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1.
Rev Esp Enferm Dig ; 115(4): 192-193, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-35469416

RESUMO

A 61-year-old man with a history of progressive dysphagia in the last three years and current COVID-19 diagnosis, presented to our emergency department with sudden dyspnea and loss of consciousness. Initial examination revealed a respiratory rate of 30 bpm with an oxygen saturation of 94% with room air. A venous blood gas exam showed acute hypercapnic respiratory failure; therefore, he was intubated and admitted to the medical intensive care unit.


Assuntos
COVID-19 , Acalasia Esofágica , Insuficiência Respiratória , Masculino , Humanos , Pessoa de Meia-Idade , COVID-19/complicações , Teste para COVID-19 , Insuficiência Respiratória/etiologia , Insuficiência Respiratória/diagnóstico , Hospitalização
3.
Artigo em Inglês | MEDLINE | ID: mdl-33503151

RESUMO

Round pneumonia is an unusual radiological manifestation of a bacterial lung infection. We present the case of an elderly male patient who arrived at the emergency room with a productive cough and exertional dyspnea. His chest x-ray and CT showed a round opacity and air bronchograms in the right upper lobe. Taken together, the patient's symptoms and images strongly suggest a pulmonary infection. Empirical antibiotic therapy with ceftriaxone and clarithromycin was started. The sputum culture was positive for Enterobacter hormaechei and the bacterium was sensitive to levofloxacin; therefore, the antibiotic therapy was changed. Despite the treatment, the patient progressed to respiratory failure and septic shock, dying six days after admission. Although round pneumonia is uncommon, it is a potentially curable disease and clinicians should always consider it in their differential diagnosis.


Assuntos
Enterobacter/isolamento & purificação , Infecções por Enterobacteriaceae/diagnóstico , Pulmão/diagnóstico por imagem , Pneumonia/diagnóstico , Adulto , Idoso , Antibacterianos/uso terapêutico , Tosse , Dispneia , Infecções por Enterobacteriaceae/tratamento farmacológico , Humanos , Levofloxacino/uso terapêutico , Masculino , Pneumonia/microbiologia , Escarro/microbiologia , Resultado do Tratamento
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