PDF(Pubmed)
Abstract：
A 16-year-old male was admitted with persistent fever, diarrhea, and anorexia 8 days after the diagnosis of coronavirus disease-2019 (COVID-19). Radiological examination of the lungs showed a cavitary lesion with an air-fluid level, but no apparent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pneumonia. The lesion was diagnosed as a lung abscess after COVID-19. Treatment with antimicrobials was initiated, which attenuated symptoms and the lung lesion. Specific pathogens were not detected despite repeated sputum cultures, which suggested that lung abscess was caused by oral bacteria as a secondary infection of COVID-19. To date, several cases of lung abscess as a complication of COVID-19 have been reported. However, the majority of cases occurred after intubation to treat COVID-19, and there have been no cases involving young adults. This healthy young patient may have developed lung abscess due to COVID-19.
摘要：
一名十六岁男性因持续发烧入院,腹泻,在诊断出2019年冠状病毒病（COVID-19）后8天和厌食症。肺部放射学检查显示空洞性病变，空气-液体水平，但没有明显的严重急性呼吸道综合症冠状病毒2（SARS-CoV-2）肺炎。COVID-19后诊断为肺脓肿。开始用抗菌药物治疗，减轻症状和肺部病变。尽管反复痰培养，但未检测到特定病原体，这表明肺脓肿是由口腔细菌引起的，是COVID-19的继发感染。迄今为止,据报道，几例肺脓肿是COVID-19的并发症。然而,大多数病例发生在插管治疗COVID-19后,没有涉及年轻人的病例.这位健康的年轻患者可能因COVID-19而患上了肺脓肿。
