Hızlı İlerleyen SARS-CoV-2 Enfeksiyonu: Olgu Sunumu

Year 2021, , 106 - 109, 03.04.2021

Serdar Özdemir , Hatice Akça , İbrahim Altunok , Abdullah Algın , Abuzer Özkan

https://doi.org/10.29058/mjwbs.808996

Abstract

Aralık 2019’da SARS’a neden olan yeni tip bir coronavirüs bildirildi ve SARS-CoV-2 olarak
adlandırıldı. Dünya çapında 31.000.000’den fazla vaka doğrulandı ve 962.000’den fazla hasta bu viral
enfeksiyondan öldü. Kliniğimize üç gündür ateş ve öksürük şikayetleri ile başvuran 31 yaşında erkek
hasta başvurdu. Özgeçmişinde hastalık öyküsü yoktu. Bilgisayarlı tomografide hafif pnömoni izlendi.
Hidroksi klorokin tedavisi ile taburcu edildi. Dört gün sonra nefes darlığı ile tekrar kliniğimize başvurdu.
Pnömoni kısa sürede hızla ilerledi. Tedaviye Tazocin, favipiravir ve azitromisin eklendi. Medikal tedavi
ve yüzüstü pozisyonlama ile destekleyici oksijene rağmen hasta desatüre oldu ve vefat etti. Sonuç
olarak; COVID-19 için bilinen mortalite prediktörleri olmayan hastalar da ölümle sonuçlanabilmektedir.
COVID-19 hastalarının klinik seyirleri yakından takip edilmelidir.

Keywords

koronavirus enfeksiyonları, COVİD-19, olgu sunumu

Rapidly Progressed SARS-CoV-2 Infection: A Case Report

Abstract

In December 2019 new type of coronavirus which did causes severe acute respiratory syndrome was
reported and named as SARS-CoV-2. Globally, over 31 000 000 cases were confirmed, and over 962
000 patients have died from this viral infection. A 31-year-old male patient was admitted to our clinic
with fever and cough for three days. He was healthy, he did not have any specific medical history. At
first admission, computed tomography showed mild pneumonia. He was discharged with treatment of
hydroxychloroquine. He was admitted again to our clinics four days later with a compliant of dyspnea.
Pneumonia progressed rapidly in a short period. Piperacillin-tazobactam combination, favipiravir and
azithromycin were added to therapy. Although supplementary oxygen and prone positioning added
to medical therapy, the patient was desaturated and died. As a conclusion; patient without known
predictors of mortality for COVID-19, can result in death. Patients with COVID-19 should be followed
closely for clinical course.

Keywords

coronavius infections, COVID-19, case reports

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