SARS-COV-2 infection in the perioperative of pulmonary lobectomy. About a case
| العنوان: | SARS-COV-2 infection in the perioperative of pulmonary lobectomy. About a case |
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| المؤلفون: | Fernando Valdivia, Irene Huaroto, Mardonio Euscatigue, Ricardo Taipe, Brenner Belloso |
| المصدر: | International Journal of Surgery Case Reports |
| بيانات النشر: | Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd., 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | medicine.drug_class, medicine.medical_treatment, Antibiotics, Lung abscess, Case Report, SARS-COV-2, WHO, World Health Organization, Serology, Sepsis, AARB, Acid alcohol resistant bacillus, 03 medical and health sciences, 0302 clinical medicine, FiO2, Inspired fraction oxygen, Oxygen therapy, medicine, LDH, Lactate dehydrogenase, RT PCR, Real time polymerase chain reaction, C-RP, C-reactive protein, business.industry, COVID-19, Perioperative, SARS-COV-2, Severe acute respiratory syndrome coronavirus 2, COVID-19, Coronavirus disease-19, medicine.disease, SatO2, Oxyhemoglobin saturation, IgM/IgG, Immunoglobulins M and G, PaO2, Oxygen blood pressure, Pneumonia, 030220 oncology & carcinogenesis, Anesthesia, Lobectomy, Corticosteroid, 030211 gastroenterology & hepatology, Surgery, business |
| الوصف: | Highlights • COVID-19 serological tests are not recommended for early diagnosis because they cause a lot of confusion. • Patients who require lung or chest surgery must undergo strict preoperative control and early detection of SARS-COV-2 infection. • The treatment of COVID-19 in the postoperative of patients undergoing pulmonary surgery should be based on respiratory rehabilitation and oxygen therapy. • The use of broad-spectrum antibiotics contributes to the treatment of secondary bacterial pneumonia. • In the preoperative period of patients requiring pulmonary surgery, the chest tomography should be considered with an antiquity of no more than 5 days. 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. |
| اللغة: | English |
| تدمد: | 2210-2612 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::cc62432c372c5c3f013e5e230341ca17Test http://europepmc.org/articles/PMC7678424Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....cc62432c372c5c3f013e5e230341ca17 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22102612 |
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