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新型冠状病毒肺炎(COVID-19)疫情后时代的非新生隐球菌性隐球菌感染:我们是否准备好应对这一新兴挑战?

Non-Neoformans Cryptococcal Infections in the Post-Coronavirus Disease-19 (COVID-19) Era: Are We Ready to Face the Emerging Challenge?

作者信息

Fatima Umayra, Ahmed Hina, Singh Gautam, Giri K Y, Azmi Md Sania, Meenakshi Archana, Jandrajupalli Suresh Babu, Chandolu Swarnalatha, Nayyar Abhishek Singh

机构信息

Department of Dentistry, Princess Esra Hospital, Deccan College of Medical Sciences, Hyderabad, Telangana, India.

Department of Conservative Dental Sciences, Ibn Sina National College for Medical Studies, Jeddah, Kingdom of Saudi Arabia.

出版信息

Asian J Neurosurg. 2024 Nov 4;20(1):190-195. doi: 10.1055/s-0044-1791998. eCollection 2025 Mar.

Abstract

Coronaviruses are a large group of viruses that infect animals as well as humans, while it is also suggested that, rarely, coronaviruses that infect animals can evolve and infect humans. Current evidence suggests that severe acute respiratory syndrome (SARS) coronavirus-2 leads to coronavirus disease-19 (COVID-19), the respiratory illness responsible for COVID-19 pandemic, while it has a zoonotic origin, closely related to the bat-origin SARS-like coronavirus. Also, as per the current knowledge, the disease may induce significant and persistent lymphopenia which in turn may increase the risk for various opportunistic infections. is one such rare, but serious fungal infection which has been reported in post-COVID-19 disease and is a rising cause of concern since it can turn out to be fatal. The infection is caused by a non-neoformans rare human pathogen. The present case report describes the case of a 45-years old male patient who reported to the Outpatient Department (OPD) for a routine dental complaint with a grossly destructed tooth in left lower back tooth region due to extensive carious involvement, while, simultaneously, presenting with fever since 5 days in the post-COVID-19 phase, and was later diagnosed as being positive for infection on urine culture sensitivity test.

摘要

冠状病毒是一大类可感染动物和人类的病毒,同时也有人提出,感染动物的冠状病毒很少会进化并感染人类。目前的证据表明,严重急性呼吸综合征(SARS)冠状病毒-2会引发冠状病毒病-19(COVID-19),这是一种导致COVID-19大流行的呼吸道疾病,其起源于动物,与源自蝙蝠的类SARS冠状病毒密切相关。此外,根据目前的认知,该疾病可能会引发显著且持续的淋巴细胞减少,进而可能增加各种机会性感染的风险。 就是这样一种在COVID-19疾病后被报道的罕见但严重的真菌感染,并且由于它可能是致命的,因此日益引起人们的关注。这种感染由一种非新生隐球菌的罕见人类病原体引起。本病例报告描述了一名45岁男性患者的情况,该患者因左下后牙区域一颗因广泛龋坏而严重损坏的牙齿,前往门诊部(OPD)进行常规牙科问诊,同时在COVID-19康复阶段已持续发热5天,后来在尿液培养敏感性试验中被诊断为 感染呈阳性。 (注:原文中“ is one such rare”这里有缺失信息,翻译时保留了原文格式)

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/053e/11875713/7f81fda28bca/10-1055-s-0044-1791998-i2460024-1.jpg

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