由于病毒病毒引起的急性呼吸困扰综合征
Tona Tchoubou1, Rima El-Hosni2, Marion Dollat3
1Intensive Care Unit, Delafontaine Hospital, Saint-Denis, France.
European journal of case reports in internal medicine
|November 3, 2023
概括
本案例研究详细介绍了第一例导致急性呼吸困扰综合征 (ARDS) 的麻疹病毒 (MPXV). 患者在接受tecovirimat治疗后恢复过来,尽管MPXV病毒病持续存在.
科学领域:
- 传染性疾病 传染性疾病
- 病毒学 病毒学
- 关键护理医学 关键护理医学
背景情况:
- 病毒 (MPXV) 感染通常会出现皮肤和全身症状.
- 急性呼吸困难综合征 (ARDS) 是一种严重的并发症,在MPXV病例中以前没有记录.
研究的目的:
- 报告MPXV相关ARDS的第一个病例.
- 描述临床过程,诊断发现和治疗结果.
主要方法:
- 病例报告:一名34岁的妇女因MPXV感染入住了重症监护室.
- 诊断方法包括呼吸道和血液样本中MPXV的PCR,以及二次细菌感染的鉴定.
- 治疗包括tecovirimat和支持性护理,包括机械通风.
主要成果:
- 患者患有中度ARDS,需要侵入性机械通风.
- 检测到MPXV在支气管支气管洗,肺溢液和血液中,表明传播感染.
- 尽管进行了tecovirimat治疗,病毒性血持续了十多天,但患者的临床状况有所改善,并被出院.
结论:
- 这是MPXV相关ARDS在免疫能力强的年轻女性中首次报告的病例.
- 传播的MPXV感染和持续的病毒病也可能发生,即使有抗病毒治疗.
- 德科维里马特耐受性很好,患者完全康复.
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