A Case of Pulmonary Tuberculosis and Cytomegalovirus Infection During Treatment for COVID-19 Pneumonia
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- ENOMOTO Yoshitaka
- Depts. of Surgery, Hiraka General Hospital
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- TAKAHASHI Toshiaki
- Depts. of Cardiovascular Medicine, Hiraka General Hospital
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- KUME Masaaki
- Depts. of Hematology, Hiraka General Hospital
Bibliographic Information
- Other Title
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- COVID-19肺炎治療中に肺結核,サイトメガロウイルス感染症を発症した1例
- COVID-19 ハイエン チリョウ チュウ ニ ハイケッカク,サイトメガロウイルス カンセンショウ オ ハッショウ シタ 1レイ
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Abstract
The patient was a man in his 80s. PCR test was performed after he developed a fever, and the result was positive for SARS-CoV-2 infection. On admission, CT showed ground-glass opacities and consolidation in both lung fields, leading to a diagnosis of COVID-19 pneumonia. The fever promptly resolved after starting treatment with dexamethasone 6.6 mg injection, but high fever returned the day after discontinuing dexamethasone. We considered bacterial pneumonia as a complication, but antibiotics were ineffective. We suspected cytokine storm and began steroid pulse therapy. The fever temporarily resolved but returned when the steroid dose was reduced. In the differential diagnosis, we considered opportunistic infections such as fungal infection and cytomegalovirus infection, pulmonary tuberculosis, and non-infectious lung diseases such as idiopathic organizing pneumonia. Examination and treatment were performed with these in mind. Finally, we diagnosed pulmonary tuberculosis and cytomegalovirus infection, and treatment was started for each. He was subsequently transferred to a treatment facility for patients with tuberculosis. Steroids are a key drug in the treatment of COVID-19, but they may reduce immune function and increase susceptibility to infection, so caution is required for various infectious diseases.
Journal
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- JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE
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JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE 70 (5), 523-528, 2022
THE JAPANESE ASSOCIATION OF RURAL MEDICINE
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Keywords
Details 詳細情報について
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- CRID
- 1390009683056782848
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- NII Article ID
- 130008161925
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- NII Book ID
- AN00196216
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- ISSN
- 13497421
- 04682513
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- NDL BIB ID
- 032003159
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed