Maladies infectieuses, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, 92380 Garches, France; INSERM UMR1173, Université Versailles-Saint-Quentin Paris Saclay, 78180 Versailles, France.
Maladies infectieuses, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, 92380 Garches, France.
Int J Infect Dis. 2023 May;130:205-207. doi: 10.1016/j.ijid.2023.03.024. Epub 2023 Mar 21.
We present the case of an 81-year-old man, who was immunocompetent, who was admitted to the hospital with symptoms of fever and dyspnea suspected to be caused by COVID-19. Further examination revealed a triple coinfection, as determined by multiplex polymerase chain reaction testing, caused by the respiratory syncytial virus, human coronavirus OC43, and rhinovirus. Upon auscultation, diffuse wheezing without crackles was detected. After ruling out the possibility of acute heart failure with pulmonary edema, the patient was treated with nebulization of terbutaline for a period of 72 hours. This case serves to demonstrate the potential dangers of lifting barrier measures, such as mandatory face masks in high-risk areas, during the fall-winter season. In addition, it highlights the challenges that may arise in the post-COVID-19 era because reliance on flu vaccinations alone may not be sufficient.
我们报告了一例 81 岁免疫功能正常的男性患者，因疑似 COVID-19 引起的发热和呼吸困难而住院。进一步的检查通过多重聚合酶链反应检测确定为三重感染，由呼吸道合胞病毒、人类冠状病毒 OC43 和鼻病毒引起。听诊时，检测到弥漫性哮鸣音但无爆裂音。排除急性心力衰竭伴肺水肿的可能性后，患者接受特布他林雾化治疗 72 小时。该病例表明，在秋冬季节，取消强制性口罩等防疫措施存在潜在风险。此外，这也突显了在后 COVID-19 时代可能面临的挑战，因为仅依赖流感疫苗可能还不够。
