تقرير
Case Report: Chronic Cavitatory Pulmonary Aspergillosis after COVID-19.
العنوان: | Case Report: Chronic Cavitatory Pulmonary Aspergillosis after COVID-19. |
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المؤلفون: | Chaurasia S; Department of Pulmonary Medicine, Manipal Hospital Whitefield, Bangalore, India., Thimmappa M; Department of Critical Care Medicine, Manipal Hospital Whitefield, Bangalore, India., Chowdhury S; Department of Pulmonary Medicine, Manipal Hospital Whitefield, Bangalore, India. |
المصدر: | The American journal of tropical medicine and hygiene [Am J Trop Med Hyg] 2021 Nov 24; Vol. 106 (1), pp. 105-107. Date of Electronic Publication: 2021 Nov 24. |
نوع المنشور: | Case Reports |
اللغة: | English |
بيانات الدورية: | Publisher: American Society of Tropical Medicine and Hygiene Country of Publication: United States NLM ID: 0370507 Publication Model: Electronic Cited Medium: Internet ISSN: 1476-1645 (Electronic) Linking ISSN: 00029637 NLM ISO Abbreviation: Am J Trop Med Hyg Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Northbrook, IL : American Society of Tropical Medicine and Hygiene Original Publication: Baltimore. |
مواضيع طبية MeSH: | COVID-19/*complications , Pulmonary Aspergillosis/*etiology, Chronic Disease ; Humans ; Male ; Middle Aged ; Pulmonary Aspergillosis/diagnostic imaging ; Tomography, X-Ray Computed |
مستخلص: | Chronic pulmonary aspergillosis can present in four distinct clinical syndromes, one of which is chronic cavitary pulmonary aspergillosis (CCPA). CCPA is generally associated with a mildly immunosuppressed state or, in immunocompetent patients, with structural lung damage. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection has been associated with reactivation of previous quiescent infections such as tuberculosis and invasive fungal infections, but CCPA in a patient with COVID-19 is rarely reported. Here we present the case of a 57-year-old man with CCPA associated with COVID-19 infection in whom latent aspergilloma was most likely activated after SARS-CoV-2 infection. The patient presented with severe COVID and, after initial response to treatment, started to deteriorate due to reactivation of latent aspergilloma to a more aggressive CCPA form. After confirmation of the diagnosis, the patient was initiated on treatment with voriconazole. He showed a good response to treatment with clinicoradiological response. This case also depicts one of the common causes of clinical deterioration in otherwise recovering COVID-19 patients. |
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تواريخ الأحداث: | Date Created: 20211124 Date Completed: 20220117 Latest Revision: 20220803 |
رمز التحديث: | 20231215 |
مُعرف محوري في PubMed: | PMC8733549 |
DOI: | 10.4269/ajtmh.21-0701 |
PMID: | 34818624 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1476-1645 |
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DOI: | 10.4269/ajtmh.21-0701 |