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新型冠状病毒肺炎患者结核感染情况评估:1例结核与新型冠状病毒肺炎合并感染病例

Evaluation of tuberculosis infection in COVID-19 patients: a case of tuberculosis and COVID-19 co-infection.

作者信息

Niazkar Hamid Reza, Zibaee Behdad, Razavi Seyed Behzad, Ghanaeian Kasra, Talebzadeh Vahid, Vosugh Negin Haji

机构信息

Breast Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Student Research Committee, Gonabad University of Medical Sciences, Gonabad, Iran.

出版信息

Egypt J Intern Med. 2022;34(1):46. doi: 10.1186/s43162-022-00134-8. Epub 2022 Jun 2.

DOI:10.1186/s43162-022-00134-8
PMID:35669934
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9161195/
Abstract

The COVID-19 pandemic affected millions of people worldwide, becoming a challenge of every nation. Since the COVID-19 can present wide spectrum of clinical signs and symptoms, patients with symptoms similar to that of COVID-19 may be misdiagnosed during the context of COVID-19 pandemic. In this regard, various co-infections may affect the outcome of COVID-19 patients if it lefts undiagnosed, especially during the administration of immunosuppressive drugs. Similar to COVID-19, TB affect the lungs and respiratory airways primarily. These two diseases have resembling symptoms, including dry cough, fever, and dyspnea. Due to the importance of early COVID-19 diagnosis, many other respiratory infectious diseases such as tuberculosis (TB) may be missed. Herein, a case of COVID-19 and tuberculosis co-infection is presented.

摘要

新冠疫情影响了全球数百万人,成为每个国家面临的挑战。由于新冠病毒可呈现广泛的临床体征和症状,在新冠疫情背景下,出现与新冠症状相似的患者可能会被误诊。在这方面,如果各种合并感染未被诊断出来,尤其是在使用免疫抑制药物期间,可能会影响新冠患者的治疗结果。与新冠病毒一样,结核病主要影响肺部和呼吸道。这两种疾病有相似的症状,包括干咳、发热和呼吸困难。由于早期诊断新冠病毒的重要性,许多其他呼吸道传染病,如结核病,可能会被漏诊。在此,报告一例新冠病毒与结核病合并感染的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f2d/9161195/d556940962b9/43162_2022_134_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f2d/9161195/d556940962b9/43162_2022_134_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f2d/9161195/d556940962b9/43162_2022_134_Fig1_HTML.jpg

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本文引用的文献

1
COVID-19 patients may present with myocarditis: A case report emphasizing the cardiac involvement of SARS-CoV-2.新冠病毒肺炎患者可能出现心肌炎:一例强调严重急性呼吸综合征冠状病毒2型心脏受累的病例报告。
Med J Islam Repub Iran. 2021 Aug 16;35:104. doi: 10.47176/mjiri.35.104. eCollection 2021.
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An updated meta-analysis on the association between tuberculosis and COVID-19 severity and mortality.关于结核病与新冠病毒疾病严重程度及死亡率之间关联的一项更新的荟萃分析。
J Med Virol. 2021 Oct;93(10):5682-5686. doi: 10.1002/jmv.27119. Epub 2021 Jun 9.
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Potential role of Bacillus Calmette-Guérin (BCG) vaccination in COVID-19 pandemic mortality: Epidemiological and Immunological aspects.
卡介苗(BCG)接种在 COVID-19 大流行死亡率中的潜在作用:流行病学和免疫学方面。
Asian Pac J Allergy Immunol. 2020 Sep;38(3):150-161. doi: 10.12932/AP-310520-0863.
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Persistent viral shedding of SARS-CoV-2 in faeces - a rapid review.粪便中 SARS-CoV-2 的持续病毒脱落——快速综述。
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Impact of COVID-19 on tuberculosis control in China.新型冠状病毒肺炎对中国结核病防控的影响。
Int J Tuberc Lung Dis. 2020 May 1;24(5):545-547. doi: 10.5588/ijtld.20.0127.
6
New diseases and old threats: lessons from tuberculosis for the COVID-19 response.新疾病与旧威胁:结核病给COVID-19应对带来的教训
Int J Tuberc Lung Dis. 2020 May 1;24(5):544-545. doi: 10.5588/ijtld.20.0151.
7
Clinical features and obstetric and neonatal outcomes of pregnant patients with COVID-19 in Wuhan, China: a retrospective, single-centre, descriptive study.中国武汉 COVID-19 孕妇的临床特征及母婴结局:一项回顾性、单中心、描述性研究。
Lancet Infect Dis. 2020 May;20(5):559-564. doi: 10.1016/S1473-3099(20)30176-6. Epub 2020 Mar 24.
8
Point-of-Care Lung Ultrasound findings in novel coronavirus disease-19 pnemoniae: a case report and potential applications during COVID-19 outbreak.新型冠状病毒病肺炎的即时肺超声表现:一例病例报告及在 COVID-19 疫情期间的潜在应用。
Eur Rev Med Pharmacol Sci. 2020 Mar;24(5):2776-2780. doi: 10.26355/eurrev_202003_20549.
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Int J Infect Dis. 2020 Apr;93:297-299. doi: 10.1016/j.ijid.2020.03.003. Epub 2020 Mar 5.
10
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Lancet. 2020 Feb 15;395(10223):497-506. doi: 10.1016/S0140-6736(20)30183-5. Epub 2020 Jan 24.