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Polyserositis as a Post-Covid-19 Complication.
Hernández-Perera, Julio C; Piñeiro-Pérez, Dania; Martínez-Muñiz, Juan O; Correa-Padilla, Jorge M; de Armas-Fernández, María C; Jordán-González, José A; Dávila-Gómez, Carlos Alberto; Domínguez-Romero, Alexangel; Contino-López, Rafael.
  • Hernández-Perera JC; Medical-Surgical Research Center (CIMEQ), Havana, Cuba.
  • Piñeiro-Pérez D; Medical-Surgical Research Center (CIMEQ), Havana, Cuba.
  • Martínez-Muñiz JO; Medical-Surgical Research Center (CIMEQ), Havana, Cuba.
  • Correa-Padilla JM; Medical-Surgical Research Center (CIMEQ), Havana, Cuba.
  • de Armas-Fernández MC; Medical-Surgical Research Center (CIMEQ), Havana, Cuba.
  • Jordán-González JA; Medical-Surgical Research Center (CIMEQ), Havana, Cuba.
  • Dávila-Gómez CA; Medical-Surgical Research Center (CIMEQ), Havana, Cuba.
  • Domínguez-Romero A; Medical-Surgical Research Center (CIMEQ), Havana, Cuba.
  • Contino-López R; Medical-Surgical Research Center (CIMEQ), Havana, Cuba.
MEDICC Rev ; 24(3-4): 57-60, 2022 Oct 31.
Article in English | MEDLINE | ID: covidwho-2218182
ABSTRACT

INTRODUCTION:

Polyserositis is described as inflammation with effusion of more than one serous membrane. There is very little published literature linking it to COVID-19 as a late complication.

OBJECTIVE:

Present and describe a case of post-COVID-19 polyserositis.

METHODS:

Data were collected from the medical record of a female patient admitted for fainting spells and marked weakness. The patient underwent a clinical evaluation, additional hematology, imaging and histopathology tests, and a surgical procedure. The new index, called the abdominal adipose deposit index, was obtained by multiplying the subcutaneous fat thickness by visceral fat thickness, both measured by ultrasound. A cutoff point was established that facilitated discernment of an unhealthy phenotype normal weight but metabolically obese, a cardiometabolic risk factor.

RESULTS:

We present the case of a 57-year-old female patient admitted to hospital for fainting spells and marked weakness, four months after COVID-19 infection. She also had a history of obesity, asthma, type 2 diabetes mellitus and a cholecystectomy in December 1992 for gallstones. Clinical assessment revealed pericardial effusion and bilateral pleural effusion, in addition to a tumor-like lesion outside the pericardium, proximal to the right ventricular wall. A surgical procedure and findings from additional tests led to diagnoses of thymic remnants and polyserositis.

CONCLUSIONS:

This is a case of polyserositis in a post-COVID-19 patient. After other causes of polyserositis were ruled out, and since there is a likely physiological and pathogenic mechanism operating between the two diseases, the polyserositis was determined to be a late complication of COVID-19. To date, it is the second case reported in the world and the first reported in Cuba.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Diabetes Mellitus, Type 2 / COVID-19 Type of study: Case report / Experimental Studies / Prognostic study Topics: Long Covid Limits: Female / Humans Country/Region as subject: Caribbean / Cuba Language: English Journal: MEDICC Rev Journal subject: Public Health Year: 2022 Document Type: Article Affiliation country: MR2022.V24.N3-4.9

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Diabetes Mellitus, Type 2 / COVID-19 Type of study: Case report / Experimental Studies / Prognostic study Topics: Long Covid Limits: Female / Humans Country/Region as subject: Caribbean / Cuba Language: English Journal: MEDICC Rev Journal subject: Public Health Year: 2022 Document Type: Article Affiliation country: MR2022.V24.N3-4.9