COVID 19 infection in young patient with pectus excavatum

Introduction: The SARS-Cov-2 infection causing the COVID 19 disease mainly affects the respiratory system, in most cases presenting mild symptoms, however in patients with comorbidities such as pectus excavatum that cause an alteration in lung function, the disease It can be deadly. Case presentatio...

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Autores principales: Puglla Sánchez, Luis René, Sinche Cueva, Cristian Andrés, Quilismal Guanochanga, Nasthia Coraly
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021
Materias:
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/30308
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institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic COVID-19
pectus excavatum
respiratory distress
viral pneumonia
COVID-19
pectus excavatum
distres respiratorio
neumonía viral
COVID-19
pectus excavatum
desconforto respiratório
pneumonia viral
spellingShingle COVID-19
pectus excavatum
respiratory distress
viral pneumonia
COVID-19
pectus excavatum
distres respiratorio
neumonía viral
COVID-19
pectus excavatum
desconforto respiratório
pneumonia viral
Puglla Sánchez, Luis René
Sinche Cueva, Cristian Andrés
Quilismal Guanochanga, Nasthia Coraly
COVID 19 infection in young patient with pectus excavatum
topic_facet COVID-19
pectus excavatum
respiratory distress
viral pneumonia
COVID-19
pectus excavatum
distres respiratorio
neumonía viral
COVID-19
pectus excavatum
desconforto respiratório
pneumonia viral
author Puglla Sánchez, Luis René
Sinche Cueva, Cristian Andrés
Quilismal Guanochanga, Nasthia Coraly
author_facet Puglla Sánchez, Luis René
Sinche Cueva, Cristian Andrés
Quilismal Guanochanga, Nasthia Coraly
author_sort Puglla Sánchez, Luis René
title COVID 19 infection in young patient with pectus excavatum
title_short COVID 19 infection in young patient with pectus excavatum
title_full COVID 19 infection in young patient with pectus excavatum
title_fullStr COVID 19 infection in young patient with pectus excavatum
title_full_unstemmed COVID 19 infection in young patient with pectus excavatum
title_sort covid 19 infection in young patient with pectus excavatum
description Introduction: The SARS-Cov-2 infection causing the COVID 19 disease mainly affects the respiratory system, in most cases presenting mild symptoms, however in patients with comorbidities such as pectus excavatum that cause an alteration in lung function, the disease It can be deadly. Case presentation: A 25-year-old male with a history of congenital pectus excavatum and scoliosis, with  clinical  of COVID 19 and confirmatory results of PCR, TC and Rx of the infection, begins with mild symptoms of affection in the upper respiratory tract, cough and odynophagia, that due to its basic anatomical alteration, progresses to SDRA, is treated with Oxygen Therapy, Ampicillin Sulbactam, Azithromycin, Oseltamivir, Lopinavir / Ritonavir, Hydroxychloroquine, Tiotropium, Paracetamol, Heparin and Omeprazole presenting a favorable evolution on the third day of hospitalization. Conclusion: The case reflects what is known to date about the risk of severe complications that SARS-CoV-2 infection can present in patients with comorbidities or pathologies that alter lung function such as the pectus excavatum. Therefore it would be important to generate specific management protocols for the clinical improvement of these patients with congenital anatomical alterations.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2021
url https://revistas.unc.edu.ar/index.php/med/article/view/30308
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spelling I10-R327-article-303082021-07-07T13:29:31Z COVID 19 infection in young patient with pectus excavatum Infección por COVID-19 en paciente joven con pectus excavatum Infecção por COVID-19 em um jovem paciente com pectus excavatum Puglla Sánchez, Luis René Sinche Cueva, Cristian Andrés Quilismal Guanochanga, Nasthia Coraly COVID-19 pectus excavatum respiratory distress viral pneumonia COVID-19 pectus excavatum distres respiratorio neumonía viral COVID-19 pectus excavatum desconforto respiratório pneumonia viral Introduction: The SARS-Cov-2 infection causing the COVID 19 disease mainly affects the respiratory system, in most cases presenting mild symptoms, however in patients with