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2021, vol. 27, br. 2, str. 63-67
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Apsces pluća kao komplikacija infekcije COVID-19
Lung abscess as a complication of COVID-19
Sažetak
Uvod/Cilj: Apsces pluća je ograničena gnojna upala plućnog tkiva, s nekrozom i kolikvacijom. Prikazujemo kao raritet pacijenta, kod koga je infekcija virusom COVID-19, dovela do formiranja apscesa pluća. Prikaz bolesnika: 81-godišnji muškarac, je zbog, tipičnih tegoba (febrilnost, malaksalost, slabost), i aktuelne epidemiološke situacije, pregledan u dežurnoj kovid ambulanti, gde je pozitivnim PCR testom i radiografskim nalazom postavljena dijagnoza infekcije COVID 19 virusom. Pacijent je uz protokolarnu terapiju upućen na kućno lečenje. Tokom noći, a 36h nakon nastanka prvih simptoma, dolazi do progresije respiratornih simptoma u vidu gušenja, otežanog disanja i intenzivnog, suvog, nadražajnog kašlja zbog čega je pacijent hospitalno lečen 35 dana u Kovid bolnici Karaburma. Dvadeset drugog dana po otpustu, pacijent je zbog dispneje, povremenih hemoptizija i brzog zamaranja, pregledan u Urgentnom centru Kliničkog centra Srbije, pod sumnjom na plućnu emboliju. Nalazom na multislajsnoj kompjuterizovanoj tomografiji se evidentira apsces u bazalnom delu levog plućnog krila. Zaključak: Zbog apscesa pluća, retke ali moguće komplikacije infekcije COVID-19, neophodno je redovno praćenje obolelih i duže vreme nakon hospitalizacije.
Abstract
Introduction/Objective: A lung abscess is a localized purulent inflammation of lung tissue with necrosis and colliquation. We are presenting a rare case of lung abscess formation as a result of the COVID-19 viral infection. Case report: An 81-year-old male patient with typical complaints (fever, malaise, fatigue) was examined at a designated medical centre for COVID patients. A positive PCR test and radiology findings confirmed a COVID-19 infection. Medication was prescribed according to protocol and he was sent home. During the night, 36 hours after the onset of the first symptoms, the patient developed breathing difficulties and a persistent, irritating dry cough. He was admitted to the Covid Hospital Karaburma, where he received treatment for 35 days. On the 22nd day after being released, the patient was examined at the Emergency Medical Centre, Clinical Centre of Serbia, complaining of dyspnoea, occasional hemoptysis and fatigue. The working diagnosis was pulmonary embolism. A multislice CT scan was ordered only to reveal a pulmonary abscess at the base of the left lung. Conclusion: A lung abscess is a rare, but possible complication of a COVID-19 infection. Therefore, patients should be regularly monitored for an extended period of time following hospitalization.
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Reference
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