An HIV positive patient with severe COVID-19 pneumonia treated by a team of non-pulmonary specialists

DOI
  • Honjo Satoshi
    Department of Internal Medicine, TamaNanbu Chiiki Hospital
  • Muroya Yohei
    Department of Internal Medicine, TamaNanbu Chiiki Hospital Department of Internal Medicine, Chosei Hospital
  • Koike Daigo
    Department of Internal Medicine, TamaNanbu Chiiki Hospital
  • Ogasawara Junko
    Department of Internal Medicine, TamaNanbu Chiiki Hospital
  • Bunya Naofumi
    Department of Emergency Medicine, Sapporo Medical University
  • Wada Kenshiro
    Department of Emergency Medicine, Sapporo Medical University Department of Emergency Medicine, Obihiro Kosei General Hospital
  • Aisaka Wakiko
    Department of Emergency Medicine, Sapporo Medical University
  • Ono Yoshifumi
    Department of Internal Medicine, TamaNanbu Chiiki Hospital Department of General Internal Medicine, St Marianna University School of Medicine
  • Otani Sakiko
    Department of Internal Medicine, TamaNanbu Chiiki Hospital Department of Respiratory Medicine, Kitasato University School of Medicine

Bibliographic Information

Other Title
  • 2021年8月の第5波で，非専門医主体のチームで救命に成功したHIV感染合併重症COVID-19肺炎の1例－当時の病院の状況を含めて－
Published
2024
DOI
  • 10.60227/jhgmwabun.20.4_219
Publisher
JAPAN SOCIETY OF HOSPITAL GENERAL MEDICINE

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Description

A 50-year-old man positive for HIV who developed coronavirus disease 2019 (COVID-19) pneumonia was admitted in our hospital in August 2021 during the fifth wave in Japan of the COVID-19 pandemic caused by a delta variant of severe acute respiratory syndrome coronavirus 2. His white blood cell count and serum C-reactive protein levels were 3,100/μL and 9.0 mg/dL, respectively. His chest X-ray revealed a bilateral ground-glass opacity. Although he was treated with antibiotics and antiviral agents, he needed 118 days of mechanical ventilation. His respiratory management was challenging because he developed pneumomediastinum twice. Because the antibiotics and antiviral agents had limited effect, we administered corticosteroid under the diagnosis of organizing pneumonia. He was discharged after 187 days following improvement of the pneumonia. During the fifth wave of the COVID-19 pandemic in Japan, the Japanese medical system was burdened by an overwhelming patient load. Because our hospital only had two pulmonary specialists, a diabetologist team took responsibility for this case. Despite the case overwhelming the non-specialists and medical staff, all physicians played their roles efficiently, successfully using their general medicine skills and knowledge.

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