comorbidities such as pectus excavatum that cause an alteration in lung function, the disease It can be deadly. Case presentation: A 25-year-old male with a history of congenital pectus excavatum and scoliosis, with  clinical  of COVID 19 and confirmatory results of PCR, TC and Rx of the infection, begins with mild symptoms of affection in the upper respiratory tract, cough and odynophagia, that due to its basic anatomical alteration, progresses to SDRA, is treated with Oxygen Therapy, Ampicillin Sulbactam, Azithromycin, Oseltamivir, Lopinavir / Ritonavir, Hydroxychloroquine, Tiotropium, Paracetamol, Heparin and Omeprazole presenting a favorable evolution on the third day of hospitalization. Conclusion: The case reflects what is known to date about the risk of severe complications that SARS-CoV-2 infection can present in patients with comorbidities or pathologies that alter lung function such as the pectus excavatum. Therefore it would be important to generate specific management protocols for the clinical improvement of these patients with congenital anatomical alterations. Introducción: La infección por SARS-CoV-2 causante de la enfermedad COVID 19 afecta principalmente el sistema respiratorio, en la mayoría de casos presenta síntomas leves, sin embargo en pacientes con comorbilidades como el pectus excavatum que originan una alteración en la función pulmonar la enfermedad puede ser mortal. Presentación de Caso:  Masculino de 25 años de edad con antecedente de pectus excavatum congénito y escoliosis, con cuadro clínico de COVID 19 y resultados de PCR, TAC y Rx confirmatorios de la infección, inicia con sintomatología leve de afección en vías respiratorias superiores tos y odinofagia, que debido a su alteración anatómica de base, progresa a Síndrome de Distres Respiratorio Agudo, es tratado con Oxigenoterapia, Ampicilina Sulbactam, Azitromicina, Oseltamivir, Lopinavir/Ritonavir, Hidroxicloroquina, Tiotropio, Paracetamol, Heparina y Omeprazol presentando una evolución favorable al tercer día de hospitalización. Conclusiones:  El caso refleja lo conocido hasta hoy sobre el riesgo de complicaciones severas que puede presentar la infección por SARS-CoV-2 en pacientes con comorbilidades o patologías que alteren la función pulmonar como el pectus excavatum. Por ello sería importante realizar protocolos de manejo específicos, útiles para la mejoría clínica de estos pacientes con alteraciones anatómicas congénitas. Introdução: A infecção por SRA-Cov-2 que causa a doença COVID 19 afecta principalmente o sistema respiratório, na maioria dos casos apresentando sintomas leves, contudo em doentes com comorbilidades como o pectus excavatum que causam uma alteração na função pulmonar, a doença pode ser mortal. Apresentação de casos: Um homem de 25 anos de idade com história de pectus excavatum e escoliose congénita, com clínica de COVID 19 e resultados confirmatórios de PCR, TC e Rx da infecção, começa com sintomas leves de afecção nas vias respiratórias superiores, tosse e odynophagia, que devido à sua alteração anatómica básica, progride para SDRA, é tratado com Oxigenoterapia, Ampicilina Sulbactam, Azitromicina, Oseltamivir, Lopinavir / Ritonavir, Hidroxicloroquina, Tiotropio, Paracetamol, Heparina e Omeprazol apresentando uma evolução favorável no terceiro dia de hospitalização. Conclusão: O caso reflecte o que é conhecido até à data sobre o risco de complicações graves que a infecção pelo SRA-CoV-2 pode apresentar em doentes com co-morbilidades ou patologias que alteram a função pulmonar, tais como o pectus excavatum. Por conseguinte, seria importante gerar protocolos de gestão específicos para a melhoria clínica destes doentes com alterações anatómicas congénitas. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-03-25 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/30308 10.31053/1853.0605.v78.n1.30308 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. 1 (2021); 52-56 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. 1 (2021); 52-56 Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. 1 (2021); 52-56 1853-0605 0014-6722 10.31053/1853.0605.v78.n1 spa https://revistas.unc.edu.ar/index.php/med/article/view/30308/33300 https://revistas.unc.edu.ar/index.php/med/article/view/30308/33301 Derechos de autor 2021 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0