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肺包虫病患者开胸术后的新型冠状病毒肺炎

COVID-19 after Thoracotomy in Patients with Pulmonary Hydatidosis.

作者信息

Lookzadeh Somayeh, Sheikhy Kambiz, Jamaati Hamidreza, Ghanbari Reza, Mortezaee Vida, Najmi Kosar, Velayati Ali Akbar

机构信息

Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Lung Transplantation Research Center (LTRC), NRITLD, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Tanaffos. 2022 Apr;21(4):512-515.

PMID:37583778
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10423865/
Abstract

Hydatidosis is one of the most important parasitic and zoonotic endemic infections caused by the larvae of cestode . Co-infection of hydatid cyst with the coronavirus disease 2019 (COVID-19), which is caused by the severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2), has been previously reported. The mortality rate of hydatidosis is reported to be 2-4% and the liver and lungs are the two most commonly involved organs, respectively. In the present study, we have reported two recovered pulmonary hydatidosis patients who were infected with SARS-CoV-2 after thoracotomy in the hospital. In general, current cases suggest that patients with thoracic surgery are more likely to develop severe infection with severe acute respiratory syndrome coronavirus 2 (SARS-COV-2). The patients presented COVID-19 symptoms shortly after thoracotomy and their viral tests were confirmed with the positive result of SARS-CoV-2 RT-PCR. In conclusion, possible differential diagnoses should be considered in similar cases and adequate attention should be paid to intraoperative and postoperative care.

摘要

包虫病是由绦虫幼虫引起的最重要的寄生虫病和人畜共患地方病感染之一。此前已有包虫囊肿与严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的2019冠状病毒病(COVID-19)合并感染的报道。据报道,包虫病的死亡率为2%-4%,肝脏和肺是最常受累的两个器官。在本研究中,我们报告了两名在医院开胸手术后感染SARS-CoV-2的包虫病康复患者。一般来说,目前的病例表明,胸外科手术患者更容易发生严重急性呼吸综合征冠状病毒2(SARS-COV-2)的严重感染。患者在开胸手术后不久出现COVID-19症状,其病毒检测经SARS-CoV-2逆转录聚合酶链反应(RT-PCR)检测呈阳性。总之,对于类似病例应考虑可能的鉴别诊断,并应充分重视术中及术后护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ec1/10423865/723ec2b0baac/Tanaffos-21-512-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ec1/10423865/22ce546b4013/Tanaffos-21-512-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ec1/10423865/3ca6f26ddff9/Tanaffos-21-512-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ec1/10423865/769b032305cd/Tanaffos-21-512-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ec1/10423865/723ec2b0baac/Tanaffos-21-512-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ec1/10423865/22ce546b4013/Tanaffos-21-512-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ec1/10423865/3ca6f26ddff9/Tanaffos-21-512-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ec1/10423865/769b032305cd/Tanaffos-21-512-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ec1/10423865/723ec2b0baac/Tanaffos-21-512-g004.jpg

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COVID-19 and Hydatidosis Infections: Is There Any Relationship?新型冠状病毒肺炎与包虫病感染:二者存在关联吗?
Iran J Parasitol. 2021 Apr-Jun;16(2):343-345. doi: 10.18502/ijpa.v16i2.6287.
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A Challenging Diagnosis of Two Ruptured and Intact Pulmonary Echinococcal Cysts in a 54-Year-Old Woman: A Case Report.54 岁女性两例破裂与未破裂肺包虫囊肿的诊治挑战:病例报告。
Acta Parasitol. 2021 Dec;66(4):1605-1608. doi: 10.1007/s11686-021-00386-4. Epub 2021 Apr 3.
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Primary mediastinal hydatidosis successfully treated with combined medical therapy and VATS (Video-assisted thoracoscopic surgery).采用联合药物治疗和电视辅助胸腔镜手术(VATS)成功治疗原发性纵隔包虫病。
IDCases. 2020 Nov 16;23:e01008. doi: 10.1016/j.idcr.2020.e01008. eCollection 2021.
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Helminth coinfection and COVID-19: An alternate hypothesis.蠕虫共感染与新冠肺炎:另一种假说。
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Clinical Course of Three Postoperative Symptomatic COVID-19 Cases in Patients After Lung Lobectomy.术后肺叶切除术后 COVID-19 三例有症状病例的临床过程。
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Safety Recommendations for Evaluation and Surgery of the Head and Neck During the COVID-19 Pandemic.COVID-19 大流行期间头颈部评估和手术的安全建议。
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