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镰状细胞血红蛋白SC病患者合并乙型流感病毒与严重急性呼吸综合征冠状病毒2型感染并出现疼痛危象:病例报告

SARS-CoV-2 with Influenza B Coinfection in a Patient with Sickle Cell HbSC Presenting with Painful Crisis: A Case Report.

作者信息

Ali Elrazi A, Fadul Abdalla, Subahi Eihab A, Ahmed Mugtaba, Elamin Ahmed, Thwin Malar, Guillaume Edouard

机构信息

Internal Medicine, Interfaith Medical Center, Brooklyn, USA.

Internal Medicine, Hamad Medical Corporation, Doha, QAT.

出版信息

Cureus. 2024 Mar 13;16(3):e56102. doi: 10.7759/cureus.56102. eCollection 2024 Mar.

Abstract

Sickle cell disease is a hereditary red blood cell disorder characterized by hemolytic anemia, particularly in association with stress. As they grow, most children with sickle cell anemia undergo auto-splenectomy, making them vulnerable to serious infections. Patients with sickle cell disease infected with the SARS-CoV-2 virus are reported to have an increased risk for hospitalization, thrombosis, and other complications compared to non-sickle cell patients. Influenza infection in patients with sickle cell is associated with increased morbidity. Patients with sickle cell HbSC are reported to have a milder form of the disease than HbSS. Coinfection with SARS-CoV-2 and influenza B is rarely reported in patients with hematologic diseases, including sickle cell hemoglobinopathy. We are reporting an unusual case of a patient with sickle cell HbSC with co-infection of SARS-CoV-2 and influenza B with a favorable outcome.

摘要

镰状细胞病是一种遗传性红细胞疾病,其特征为溶血性贫血,尤其是在应激状态下。随着年龄增长,大多数镰状细胞贫血患儿会发生自体脾切除,这使他们易患严重感染。据报道,感染了SARS-CoV-2病毒的镰状细胞病患者与非镰状细胞病患者相比,住院、血栓形成及其他并发症的风险增加。镰状细胞病患者感染流感与发病率增加相关。据报道,镰状细胞HbSC患者的病情比HbSS患者轻。在包括镰状细胞血红蛋白病在内的血液病患者中,很少有SARS-CoV-2和乙型流感病毒合并感染的报道。我们报告了一例罕见病例,一名镰状细胞HbSC患者同时感染了SARS-CoV-2和乙型流感病毒,最终预后良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8ee/11013572/32f7d840570d/cureus-0016-00000056102-i01.jpg

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