SARS-COV-2 infection in the perioperative of pulmonary lobectomy. About a case.
Int J Surg Case Rep
; 77: 719-725, 2020.
Article
in English
| MEDLINE | ID: covidwho-938984
ABSTRACT
OBJECTIVE:
To describe the form of severe clinical presentation of SARS-COV-2 infection in the early phase, also the timely treatment of COVID-19 pneumonia in postoperative pulmonary lobectomy.METHOD:
Case report where the data were extracted from the clinical history and is in accordance with the SCARE 2018 criteria. DESCRIPTION OF THE CASE A 36-year-old man, with no significant history, who presented fever and mucopurulent expectoration of 1 month of evolution, received antibiotics for 4 weeks without response to treatment. Chest tomography shows cystic image with heterogeneous content in the left lower lobe. We decided to opt for surgery, previously 1 PCR in RT and 7 serological tests for COVID-19 were performed, the result of which was non-reactive. In the postoperative period, the patient developed fever and dyspnea on mild exertion, so a new serological test for COVID-19 was performed IgM/IgG reactive, in addition chest tomography showed both lungs with "cracy paving" pattern.DISCUSSION:
The serological tests did not contribute to a timely diagnosis of COVID-19 and generated confusion. We used oxygen therapy, broad spectrum antibiotics since the diagnosis of COVID-19. Likewise, respiratory physiotherapy was intensified even after discharge.CONCLUSION:
The early diagnosis and use of antibiotics at doses of sepsis, associated with corticosteroid pulses and respiratory physiotherapy improve COVID-19 pneumonia in postoperative lung surgery.
AARB, Acid alcohol resistant bacillus; C-RP, C-reactive protein; COVID-19; COVID-19, Coronavirus disease-19; FiO2, Inspired fraction oxygen; IgM/IgG, Immunoglobulins M and G; LDH, Lactate dehydrogenase; Lobectomy; Lung abscess; PaO2, Oxygen blood pressure; RT PCR, Real time polymerase chain reaction; SARS-COV-2; SARS-COV-2, Severe acute respiratory syndrome coronavirus 2; SatO2, Oxyhemoglobin saturation; WHO, World Health Organization
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Type of study:
Case report
/
Prognostic study
Language:
English
Journal:
Int J Surg Case Rep
Year:
2020
Document Type:
Article
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