性膜炎 - - 是COVID-19感染的一种独特表现
Shmuel Wechsler1,2, Jacob Pitaro3,4, Nathan Shlamkovich3,4
1Department of Otolaryngology, Head and Neck Surgery, Shamir (Assaf Haroffeh) Medical Center, Tzriffin, Israel. shmulikvex@gmail.com.
新的COVID-19变种可能会导致急性膜炎,这是一个罕见的上呼吸道疾病. 医生应考虑在患有相关症状的患者中进行这种诊断,并进行喉腔镜检查以早期检测和管理.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染性疾病 传染性疾病
- 呼吸系统医学 呼吸系统医学
背景情况:
- 越来越多地认识到COVID-19会影响上呼吸道.
- 胸膜炎是一种严重的上呼吸道炎症,通常是由细菌感染引起的.
研究的目的:
- 描述一系列由于冠状病毒疾病 (COVID-19) 引起的急性脑膜炎的患者.
- 为了突出COVID-19相关的膜炎的独特临床和内镜特征.
主要方法:
- 回顾性单中心病例研究.
- 包括急诊室 (ED) 转诊的患者,膜炎的发现,以及阳性SARS-CoV-2 PCR.
- 收集有关人口统计,并发病,疫苗接种情况,症状和喉检查的数据.
主要成果:
- 十名患者符合标准,平均年龄为61岁,并具有较高的并发症患病率.
- 所有患者都出现了鼻;发烧和声是常见的.
- 内镜检查结果显示,所有病例中都出现了内部表皮质,严重程度各不相同.
结论:
- 新出现的COVID-19变种可以呈现为急性膜炎,具有明显的喉内镜特征.
- 对这种临床实体的认识对于及时诊断和管理至关重要.
- 对于疑似病例,建议紧急进行喉腔镜检查和耳鼻喉科医生咨询.
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