaging and shows a central and diffuse distribution, ground- glass pattern with septal thickening with "crazy paving pattern." We reported a case of 57-year-old man patient, followed in oncology for laryngeal cancer who presented of pneumonia during his follow-up. The diagnosis is confirmed by polymerase chain reaction with bronchoalveolar lavage fluid. Other immunochemical tests can be performed but are less specific. Both curative and preventive treatment in subjects at risk remains trimethoprim-sulfamethoxazole. Corticosteroid therapy may be associated depending on the case.

摘要

肺炎在感染HIV的人群以及未感染HIV的免疫功能低下个体中都是一种常见病症。2019年大流行性冠状病毒病(COVID - 2019)是由严重急性呼吸综合征冠状病毒2(SARS - COV - 2)引起的新型冠状病毒病,胸部影像学检查常被用作评估患者的辅助手段。其影像学表现与许多肺部病症相似。胸部计算机断层扫描是金标准影像学检查,显示病变呈中央性和弥漫性分布,有磨玻璃样改变伴小叶间隔增厚,呈“铺路石样”表现。我们报告了一例57岁男性患者,因喉癌在肿瘤科随访,随访期间出现了肺炎。通过支气管肺泡灌洗液体的聚合酶链反应确诊。也可进行其他免疫化学检测,但特异性较低。对高危人群的治疗和预防仍使用复方磺胺甲恶唑。根据具体情况可能会联合使用皮质类固醇疗法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd55/9016609/49d09ea2713b/10.1177_2050313X221091391-fig1.jpg

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