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一名患有杜氏肌营养不良症的年轻男性在感染新冠病毒后出现复发性自发性气胸

Recurrent Spontaneous Pneumothorax in a Young Male With Duchenne Muscular Dystrophy Following COVID-19 Infection.

作者信息

Bhattarai Pramod, Karki Monika

机构信息

Pulmonary Medicine, Howard University Hospital, Washington, DC, USA.

Critical Care Medicine, Larkin Community Hospital Palm Springs Campus, Hialeah, USA.

出版信息

Cureus. 2024 Jan 16;16(1):e52408. doi: 10.7759/cureus.52408. eCollection 2024 Jan.

Abstract

Duchene muscular dystrophy (DMD) is a genetic disorder primarily affecting males. It is characterized by progressive muscle tissue degeneration. Patients with DMD are at an increased risk of respiratory infections, including coronavirus disease 20019 (COVID-19), due to weakened respiratory muscles. We present a case of a young male with DMD who experienced recurrent pneumothorax 10 months after recovering from a COVID-19 infection. The patient required prompt medical intervention, including a chest tube, multiple surgeries, and mechanical pleurodesis. This case highlights the importance of recognizing recurring pneumothorax as a potential complication of COVID-19, particularly in patients with underlying neuromuscular disorders, as it is a medical emergency requiring prompt treatment to prevent respiratory compromise.

摘要

杜氏肌营养不良症(DMD)是一种主要影响男性的遗传性疾病。其特征是进行性肌肉组织退化。由于呼吸肌减弱,DMD患者发生包括2019冠状病毒病(COVID-19)在内的呼吸道感染的风险增加。我们报告一例患有DMD的年轻男性病例,该患者在从COVID-19感染康复10个月后反复发生气胸。患者需要及时的医疗干预,包括胸腔引流管置入、多次手术和机械性胸膜固定术。该病例强调了认识到复发性气胸是COVID-19的潜在并发症的重要性,特别是在患有潜在神经肌肉疾病的患者中,因为这是一种需要及时治疗以防止呼吸功能不全的医疗紧急情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f51c/10869316/5b02aaecd0db/cureus-0016-00000052408-i01.jpg

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