Lung Abscess as a Delayed Complication in a COVID-19 Pneumonia Patient: A Case Report

Introduction: In March 2020, the World Health Organization (WHO) proclaimed coronavirus disease 2019 (COVID-19) a global pandemic. Indonesia is one of the nations that is still dealing with the COVID-19 outbreak. COVID-19 has several complications, including lung abscesses in extremely rare cases. W...

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Main Authors: Indah Rahmawati, Regia Anadhia Pinastika, Raditya Bagas Wicaksono
Format: Article
Language:English
Published: Universitas Airlangga 2022-09-01
Series:Jurnal Respirasi
Subjects:
Online Access:https://e-journal.unair.ac.id/JR/article/view/37484
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author Indah Rahmawati
Regia Anadhia Pinastika
Raditya Bagas Wicaksono
author_facet Indah Rahmawati
Regia Anadhia Pinastika
Raditya Bagas Wicaksono
author_sort Indah Rahmawati
collection DOAJ
description Introduction: In March 2020, the World Health Organization (WHO) proclaimed coronavirus disease 2019 (COVID-19) a global pandemic. Indonesia is one of the nations that is still dealing with the COVID-19 outbreak. COVID-19 has several complications, including lung abscesses in extremely rare cases. We presented the first reported COVID-19 patient in Indonesia with a delayed lung abscess. Case: A 30-year-old man presented to the hospital with breathlessness and tested positive for COVID-19. Chest X-ray revealed typical COVID-19 pneumonia. He was discharged after 16 days of hospitalization and was educated on using oxygen at home lest the breathlessness recurred. We planned to evaluate the patient’s chest X-ray after 2 weeks of discharge. The follow-up chest X-ray revealed an air-fluid level in the upper lobe of the right lung, indicating a lung abscess. The patient was treated with antibiotics for 2–3 weeks. Clinical follow-up 4 weeks after the treatment revealed no symptoms, and chest X-ray showed significant improvement. Conclusion: Lung abscess is one of the rare complications of COVID-19. A pulmonary infection creates an air-fluid level by forming a cavity in the lung parenchyma. Notably, this complication manifested 2 weeks after the patient was discharged. COVID-19 can have several unexpected complications, including lung abscesses. It is crucial to monitor patients after discharge for such complications, especially if they are symptomatic.
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spelling doaj.art-633e4f67cdde4352a6c12cc280bb94622022-12-22T03:49:22ZengUniversitas AirlanggaJurnal Respirasi2407-08312621-83722022-09-0183161168https://doi.org/10.20473/jr.v8-I.3.2022.161-168Lung Abscess as a Delayed Complication in a COVID-19 Pneumonia Patient: A Case ReportIndah Rahmawati0https://orcid.org/0000-0003-1243-9320Regia Anadhia Pinastika1https://orcid.org/0000-0002-2751-1332Raditya Bagas Wicaksono2https://orcid.org/0000-0002-1671-4919Faculty of Medicine, Universitas Jenderal Soedirman, Purwokerto, Indonesia.Purwokerto Islamic Hospital, Purwokerto, Indonesia.Department of Ethics, Law, and Humanities, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, Netherlands.Introduction: In March 2020, the World Health Organization (WHO) proclaimed coronavirus disease 2019 (COVID-19) a global pandemic. Indonesia is one of the nations that is still dealing with the COVID-19 outbreak. COVID-19 has several complications, including lung abscesses in extremely rare cases. We presented the first reported COVID-19 patient in Indonesia with a delayed lung abscess. Case: A 30-year-old man presented to the hospital with breathlessness and tested positive for COVID-19. Chest X-ray revealed typical COVID-19 pneumonia. He was discharged after 16 days of hospitalization and was educated on using oxygen at home lest the breathlessness recurred. We planned to evaluate the patient’s chest X-ray after 2 weeks of discharge. The follow-up chest X-ray revealed an air-fluid level in the upper lobe of the right lung, indicating a lung abscess. The patient was treated with antibiotics for 2–3 weeks. Clinical follow-up 4 weeks after the treatment revealed no symptoms, and chest X-ray showed significant improvement. Conclusion: Lung abscess is one of the rare complications of COVID-19. A pulmonary infection creates an air-fluid level by forming a cavity in the lung parenchyma. Notably, this complication manifested 2 weeks after the patient was discharged. COVID-19 can have several unexpected complications, including lung abscesses. It is crucial to monitor patients after discharge for such complications, especially if they are symptomatic.https://e-journal.unair.ac.id/JR/article/view/37484complicationcovid-19infectious diseaselung abscesspneumonia
spellingShingle Indah Rahmawati
Regia Anadhia Pinastika
Raditya Bagas Wicaksono
Lung Abscess as a Delayed Complication in a COVID-19 Pneumonia Patient: A Case Report
Jurnal Respirasi
complication
covid-19
infectious disease
lung abscess
pneumonia
title Lung Abscess as a Delayed Complication in a COVID-19 Pneumonia Patient: A Case Report
title_full Lung Abscess as a Delayed Complication in a COVID-19 Pneumonia Patient: A Case Report
title_fullStr Lung Abscess as a Delayed Complication in a COVID-19 Pneumonia Patient: A Case Report
title_full_unstemmed Lung Abscess as a Delayed Complication in a COVID-19 Pneumonia Patient: A Case Report
title_short Lung Abscess as a Delayed Complication in a COVID-19 Pneumonia Patient: A Case Report
title_sort lung abscess as a delayed complication in a covid 19 pneumonia patient a case report
topic complication
covid-19
infectious disease
lung abscess
pneumonia
url https://e-journal.unair.ac.id/JR/article/view/37484
work_keys_str_mv AT indahrahmawati lungabscessasadelayedcomplicationinacovid19pneumoniapatientacasereport
AT regiaanadhiapinastika lungabscessasadelayedcomplicationinacovid19pneumoniapatientacasereport
AT radityabagaswicaksono lungabscessasadelayedcomplicationinacovid19pneumoniapatientacasereport