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轻度新型冠状病毒肺炎后发生的脑诺卡菌病:一例报告

Encephalic nocardiosis after mild COVID-19: A case report.

作者信息

Bouhamdani Nadia, Comeau Dominique, Bourque Christine, Saulnier Nancy

机构信息

Vitalité Health Network, Dr. Georges-L.-Dumont University Hospital Center, Research Sector, Moncton, NB, Canada.

Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada.

出版信息

Front Neurol. 2023 Feb 22;14:1137024. doi: 10.3389/fneur.2023.1137024. eCollection 2023.

Abstract

The COVID-19 pandemic and the associated post-acute sequelae of COVID-19 (PASC) have led to the identification of a complex disease phenotype that is associated with important changes in the immune system. Herein, we describe a unique case of cerebral abscess in an individual with sudden immunodeficiency several months after mild COVID-19. Intravenous Bactrim and Imipenem were prescribed for 6 weeks. After this, a 12-month course of Bactrim and Clavulin was prescribed to be taken orally, given the infection at the level of the central nervous system. This case report highlights the need for future research into the pathophysiology of COVID-19 and PASC immune dysregulation in convalescent individuals. It also draws attention to the need for timely consideration of opportunistic infections in patients with a history of COVID-19.

摘要

新冠疫情及相关的新冠后急性后遗症(PASC)导致了一种复杂疾病表型的确定,该表型与免疫系统的重要变化相关。在此,我们描述了一例轻症新冠感染数月后突然出现免疫缺陷的个体发生脑脓肿的独特病例。给予静脉注射复方新诺明和亚胺培南6周。此后,鉴于中枢神经系统感染,开具了为期12个月的口服复方新诺明和克拉维酸疗程。本病例报告强调了未来对新冠康复个体中新冠及PASC免疫失调病理生理学进行研究的必要性。它还提请注意对有新冠病史患者的机会性感染进行及时评估的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3111/9992866/7b0f22c6575c/fneur-14-1137024-g0001.jpg

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