Nasrullah Adeel, Shakir Hassan, Khan Eiraj, Bilal Muhammad I, Sheikh Abu B, Malik Khalid, Cheema Tariq
Division of Pulmonary and Critical Care Medicine, Allegheny Health Network, Pittsburgh, PA, 15212, USA.
The Wright Center of Graduate Medical Education, Scranton, PA, 18505, USA.
J Community Hosp Intern Med Perspect. 2024 Sep 9;14(5):63-72. doi: 10.55729/2000-9666.1399. eCollection 2024.
In this case series, we explore persistent SARS-CoV-2 infection and its resultant pneumonitis within a cohort of immunocompromised patients. We elucidate the complex interplay between immunosuppression and COVID-19 by examining four patients who experienced prolonged viral shedding and recurrent respiratory failure due to their compromised immune systems. This series elucidates the clinical presentation, diagnostic challenges, and therapeutic strategies. We also summarize existing literature regarding persistent SARS-CoV-2 infection in immunocompromised individuals. Our findings support the use of a tailored treatment approach using a proposed diagnostic and management algorithm to standardize care and optimize outcomes.
在这个病例系列中,我们在一组免疫功能低下的患者中探讨了持续性严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染及其导致的肺炎。我们通过检查四名因免疫系统受损而经历病毒长期排出和反复呼吸衰竭的患者,阐明了免疫抑制与2019冠状病毒病(COVID-19)之间的复杂相互作用。本系列阐述了临床表现、诊断挑战和治疗策略。我们还总结了关于免疫功能低下个体中持续性SARS-CoV-2感染的现有文献。我们的研究结果支持使用一种定制的治疗方法,采用拟议的诊断和管理算法来规范治疗并优化治疗效果。