慢性副鼻腔炎疑いにて耳鼻咽喉科を紹介されたCOVID-19肺炎例

  • 和田 賢人
    国立病院機構大阪医療センター耳鼻咽喉科
  • 津田 武
    国立病院機構大阪医療センター耳鼻咽喉科 大阪大学大学院医学系研究科耳鼻咽喉科・頭頸部外科
  • 西村 洋
    国立病院機構大阪医療センター耳鼻咽喉科

書誌事項

タイトル別名
  • A Case of COVID-19 Pneumonia Referred to the Otolaryngology Department with Suspected Chronic Rhinosinusitis
  • 臨床 慢性副鼻腔炎疑いにて耳鼻咽喉科を紹介されたCOVID-19肺炎例
  • リンショウ マンセイ フクビクウエン ウタガイ ニテ ジビ インコウカ オ ショウカイ サレタ COVID-19 ハイエンレイ

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抄録

<p>COVID-19 pneumonia is a respiratory disease mainly manifesting with the symptoms of fever, cough and malaise. While the condition is mild and improves spontaneously in about 80% of patients, some patients need mechanical ventilation or extracorporeal membrane oxygenation (ECMO). Some patients present to the department of otolaryngology because of olfactory disturbance during the course of the disease. It is often difficult to differentiate the disease from other diseases due to the absence of fever. Herein, we report the case of a patient who was referred to our department as a suspected case of chronic sinusitis after several medical examinations, and was subsequently confirmed as having COVID-19 pneumonia. Although the otolaryngologist was not aware that the patient had COVID-19 pneumonia at the time of examination, appropriate infection prevention measures, including wearing of an N95 mask, were taken to reduce the risk of infection of the staff in this case.</p><p>It is expected that otolaryngologists will examine more and more COVID-19 patients without typical symptoms. In order to prevent infection among the medical staff, it is important to carefully interview each case and take appropriate precautions.</p>

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