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

被引：1

作者：

Oz, Mirac ^{[1
]}

Gurun Kaya, Aslihan ^{[1
]}

Velioglu Yakut, Ovgu ^{[1
]}

Gulten, Ezgi ^{[2
]}

Talan, Leyla ^{[3
]}

Erol, Serhat ^{[1
]}

Ciftci, Fatma ^{[1
]}

Uzun, Caglar ^{[4
]}

Karahan, Zeynep Ceren ^{[5
]}

Altintas, Neriman Defne ^{[3
]}

Ciledag, Aydin ^{[1
]}

Kaya, Akin ^{[1
]}

机构：

[1] Ankara Univ, Dept Chest Dis, Fac Med, Ankara, Turkey

[2] Ankara Univ, Dept Infect Dis & Clin Microbiol, Fac Med, Ankara, Turkey

[3] Ankara Univ, Dept Internal Med, Div Intens Care, Fac Med, Ankara, Turkey

[4] Ankara Univ, Dept Radiol, Fac Med, Ankara, Turkey

[5] Ankara Univ, Dept Med Microbiol, Fac Med, Ankara, Turkey

来源：

TUBERKULOZ VE TORAK-TUBERCULOSIS AND THORAX | 2020年 / 68卷 / 04期

关键词：

Coronavirus; COVID-19; SARS-CoV-2; RT-PCR; tracheostomy; PNEUMONIA;

D O I：

10.5578/tt.70357

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Coronavirus disease 2019 (COVID-19) has been demonstrated to be the cause of emerging atypical pneumonia. In patients with tracheostomy, coronavirus hypothetically coexists with well-known bacterial agents. A 61-year-old male patient with tracheostomy was admitted to the hospital with dyspnea, 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 opacities 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.

引用

页码：444 / 448

页数：5

共 13 条

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