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Journals / Tüberküloz ve Toraks / 2020 / Cilt: 68 - Sayı: 4

Successful treatment of COVID-19 infection in a patient with tracheostomy

Trakeostomili bir hastada COVID-19 enfeksiyonunun başarılı tedavisi

Neriman Defne ALTINTAŞ
Aslıhan GÜRÜN KAYA
Aydın ÇİLEDAĞ
Akın KAYA
Miraç ÖZ
Serhat EROL
Fatma ÇİFTÇİ
Çağlar UZUN
Leyla TALAN
Övgü VELİOĞLU YAKUT
Ezgi GÜLTEN
Zeynep Ceren KARAHAN
Pages
444–448
Publication Date
2022-11-06
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Laboratory findings revealed lymphopenia and elevated C-reactive protein and procalcitonin levels.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Coronavirus disease 2019 (COVID-19) has been demonstrated to be the cause of emerging atypical pneumonia.
📊
Key Findings & Data:A 61-year-old male patient with tracheostomy was admitted to the hospital with dys-pnea, fever and increased tracheal secretions.
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Conclusion & Impact:Laboratory findings revealed lymphopenia and elevated C-reactive protein and procalcitonin levels.
🔬Design:Research Article
📍Scope:2019 Verileri
⚙️Variables:Domain Parameters

Abstract

Coronavirus disease 2019 (COVID-19) has been demonstrated to be the cause of emerging atypical pneumonia. In patients with tracheostomy, coro-navirus hypothetically coexists with well-known bacterial agents. A 61-year-old male patient with tracheostomy was admitted to the hospital with dys-pnea, fever and increased tracheal secretions. Laboratory findings revealed lymphopenia and elevated C-reactive protein and procalcitonin levels. Chest computed tomography showed consolidation areas and ground-glass opaci-ties more prominent in subpleural areas. Although; two consecutive RT-PCR analyses of combined nasopharengeal/oropharengeal swabs were found to be negative for SARS-CoV-2 RNA, positivity was reported for endotracheal aspirate (ETA) sample. Significant growth of Pseudomonas aeruginosa and Stenotrophomonas maltophilia was detected in the bacterial culture of ETA sample. In conclusion, clinical samples for SARS-CoV-2 should be obtained through the lower respiratory tract, if possible and if upper airway samples are negative. To the best our knowledge, our paper is the first report of the patient with tracheostomy who was treated successfully for COVID-19.

Özet

Yeni tip Coronavirüs hastalığı (COVID-19) atipik pnömoniye neden olmaktadır. Trakeostomili hastalarda sık karşılaşılan bakteriyel enfeksiyonlarla coronavirüs birlikteliği görülebilmektedir. Olgumuz 61 yaşında trakeostomi ile takip edilen erkek hasta; nefes darlığı, ateş ve trakeal sekresyonlarda artış ile hastaneye başvurdu. Laboratuvar bulgularında lenfopeni ve C-reaktif protein ve prokalsitonin düzeylerinde artış saptandı. Toraks bilgisayarlı tomografisinde subplevral alanlarda konsolidasyonlar ve buzlu cam opasiteleri daha belirgin olarak görüldü. Kombine nazofarengeal/orofarengeal sürüntülerin SARS-CoV-2 RNA için RT-PCR analizi ardışık olarak iki kez negatif saptanmasına rağmen endotrakeal aspirat örneğinde pozitiflik görüldü. Endotrakeal aspirat örneğinin bakteri kültüründe Pseudomonas aeruginosa ve Stenotrophomonas maltophilia üremeleri saptandı. Sonuç olarak SARS-CoV-2 için üst hava yolundan alınan örnekler negatifse, mikrobiyolojik örnekler mümkünse alt solunum yolundan alınmalıdır. Olgumuz literatürdeki COVID-19 tanısı ile başarılı olarak tedavi edilen sunulmuş ilk olgudur.

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Cite This Article

ALTINTAŞ, N. D., KAYA, A. G., ÇİLEDAĞ, A., KAYA, A., ÖZ, M., EROL, S., ÇİFTÇİ, F., UZUN, Ç., TALAN, L., YAKUT, Ö. V., GÜLTEN, E., KARAHAN, Z. C. (2022). Successful treatment of COVID-19 infection in a patient with tracheostomy. Tüberküloz ve Toraks, Cilt: 68 - Sayı: 4, 444–448. https://ajindex.com/articles/618370

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