Silent hypoxemia in a patient with severe SARS-CoV-2 pneumonia

Autor: A. D. Palman, D. A. Andreev, S. A. Suchkova
Jazyk: ruština
Rok vydání: 2020
Předmět:
Zdroj: Сеченовский вестник, Vol 11, Iss 2, Pp 87-91 (2020)
Druh dokumentu: article
ISSN: 2218-7332
2658-3348
DOI: 10.47093/2218-7332.2020.11.2.87-91
Popis: Patients with COVID-19 are typically characterized by severe lung injury with the development of acute respiratory failure. However, in some patients, subjective well-being may remain relatively satisfactory for a long time and, despite severe hypoxemia, they do not complain of shortness of breath. Case report. We observed a 65-year-old man hospitalized with severe SARS-CoV-2 pneumonia, low level of blood oxygen saturation, but at the same time without complaints of shortness of breath. Only as the disease progressed with a decrease in oxygen saturation when breathing atmospheric air (SpO2 ) lower than 85% he began to notice a feeling of lack of air. The patient’s condition worsened and as a result, he died in the intensive care unit from multiple organ failure. Discussion. This case clearly illustrates one more feature of the course of pneumonia associated with the novel SARSCoV-2 coronavirus and shows that SpO2 measurement is one of the leading objective criterion that allows a doctor to assess the real severity of a patient’s condition with COVID-19.
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