COVID-19 in a patient with liver cirrhosis

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MetadadosDescriçãoIdioma
Autor(es): dc.contributorUniversidade Estadual Paulista (Unesp)-
Autor(es): dc.contributorUniversidade Federal do Paraná (UFPR)-
Autor(es): dc.creatorBeraldo, Rodrigo Fedatto [UNESP]-
Autor(es): dc.creatorMarcondes, Mariana Barros [UNESP]-
Autor(es): dc.creatorDos Santos, Maria Natália Marques-
Autor(es): dc.creatorGrillo, Thais Gagno [UNESP]-
Autor(es): dc.creatorPires, Gabriel Barros Tambelli [UNESP]-
Autor(es): dc.creatorde Oliveira, Cássio Vieira [UNESP]-
Data de aceite: dc.date.accessioned2022-02-22T00:50:10Z-
Data de disponibilização: dc.date.available2022-02-22T00:50:10Z-
Data de envio: dc.date.issued2021-06-25-
Data de envio: dc.date.issued2021-06-25-
Data de envio: dc.date.issued2020-12-31-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.12659/AJCR.929948-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/207407-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/207407-
Descrição: dc.descriptionObjective: Background: Case Report: Conclusions: Unusual clinical course The severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2), which manifests mainly as a respiratory condition, has become a global pandemic that causes coronavirus disease-2019 (COVID-19). Although the symptoms remain mild in most patients, the elderly and patients with previous comorbidities have higher rates of morbidity and mortality. Patients with liver cirrhosis, especially after decompensation, may be more suscep-tible to SARS-CoV-2 infection due to systemic immune dysfunction. The patient was a 51-year-old man who was hypertensive, an ex-alcoholic abstinent for 6 months, and a smok-er. He was diagnosed with alcoholic liver cirrhosis in July 2019, and was using norfloxacin at home for secondary prophylaxis of bacterial peritonitis. He was also using furosemide and spironolactone to control ascites and propranolol for primary prophylaxis of esophageal varices. The patient entered our hospital in July 2020 with cough, dyspnea, runny nose, diarrhea, and fever. During hospitalization, we confirmed infection by COVID-19 and secondary nosocomial pulmonary infection. Chest tomography compatible with ground-glass standard was performed. The patient developed the need for auxiliary oxygen but without invasive mechanical venti-lation. The patient received dexamethasone 6 mg/day and broad-spectrum antibiotic therapy (he was started on cefepime but switched to meropenem). At the end of the 14-day isolation period, he was discharged with improved respiratory status. Despite high mortality rates in patients with advanced cirrhosis who become infected with COVID-19, we report a case with a favorable outcome. Success has been achieved with the use of medications in studies of broad-spectrum antibiotics and the rapid detection of complications caused by the virus. Further studies in SARS-CoV-2 patients with chronic liver disease are needed.-
Descrição: dc.descriptionDepartment of Internal Medicine São Paulo State University (Unesp) Medical School-
Descrição: dc.descriptionDepartment of Internal Medicine Paraná Federal University (UFPR) Medical School-
Descrição: dc.descriptionDepartment of Internal Medicine São Paulo State University (Unesp) Medical School-
Formato: dc.format1-5-
Idioma: dc.languageen-
Relação: dc.relationAmerican Journal of Case Reports-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectCOVID-19-
Palavras-chave: dc.subjectLiver-
Palavras-chave: dc.subjectLiver Cirrhosis-
Palavras-chave: dc.subjectLiver Diseases-
Palavras-chave: dc.subjectSARS Virus-
Título: dc.titleCOVID-19 in a patient with liver cirrhosis-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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