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一名老年患者感染新冠病毒后出现的渐进性间质性肺炎:病例报告

Gradually Progressive Interstitial Pneumonia Following COVID-19 in an Older Patient: A Case Report.

作者信息

Mori Takeshi, Yamane Fumiko, Sano Chiaki, Ohta Ryuichi

机构信息

Gastroenterology, Fuchu Hospital, Osaka, JPN.

Communiy Care, Unnan City Hospital, Unnan, JPN.

出版信息

Cureus. 2023 Dec 1;15(12):e49807. doi: 10.7759/cureus.49807. eCollection 2023 Dec.

Abstract

Since its confirmation in Wuhan, Hubei Province, China, at the end of 2019, the novel coronavirus disease (COVID-19) has rapidly spread worldwide in multiple epidemic waves while undergoing mutations. To date, numerous individuals have been infected. Symptoms range from asymptomatic and common cold-like to acute respiratory failure and acute respiratory distress syndrome (ARDS), which can lead to death. Here, we present the case of an 81-year-old woman with a fever that persisted for more than five days after infection with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). She underwent chest imaging that revealed complications of interstitial pneumonia presumed to be caused by COVID-19. Computed tomography (CT) findings in COVID-19 pneumonia are often nonspecific. In this case, scattered frosted shadows were observed in both lung fields, and blood tests revealed elevated Krebs von den Lungen 6 (KL-6) levels. Immediate therapeutic treatment is warranted when patients with multiple risk factors for COVID-19 present with interstitial pneumonia.

摘要

自2019年底在中国湖北省武汉市得到确认以来,新型冠状病毒病(COVID-19)在发生变异的同时,已通过多波疫情在全球迅速传播。迄今为止,已有众多人受到感染。症状从无症状和类似普通感冒到急性呼吸衰竭和急性呼吸窘迫综合征(ARDS)不等,后者可导致死亡。在此,我们报告一例81岁女性病例,其在感染严重急性呼吸综合征冠状病毒2(SARS-CoV-2)后持续发热超过五天。她接受了胸部影像学检查,结果显示存在推测由COVID-19引起的间质性肺炎并发症。COVID-19肺炎的计算机断层扫描(CT)表现通常不具有特异性。在该病例中,双肺野均观察到散在的磨砂样阴影,血液检查显示克雷布斯冯登肺6(KL-6)水平升高。当具有多种COVID-19风险因素的患者出现间质性肺炎时,应立即进行治疗。

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