关键词: Covid-19 PAP Pulmonary alveolar proteinosis

来  源:   DOI:10.1016/j.rmcr.2024.102017   PDF(Pubmed)

Abstract:
A 67-year-old male, with a history of severe COVID-19 infection and exposure to talc was seen for worsening shortness of breath for months, requiring supplemental oxygen. He was treated for COVID-19 infection and suspected pneumonia with no improvement. His pulmonary function test (PFT) worsened and computed tomography (CT) showing bilateral airspace opacities with ground-glass opacities (GGO), also worsened over time. He underwent bronchoscopy, bronchoalveolar lavage and pathology revealed pulmonary alveolar proteinosis (PAP). He subsequently underwent whole lung lavage (WLL) which significantly improved his crazy paving pattern on CT and was successfully weaned off supplemental oxygen.
摘要:
一位67岁的男性,有严重的COVID-19感染史,接触滑石粉几个月来呼吸急促恶化,需要补充氧气。他接受了COVID-19感染和疑似肺炎的治疗,但没有改善。他的肺功能测试(PFT)恶化,计算机断层扫描(CT)显示双侧空域混浊伴毛玻璃混浊(GGO),也随着时间的推移而恶化。他做了支气管镜检查,支气管肺泡灌洗病理提示肺泡蛋白沉积症(PAP)。随后,他接受了全肺灌洗(WLL),从而显着改善了他在CT上的疯狂铺路模式,并成功地戒除了补充氧气。
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