Post COVID pulmonary complications – A case series

COVID-19 patients are frequently coinfected by other microbial pathogens, adding to the severity of the cases and raising difficulty in the diagnosis, prognosis, and treatment. Pulmonary mucormycosis and invasive Aspergillosis are such life-threatening fungal infections. Risk factors include uncontr...

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Main Authors: Prem Ananth Palaninathan, Divya Mary Elias, Nagarajan Nagasubramanian, Prathipa Ramakrishnan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Journal of Association of Pulmonologist of Tamil Nadu
Subjects:
Online Access:http://www.japt.in/article.asp?issn=2772-6355;year=2021;volume=4;issue=2;spage=78;epage=81;aulast=Palaninathan
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author Prem Ananth Palaninathan
Divya Mary Elias
Nagarajan Nagasubramanian
Prathipa Ramakrishnan
author_facet Prem Ananth Palaninathan
Divya Mary Elias
Nagarajan Nagasubramanian
Prathipa Ramakrishnan
author_sort Prem Ananth Palaninathan
collection DOAJ
description COVID-19 patients are frequently coinfected by other microbial pathogens, adding to the severity of the cases and raising difficulty in the diagnosis, prognosis, and treatment. Pulmonary mucormycosis and invasive Aspergillosis are such life-threatening fungal infections. Risk factors include uncontrolled diabetes mellitus, hematological malignancies, solid organ transplantation, and chronic renal failure. Pulmonary emboli and pneumothorax have also been reported frequently in COVID-19 patients, especially in those who required invasive mechanical ventilation. Herein, we report four different cases of post COVID pulmonary complications. All four patients were evaluated with computed tomography thorax. Two patients had necrotizing pneumonia and sputum culture grew mucor and Aspergillus species, respectively. They were treated with intravenous antifungals. One patient had rifampicin-sensitive pulmonary tuberculosis (TB) and was started on antitubercular drugs. Both pulmonary mucormycosis and pulmonary TB patients had a segmental and subsegmental pulmonary embolism. They were managed with low-molecular-weight heparin. One patient had left pneumothorax, for which intercostal drainage was placed.
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spelling doaj.art-b3deb24a7a8a4c5283dd8b833f8555312023-08-23T09:08:17ZengWolters Kluwer Medknow PublicationsJournal of Association of Pulmonologist of Tamil Nadu2772-63552772-63632021-01-0142788110.4103/japt.japt_34_21Post COVID pulmonary complications – A case seriesPrem Ananth PalaninathanDivya Mary EliasNagarajan NagasubramanianPrathipa RamakrishnanCOVID-19 patients are frequently coinfected by other microbial pathogens, adding to the severity of the cases and raising difficulty in the diagnosis, prognosis, and treatment. Pulmonary mucormycosis and invasive Aspergillosis are such life-threatening fungal infections. Risk factors include uncontrolled diabetes mellitus, hematological malignancies, solid organ transplantation, and chronic renal failure. Pulmonary emboli and pneumothorax have also been reported frequently in COVID-19 patients, especially in those who required invasive mechanical ventilation. Herein, we report four different cases of post COVID pulmonary complications. All four patients were evaluated with computed tomography thorax. Two patients had necrotizing pneumonia and sputum culture grew mucor and Aspergillus species, respectively. They were treated with intravenous antifungals. One patient had rifampicin-sensitive pulmonary tuberculosis (TB) and was started on antitubercular drugs. Both pulmonary mucormycosis and pulmonary TB patients had a segmental and subsegmental pulmonary embolism. They were managed with low-molecular-weight heparin. One patient had left pneumothorax, for which intercostal drainage was placed.http://www.japt.in/article.asp?issn=2772-6355;year=2021;volume=4;issue=2;spage=78;epage=81;aulast=Palaninathaninvasive aspergillosispulmonary embolismpulmonary mucormycosispulmonary tuberculosis
spellingShingle Prem Ananth Palaninathan
Divya Mary Elias
Nagarajan Nagasubramanian
Prathipa Ramakrishnan
Post COVID pulmonary complications – A case series
Journal of Association of Pulmonologist of Tamil Nadu
invasive aspergillosis
pulmonary embolism
pulmonary mucormycosis
pulmonary tuberculosis
title Post COVID pulmonary complications – A case series
title_full Post COVID pulmonary complications – A case series
title_fullStr Post COVID pulmonary complications – A case series
title_full_unstemmed Post COVID pulmonary complications – A case series
title_short Post COVID pulmonary complications – A case series
title_sort post covid pulmonary complications a case series
topic invasive aspergillosis
pulmonary embolism
pulmonary mucormycosis
pulmonary tuberculosis
url http://www.japt.in/article.asp?issn=2772-6355;year=2021;volume=4;issue=2;spage=78;epage=81;aulast=Palaninathan
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AT prathiparamakrishnan postcovidpulmonarycomplicationsacaseseries