Shrestha Bhanu, Mahat Ravi
Department of Respiratory Medicine, Karuna Hospital, Kathmandu, NPL.
Cureus. 2023 Aug 30;15(8):e44398. doi: 10.7759/cureus.44398. eCollection 2023 Aug.
COVID-19 can have different presentations; from asymptomatic to multiorgan involvement. This case report is of an elderly gentleman, with known comorbidities of chronic obstructive airway disease and alcoholic liver disease on treatment. He presented with a history of increasing dyspnea and cough for a few days which was present after cold symptoms, and was admitted for the treatment of severe COVID-19 pneumonia. Later, while he was recovering from COVID-19 pneumonia, his respiratory symptoms worsened. After a thorough evaluation, his sputum smear was positive for acid-fast bacilli and also rifampicin sensitive on GeneXpert assay. With timely diagnosis and appropriate treatment, he recovered from both acute conditions and was sent home on the twentieth day of admission.
新冠病毒病（COVID-19）可有不同表现；从无症状到多器官受累。本病例报告的是一位老年男性，已知患有慢性阻塞性气道疾病和酒精性肝病且正在接受治疗。他因感冒症状后出现数天的进行性呼吸困难和咳嗽病史入院，接受重症COVID-19肺炎治疗。后来，在他从COVID-19肺炎恢复过程中，其呼吸道症状加重。经过全面评估，他的痰涂片抗酸杆菌阳性，且在GeneXpert检测中对利福平敏感。经及时诊断和适当治疗，他从两种急性病症中康复，并在入院第20天出院回家。
