A case of Covid-19-associated invasive pulmonary mucormycosis in a pediatric patient with a newly diagnosed diabetes.

Mucormycosis is a rare, potentially life-threatening disease that is growing during the Covid-19 pandemic. This study reports a case of an 11-year-old patient with fatal Covid-19-related pulmonary mucormicosis and diabetes mellitus with ketoacidosis. The diagnosis was set post mortem. It was based on histochemical detection of the causative agent. Massive hemoptysis due to erosion of a large pulmonary vessel caused mechanical asphyxia and lethal outcome. Pulmonary mucormycosis may be highly suspected in patients with long-term Covid-19, poorly controlled diabetes mellitus with ketoacidosis, and corticosteroid therapy. Early diagnosis and treatment with Amphotericin B are potentially curative options for this invasive fungal infection and can led to better outcome.

MULTIPLE THROMBOSES AS LATE COMPLICATIONS IN A PATIENT WITH PNEUMONIA CAUSED BY COVID-19 INFECTION

Introduction. Venous and arterial thromboembolism is associated with COVID-19, but there are few studies of lower limb ischemia as a later complication of infection. The study presents identified early and late complications caused by COVID-19, with the presence of multiple thromboses in the aorta and peripheral vessels. Materials and methods. A patient is an 80-year-old man hospitalized with COVID-19 (SARS-CoV-2). The study was conducted in 2021. MDCT Siemens Definition AS was used. A computed tomography angiography was made with Omnipaque, 100 ml. The data was processed with Syngo.via workstation and VB40B_NF02 software version. Results. After computed tomography angiography, changes were found in the lungs, central and peripheral vessels. Bilateral interstitial pneumonia was diagnosed. A parietal thrombus was identified in the aortic arch area and acute thrombosis on the left side of the common iliac artery and the right side of the superficial femoral artery as an acute later complication of the infection. The patient was sent for emergency surgery to remove the found blood clots in the lower limbs. Conclusion. The application of the correct diagnostic algorithm in this clinical case with the application of CT scan with contrast helped to quickly identify early complications and to avoid more severe and later changes both in the vessels and in other organs and systems. © 2021 RAD Association. All rights reserved.

Assessment of the covid-19 pandemic impact on people’s lives in north Macedonia

Within the paper, an analysis of the situation in North Macedonia caused by the emergence of the new coronavirus (SARS-CoV2) was performed. The first part of the analysis is based on the official statistics in the country related to the occurrence of the infection and the intensity of its spread, number of infected cases, number of deaths, etc. The second part of the analysis is based on the results of our own survey conducted in order to obtain additional information to assess the impact of the pandemic on human lives in the country. The questionnaires used as an instrument for data collection were distributed electronically to the respondents (adult population). The data collection period was one week (from 15 to 21 May, 2020). The survey was responded by 313 participants. The survey results give us a more comprehensive picture about the situation in the country, referring to: the familiarity of the population with the coronavirus and with the potential health and economic implications from the virus;the impact of the new situation on the people’s lives and on the daily habits;the pandemic impact on employment and income;the population risk perception regarding the COVID-19 infection and regarding their personal concerns about the uncertain future. © 2021, Bulgarska Akademiya na Naukite. All rights reserved.