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Coinfección por SARS-CoV-2 y rinovirus-enterovirus en una paciente adulta joven críticamente enferma en Colombia

The current SARS-CoV-2 pandemic has caused a huge global public health problem. We report the case of a young adult patient with laboratory-confirmed SARS-CoV-2. We describe the identification of the virus and the clinical course, diagnosis, and treatment of the infection including her rapid clinica...

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Autores principales: Orozco-Hernández, Juan Pablo, Montoya-Martínez, Juan José, Pacheco-Gallego, Manuel Conrado, Céspedes-Roncancio, Mauricio, Porras-Hurtado, Gloria Liliana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Instituto Nacional de Salud 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7676835/
https://www.ncbi.nlm.nih.gov/pubmed/33152186
http://dx.doi.org/10.7705/biomedica.5516
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author Orozco-Hernández, Juan Pablo
Montoya-Martínez, Juan José
Pacheco-Gallego, Manuel Conrado
Céspedes-Roncancio, Mauricio
Porras-Hurtado, Gloria Liliana
author_facet Orozco-Hernández, Juan Pablo
Montoya-Martínez, Juan José
Pacheco-Gallego, Manuel Conrado
Céspedes-Roncancio, Mauricio
Porras-Hurtado, Gloria Liliana
author_sort Orozco-Hernández, Juan Pablo
collection PubMed
description The current SARS-CoV-2 pandemic has caused a huge global public health problem. We report the case of a young adult patient with laboratory-confirmed SARS-CoV-2. We describe the identification of the virus and the clinical course, diagnosis, and treatment of the infection including her rapid clinical deterioration from the mild initial symptoms, which progressed to multilobar pneumonia requiring admission to the intensive care unit. This case highlights the importance of establishing a diagnosis based on the clinical findings and the patient's history bearing in mind the possibility of gastrointestinal symptoms in addition to respiratory ones. Besides, the presence of risk factors should be investigated; in this case, we proposed obesity as a possible risk factor. Furthermore, limitations in diagnostic tests and the possibility of co-infection with other respiratory pathogens are highlighted. We describe the imaging, laboratory findings, and treatment taking into account the limited current evidence.
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spelling pubmed-76768352020-11-20 Coinfección por SARS-CoV-2 y rinovirus-enterovirus en una paciente adulta joven críticamente enferma en Colombia Orozco-Hernández, Juan Pablo Montoya-Martínez, Juan José Pacheco-Gallego, Manuel Conrado Céspedes-Roncancio, Mauricio Porras-Hurtado, Gloria Liliana Biomedica Presentación De Casos The current SARS-CoV-2 pandemic has caused a huge global public health problem. We report the case of a young adult patient with laboratory-confirmed SARS-CoV-2. We describe the identification of the virus and the clinical course, diagnosis, and treatment of the infection including her rapid clinical deterioration from the mild initial symptoms, which progressed to multilobar pneumonia requiring admission to the intensive care unit. This case highlights the importance of establishing a diagnosis based on the clinical findings and the patient's history bearing in mind the possibility of gastrointestinal symptoms in addition to respiratory ones. Besides, the presence of risk factors should be investigated; in this case, we proposed obesity as a possible risk factor. Furthermore, limitations in diagnostic tests and the possibility of co-infection with other respiratory pathogens are highlighted. We describe the imaging, laboratory findings, and treatment taking into account the limited current evidence. Instituto Nacional de Salud 2020-11-12 /pmc/articles/PMC7676835/ /pubmed/33152186 http://dx.doi.org/10.7705/biomedica.5516 Text en https://creativecommons.org/licenses/by/4.0/ Este es un artículo publicado en acceso abierto bajo una licencia Creative Commons
spellingShingle Presentación De Casos
Orozco-Hernández, Juan Pablo
Montoya-Martínez, Juan José
Pacheco-Gallego, Manuel Conrado
Céspedes-Roncancio, Mauricio
Porras-Hurtado, Gloria Liliana
Coinfección por SARS-CoV-2 y rinovirus-enterovirus en una paciente adulta joven críticamente enferma en Colombia
title Coinfección por SARS-CoV-2 y rinovirus-enterovirus en una paciente adulta joven críticamente enferma en Colombia
title_full Coinfección por SARS-CoV-2 y rinovirus-enterovirus en una paciente adulta joven críticamente enferma en Colombia
title_fullStr Coinfección por SARS-CoV-2 y rinovirus-enterovirus en una paciente adulta joven críticamente enferma en Colombia
title_full_unstemmed Coinfección por SARS-CoV-2 y rinovirus-enterovirus en una paciente adulta joven críticamente enferma en Colombia
title_short Coinfección por SARS-CoV-2 y rinovirus-enterovirus en una paciente adulta joven críticamente enferma en Colombia
title_sort coinfección por sars-cov-2 y rinovirus-enterovirus en una paciente adulta joven críticamente enferma en colombia
topic Presentación De Casos
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7676835/
https://www.ncbi.nlm.nih.gov/pubmed/33152186
http://dx.doi.org/10.7705/biomedica.5516
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