SARS-CoV-2 with concurrent coccidioidomycosis complicated by refractory pneumothorax in a Hispanic male: A case report and literature review
作者机构：Department of Internal MedicineTexas Tech University Health Sciences Center El PasoEl PasoTX 79905United States
出 版 物：《World Journal of Respirology》 (世界呼吸病学杂志)
年 卷 期：2021年第11卷第1期
页 面：1-11页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：SARS-CoV-2 COVID-19 Coccidioidomycosis Co-infection Fungal infection Tension pneumothorax Refractory pneumothorax Case report Literature review
摘 要：BACKGROUND The incidence of secondary coinfections particularly fungal infections among severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)is not well *** is known of the complications that could be encountered in such *** SUMMARY A 50-year-old Hispanic male who was a prior smoker presented with shortness of *** was diagnosed with *** improved and was discharged with home oxygen.A month later,he presented with sudden onset cough and shortness of *** X-ray showed development of right-sided tension pneumothorax,right pleural effusion and an air-filled cystic *** tomography thorax showed findings suggestive of pulmonary *** antigen was positive,and fluconazole was *** pneumothorax,a pigtail catheter was *** pigtail chest tube was later switched to water seal,unfortunately,the pneumothorax *** attempt to transition chest tube to water seal was *** chest tube was then swapped to 32-Fr chest tube and chemical pleurodesis was *** was later transitioned successfully to water seal and finally *** was discharged on a four-week oral course of fluconazole 400 mg and was to follow up closely as an outpatient for continued *** Pneumothorax is associated with a worse prognosis,especially with comorbidities such as diabetes,immunosuppression and *** for concomitant fungal infection in such patients should be high and would necessitate further investigation.
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