SARS-CoV-2 and Rhinovirus/Enterovirus co-infection in a critically ill young adult patient in Colombia: A case report


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Title SARS-CoV-2 and Rhinovirus/Enterovirus co-infection in a critically ill young adult patient in Colombia: A case report
Co-infección por SARS-CoV-2 y Rinovirus/Enterovirus en paciente adulta joven críticamente enferma en Colombia: Un reporte de caso
Creator Orozco-Hernández , Juan Pablo
Montoya-Martínez, Juan José
Pacheco-Gallego, Manuel Conrado
Céspedes-Roncancio , Mauricio
Porras-Hurtado, Gloria Liliana
Subject Coronavirus infections
; respiratory distress syndrome, adult
case reports
infecciones por coronavirus
síndrome de dificultad respiratoria del adulto
informes de casos
Description The current SARS-CoV-2 pandemic has caused a huge global public health problem. The case of a young adult patient with laboratory confirmed SARS-CoV-2 is reported, which describes the identification, clinical course, diagnosis, treatment, including her rapid clinical deterioration with mild initial symptoms and subsequent progression to multilobar pneumonia requiring admission to the intensive care unit. This case highlights the importance of establishing a diagnosis based on the clinical findings and the patient's history, bearing in mind the possibility of gastrointestinal symptoms in addition to respiratory ones. Besides, the presence of risk factors should be investigated; in this case we proposed obesity as a possible risk factor. Furthermore, limitations in diagnostic tests and the possibility of co-infection with other respiratory pathogens are highlighted. The imaging, laboratory findings and treatment are described, taking into account the limited current evidence.
La actual pandemia por SARS-CoV-2 ha ocasionado un enorme problema de salud pública mundial. Se reporta el caso de una paciente joven adulta con SARS-CoV-2 confirmado por laboratorio en el cual se describe la identificación, curso clínico, diagnóstico, tratamiento, incluyendo el rápido deterioro clínico que tuvo con síntomas leves iniciales y posterior progresión a una neumonía multilobar requiriendo ingreso a la unidad de cuidado intensivo. Este caso destaca la importancia de establecer un diagnostico basado en la clínica y los antecedentes del paciente, teniendo presente la posibilidad de síntomas gastrointestinales en adición a los respiratorios. Además, se debe indagar la presencia de factores de riesgo, siendo en este caso, la obesidad un posible factor influyente. Asimismo, se resaltan las limitaciones en las pruebas diagnósticas, la posibilidad de co-infección con otros patógenos respiratorios y se describen los hallazgos de imágenes, de laboratorio y el tratamiento teniendo presente la escasa evidencia actual.
Publisher Instituto Nacional de Salud
Date 2020-05-07
Type info:eu-repo/semantics/article
Format application/pdf
Source Biomedica; Vol. 40 No. Supl. 2 (2020): Infecciones respiratorias
Biomédica; Vol. 40 Núm. Supl. 2 (2020): Infecciones respiratorias
Language spa
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