SARS-CoV-2感染后迟发性肺炎一例成功处理及文献综述

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Clinical Medicine Insights. Case Reports Pub Date : 2023-01-01 DOI:10.1177/11795476231152166
Dung Tien Le, Vu Hoang Vu, Dinh Hoang Nguyen, Duc Tan Vo, Quang Dang Duy Pham, Khang Duong Nguyen, Binh Quang Truong
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摘要

作为COVID-19的晚期后果,组织性肺炎的特征是明显的影像学和病理异常。本研究的目的是为了更好地了解这些异常。使用皮质激素仍然是COVID-19的推荐治疗方案。另一方面,尚不清楚皮质激素是否对COVID-19后组织肺炎具有相同的影响。一名53岁男性患者在COVID-19感染后被确诊为有组织肺炎。他在出现严重的呼吸道症状数天后被诊断出来,但没有任何改善。根据影像学和病理结果,我们开始使用高剂量的皮质激素,并观察到明显的反应。此外,我们还研究了有关这种特殊疾病的诊断和治疗的研究。COVID - 19后被诊断为肺炎的患者需要进行重新评估,包括胸部CT扫描,其中一些患者可能需要进行早期肺活检。对于covid -19诱导的组织性肺炎,最有效和最令人信服的治疗方法是皮质激素治疗,剂量相当于0.5 mg/kg/天的强的松。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Late Onset of Organizing Pneumonia Following SARS-CoV-2 Infection: A Case Report of Successful Management and Review Literature.

A late consequence of COVID-19, organizing pneumonia is characterized by significant imaging and pathological abnormalities. The goals of this study are to better understand these abnormalities. The use of corticoid continues to be the recommended course of treatment for COVID-19. On the other hand, it is not clear whether or not corticoid has the same impact on organizing pneumonia after COVID-19. A 53-year-old male patient was identified with organized pneumonia following COVID-19 infection. He was diagnosed after experiencing severe respiratory symptoms several days with no improvement. We initiated a high dose of corticoid based on imaging and pathological findings and observed a significant response. In addition, we looked into the research that has been done concerning the diagnosis and treatment of this peculiar ailment. Patients who have been diagnosed with pneumonia after COVID 19 are required to undergo a reevaluation that includes a chest CT scan, and some of these patients may be candidates for an early lung biopsy. The most effective and convincing therapy for COVID-19-induced organizing pneumonia is corticoid treatment at a dose equivalent to 0.5 mg/kg/day of prednisone.

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来源期刊
Clinical Medicine Insights. Case Reports
Clinical Medicine Insights. Case Reports MEDICINE, GENERAL & INTERNAL-
CiteScore
1.10
自引率
0.00%
发文量
57
审稿时长
8 weeks
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