A 67-Year-Old Male Patient With COVID-19 With Worsening Respiratory Function and Acute Kidney Failure
| Autor: | Melchers, Max, Festen, Barbara, den Dekker, Bianca M., Mooren, Eline R.M., van Binsbergen, Annelien L., van Bree, Sjoerd H.W., Heusinkveld, Moniek, Schellaars, Roel, Buil, Jochem B., Verweij, Paul E., van Zanten, Arthur R.H. |
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| Rok vydání: | 2022 |
| Předmět: |
Pulmonary and Respiratory Medicine
All institutes and research themes of the Radboud University Medical Center lnfectious Diseases and Global Health Radboud Institute for Molecular Life Sciences [Radboudumc 4] Life Science CHEST Pearls Cardiology and Cardiovascular Medicine Critical Care and Intensive Care Medicine Nutritional Biology |
| Zdroj: | Chest, 161, E5-E11 Chest, 161, 1, pp. E5-E11 Chest, 161(1), e5-e11 Chest 161 (2022) 1 Chest |
| ISSN: | 0012-3692 |
| Popis: | Case Presentation: A 67-year-old obese man (BMI 38.0) with type 2 diabetes mellitus (DM), chronic atrial fibrillation, and chronic lymphocytic leukemia stage II, stable for 8 years after chemotherapy, and a history of smoking presented to the ED with progressive dyspnea and fever due to SARS-CoV-2 infection. He was admitted to a general ward and treated with dexamethasone (6 mg IV once daily) and oxygen. On day 3 of hospital admission, he became progressively hypoxemic and was admitted to the ICU for invasive mechanical ventilation. Dexamethasone treatment was continued, and a single dose of tocilizumab (800 mg) was administered. On day 9 of ICU admission, voriconazole treatment was initiated after tracheal white plaques at bronchoscopy, suggestive of invasive Aspergillus tracheobronchitis, were noticed. However, his medical situation dramatically deteriorated. |
| Databáze: | OpenAIRE |
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