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Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Int+J+Surg+Case+Rep 2020 ; 77 (ä): 719-725 Nephropedia Template TP
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SARS-COV-2 infection in the perioperative of pulmonary lobectomy About a case #MMPMID33251090
Taipe R; Euscatigue M; Valdivia F; Belloso B; Huaroto I
Int J Surg Case Rep 2020[]; 77 (ä): 719-725 PMID33251090show ga
OBJECTIVE: To describe the form of severe clinical presentation of SARS-COV-2 infection in the early phase, also the timely treatment of COVID-19 pneumonia in postoperative pulmonary lobectomy. METHOD: Case report where the data were extracted from the clinical history and is in accordance with the SCARE 2018 criteria. DESCRIPTION OF THE CASE: A 36-year-old man, with no significant history, who presented fever and mucopurulent expectoration of 1 month of evolution, received antibiotics for 4 weeks without response to treatment. Chest tomography shows cystic image with heterogeneous content in the left lower lobe. We decided to opt for surgery, previously 1 PCR in RT and 7 serological tests for COVID-19 were performed, the result of which was non-reactive. In the postoperative period, the patient developed fever and dyspnea on mild exertion, so a new serological test for COVID-19 was performed: IgM/IgG reactive, in addition chest tomography showed both lungs with "cracy paving" pattern. DISCUSSION: The serological tests did not contribute to a timely diagnosis of COVID-19 and generated confusion. We used oxygen therapy, broad spectrum antibiotics since the diagnosis of COVID-19. Likewise, respiratory physiotherapy was intensified even after discharge. CONCLUSION: The early diagnosis and use of antibiotics at doses of sepsis, associated with corticosteroid pulses and respiratory physiotherapy improve COVID-19 pneumonia in postoperative lung surgery.