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Published on: September 20, 2018
[Long-COVID, severe course, with congenital bronchiectasis, Williams-Campbell syndrome. Case report]
S A Pribylov1,2, T A Maslova2, V S Pribylov1
1Kursk State Medical University.
Insights
This case study details an 18-year-old female with congenital bronchiectasis, cystic lung disease, and severe long-COVID, highlighting complex respiratory conditions. The report covers her treatment journey and preparation for lung transplantation.
Area of Science:
- Pulmonology
- Infectious Diseases
- Genetics
Background:
- Congenital bronchiectasis and cystic lung disease are rare conditions.
- Williams-Campbell syndrome is a rare genetic disorder affecting lung development.
- Long-COVID can lead to severe respiratory complications, particularly in individuals with pre-existing lung conditions.
Observation:
- An 18-year-old female presented with a severe case of congenital bronchiectasis and bilateral upper lobe cystic lung degeneration.
- The patient was diagnosed with Williams-Campbell syndrome and experienced a severe course of long-COVID.
- She required multiple treatments in infectious disease and pulmonology departments, ultimately being evaluated for lung transplantation.
Findings:
- The case highlights the complex interplay between congenital lung abnormalities and severe COVID-19.
- Successful management required multidisciplinary care, including infectious disease and pulmonology specialists.
- Lung transplantation was considered a necessary intervention due to the severity of her respiratory failure.
Implications:
- This case underscores the importance of early diagnosis and comprehensive management for patients with rare congenital lung diseases.
- It emphasizes the potential for severe respiratory outcomes in individuals with underlying lung conditions who contract COVID-19.
- The case provides insights into the indications and logistics of lung transplantation for complex respiratory failure in young patients.
Abstract:
We present a clinical observation of an 18-year-old female patient with congenital bronchiectasis combined with congenital cystic degeneration of the upper lobes of both lungs, Williams-Campbell syndrome, long-COVID, severe course. The patient was treated in infectious disease department (three times), with subsequent transfer to pulmonology department of Kursk Regional Multi-Purpose Clinical Hospital from 31.01.2023 to 02.05.2023. The patient was going to have lung transplantation, registered in Shumakov Federal Research Center of Transplantology and Artificial Organs earlier. The patient was transported by air ambulance escorted by the resuscitation team to the Shumakov Federal Research Center of Transplantology and Artificial Organs on 02.05.2023 with negative PCR COVID-19 test. The literature data on the frequency of association of these diseases, clinical features, criteria for diagnosis and treatment, indications for lung transplantation are presented.
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