RESUMO
Se presenta el caso de un paciente masculino de 64 años con cuadro progresivo de fiebre, tos seca, fatiga, eventos diarreicos y disnea agudizada; que en primera instancia es atendido en el área de urgencias y después es admitido en la Unidad de Cuidados Intensivos por su estado grave de salud. Durante el abordaje inicial se realiza tomografía computada de tórax, la cual muestra infiltrados pulmonares con patrón en vidrio esmerilado, cuya presencia hace sospechar de una infección causada por el virus SARS-CoV-2; misma que posteriormente se demuestra estar agudizada debido a una coinfección con el virus de la Influenza A H1N1. Este reporte de caso presenta la evolución clínica, imagenológica y analítica, de un miembro de una población de pacientes quienes cursan simultáneamente cuadros clínicos de dos epidemias: la COVID-19 y la Influenza A H1N1, principalmente durante el invierno, y en el marco de un fenómeno conocido como sindemia.
A case of a 64-year-old male patient is presented with progressive symptoms of fever, dry cough, fatigue, diarrheal events, and exacerbated dyspnea. In the first instance, he is treated in the emergency room, and then he is admitted to the Intensive Care Unit due to his serious health condition. During the initial approach, computed tomography of the chest is performed, which shows pulmonary infiltrates with a ground-glass pattern, whose presence suggests an infection caused by the SARS-CoV-2 virus, which is later shown to be exacerbated due to coinfection with the Influenza A H1N1 virus. This case report presents the clinical, imaging, and laboratory evolution of a member of a population of patients who simultaneously present clinical symptoms of two epidemics: COVID-19 and Influenza A H1N1, mainly during the winter, and within the framework of a phenomenon known as a syndemic
Assuntos
Sindemia , SARS-CoV-2RESUMO
In late December 2019, some cases of atypical pneumonia, at that time of unknown origin, were reported in Wuhan, China. Days later, the etiologic agent was identified as a new coronavirus. This new coronavirus was called SARS-CoV-2 and the disease it produces was named COVID-19. The origin of this new virus is presumed zoonotic, with bats being its probable vector. Due to the rapid number of infections and deaths that occurred first in China and later around the world, the infection of this virus quickly went from being an isolated outbreak in a Chinese region to becoming a health emergency of international concern and later, a pandemic. The purpose of this review is to study the most relevant and current information on the pathogen, as well as epidemiology, pathology, clinical features, transmission, prevention, and treatment of the disease.