PULMONARY ABSCESS AS A COMPLICATION OF COVID-19 INFECTION

  • Vladimir Simić Gradski zavod za hitnu medicinsku pomoć Beograd
  • Jovana Radovanović
Keywords: COVID-19, lung abscess, complication

Abstract


Introduction/Objective:An abscess is a limited purulent pneumonia with necrosis and colic of lung tissue. Infection with the COVID-19 led to the formation of lung abscesses.Case report:Due to the obvious manifestation of COVID-19,an 81-year-old man,on the advice of a doctor from the ambulance,as examined in a Covid clinic and referred for home treatment,according to the current epidemiological situation.During the night,the symptoms progress in the form of shortness of breath and cough.He was hospitalized for 35 days due to radiographic verification of the band-spotted shadows on both sides and laboratory-confirmed COVID-19. Twenty two days after discharge,the patient was examined at the EC of the CC of Serbia on suspicion of pulmonary embolism due to dyspnea,occasional hemoptysis and rapid fatigue.The finding on multislice computed tomography records an abscess in the basal part of the left lung.Conclusion:Due to lung abscesses,a rare but possible complication of COVID-19,it is necessary to monitor patients after hospitalization.

References

1. WHO Coronavirus (COVID-19) Dashboard, 2021. Available at : https://covid19.who.int/table.
2. Zamani N, Aloosh O, Ahsant S, Yassin Z, Abkhoo A, Riahi T. Lung abscess as a complication of COVID-19 infection, a case report. Clin Case Rep. 2021;9(3):1130-1134. doi: 10.1002/ccr3.3686. PMID: 33768796; PMCID: PMC7981683.
3. Kong W, Agarwal PP. Chest Imaging Appearance of COVID-19 Infection. Radiol Cardiothorac Imaging. 2020;2(1):e200028. doi: 10.1148/ryct.2020200028. PMID: 33778544; PMCID: PMC7233424.
4. Salehi S, Abedi A, Balakrishnan S, Gholamrezanezhad A. Coronavirus Disease 2019 (COVID-19): A Systematic Review of Imaging Findings in 919 Patients. AJR Am J Roentgenol. 2020;215(1):87-93. doi: 10.2214/AJR.20.23034. PMID: 32174129.
5. https://ujedinjeni-protiv-kovida.net/2020/12/14/klinicke-manifestacije-infekcije-covid-19/.
6. Milovanović D, Janković S, Ružić Zečević D, Folić M, Rosić N, Jovanović D, i sar. Lečenje koronavirusne bolesti (COVID-19). Med čas. 2020; 54(1): 23-43. doi: 10.5937/mckg54-25981
7. Salehi S., Abedi A., Balakrishnan S. Coronavirus disease 2019 (COVID-19): a systematic review of imaging findings in 919 patients. AJR Am J Roentgenol. 2020;14:1–7. doi: 10.2214/AJR.20.23034.
8. Sun R, Liu H, Wang X. Mediastinal Emphysema, Giant Bulla, and Pneumothorax Developed during the Course of COVID-19 Pneumonia. Korean J Radiol. 2020;21(5):541-544. doi: 10.3348/kjr.2020.0180. PMID: 32207255; PMCID: PMC7183834.
9. Alhazzani W, Moller MH, arabi YM, et al. Surviving Sepsis Campaign: guidelines on the management of critically ill adults with Coronavirus disease 2019 (COVid-19). intensive Care Med 2020. (doi: 10.1007/s00134-020-06022-5).).
10. MSD priručnik dijagnostike i terapije. Apsces pluća. Dostupno na: http://www.msd-prirucnici.placebo.hr/msd-prirucnik/pulmologija/apsces-pluca. Preuzeto: 21. maj 2021.
Published
2021/08/13
Section
Case report