CLINICAL EVOLUTION OF SARS-CoV-2 SYNDROME IN A PATIENT WITH HYPERTENSION, TYPE II DIABETES AND METABOLIC SYNDROME – CASE REPORT
Autor(a) principal: | |
---|---|
Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista Científica da Faculdade de Medicina de Campos |
Texto Completo: | https://www.fmc.br/ojs/index.php/RCFMC/article/view/421 |
Resumo: | Abastract Introduction: The Covid-19 pandemic has brought a race to find a cure for SARS-CoV-2 infections. The most reported symptoms are fever, cough, dyspnoea and breathing difficulties, although many cases have been declared asymptomatic. There is a great investment in science and technology at this moment and, also, many questions about ethics in conducting these researches. Objective: The objective of this study is to describe the evolution of SARS-CoV-2 syndrome in the patient and the measures taken during his treatment. Methodology: The method used was a case report of a patient diagnosed with Covid-19, with hypertension, type II diabetes and metabolic syndrome, with significant pulmonary impairment and diffuse ground-glass infiltration, who progressed to hospitalization in the intensive care unit - ICU. The prone position protocol, recommended for the treatment of patients affected by Covid-19, cannot be used during hospitalization, due to its obesity. Results: The patient presented hypoxemia associated with dyspnea, with episodes of desaturation, with the need for oxygen therapy and non-invasive ventilation on a constant basis, using an O2 nasal cannula. Conclusion: The prone position is safe and should be used whenever possible because it favors a positive response to treatment, however, the patient recovered from the condition without performing it. It is essential to monitor the patient, as well as monitor the pulmonary evolution of the disease, using imaging tests. |
id |
FMC-0_67769b0882186d5cc06cfc68fcf37098 |
---|---|
oai_identifier_str |
oai:ojs.www.fmc.br:article/421 |
network_acronym_str |
FMC-0 |
network_name_str |
Revista Científica da Faculdade de Medicina de Campos |
repository_id_str |
|
spelling |
CLINICAL EVOLUTION OF SARS-CoV-2 SYNDROME IN A PATIENT WITH HYPERTENSION, TYPE II DIABETES AND METABOLIC SYNDROME – CASE REPORTEVOLUÇÃO CLÍNICA DA SÍNDROME SARS-CoV-2 EM PACIENTE PORTADOR DE HIPERTENSÃO, DIABETES TIPO II E SÍNDROME METABÓLICA – RELATO DE CASOcovid-19; vidro fosco; obesidade; ventilação não invasiva.covid-19; frosted glass; obesity; non-invasive ventilation.Abastract Introduction: The Covid-19 pandemic has brought a race to find a cure for SARS-CoV-2 infections. The most reported symptoms are fever, cough, dyspnoea and breathing difficulties, although many cases have been declared asymptomatic. There is a great investment in science and technology at this moment and, also, many questions about ethics in conducting these researches. Objective: The objective of this study is to describe the evolution of SARS-CoV-2 syndrome in the patient and the measures taken during his treatment. Methodology: The method used was a case report of a patient diagnosed with Covid-19, with hypertension, type II diabetes and metabolic syndrome, with significant pulmonary impairment and diffuse ground-glass infiltration, who progressed to hospitalization in the intensive care unit - ICU. The prone position protocol, recommended for the treatment of patients affected by Covid-19, cannot be used during hospitalization, due to its obesity. Results: The patient presented hypoxemia associated with dyspnea, with episodes of desaturation, with the need for oxygen therapy and non-invasive ventilation on a constant basis, using an O2 nasal cannula. Conclusion: The prone position is safe and should be used whenever possible because it favors a positive response to treatment, however, the patient recovered from the condition without performing it. It is essential to monitor the patient, as well as monitor the pulmonary evolution of the disease, using imaging tests.Introdução: A pandemia do Covid-19 trouxe uma corrida em busca da cura para as infecções pelo SARS-CoV-2. Os sintomas mais relatados são febre, tosse, dispneia e dificuldades respiratórias, embora muitos casos declaradas assintomáticos. Há um grande investimento na ciência e tecnologia nesse momento e, também, muitos questionamentos a respeito da ética na condução dessas pesquisas. Objetivo: O objetivo desse estudo é descrever a evolução da síndrome SARS-CoV-2 no paciente e as medidas adotadas durante o seu tratamento. Metodologia: O método utilizado foi um relato de caso de um paciente diagnosticado com Covid-19, portador de hipertensão, diabetes tipo II e síndrome metabólica, com comprometimento pulmonar significativo e infiltrado de vidro fosco difuso, que evoluiu para internação na unidade de terapia intensiva – UTI. O protocolo de posição prona, preconizado para o tratamento de pacientes acometidos pelo Covid-19, não pode ser utilizado durante a internação, devido a sua obesidade. Resultados: O paciente apresentou hipoxemia associada a dispneia, com episódios de dessaturação, com a necessidade de oxigenoterapia e ventilação não invasiva de forma constante, por meio de cânula nasal de O2. Conclusão: A posição prona é segura e deve ser utilizada sempre que possível por favorecer a resposta positiva ao tratamento, entretanto, o paciente recuperou-se do quadro sem realizá-la. É fundamental a monitorização do paciente, assim como acompanhar a evolução pulmonar da doença, por meio de exames de imagem. Faculdade de Medicina de Campos (FMC)2020-12-21info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.fmc.br/ojs/index.php/RCFMC/article/view/42110.29184/1980-7813.rcfmc.421.vol.15.n3.2020Scientific Journal of the Medical School of Campos; Vol. 15 No. 3 (2020); 54-57Revista Científica da Faculdade de Medicina de Campos; v. 15 n. 3 (2020); 54-571980-7813reponame:Revista Científica da Faculdade de Medicina de Camposinstname:Faculdade de Medicina de Campos (FMC)instacron:FMCporhttps://www.fmc.br/ojs/index.php/RCFMC/article/view/421/233Copyright (c) 2020 Revista Científica da Faculdade de Medicina de Camposhttps://creativecommons.org/licenses/by-sa/4.0info:eu-repo/semantics/openAccessSouza Poubel de Paula, Renata SouzaHübner Freitas dos Santos Silva Machado, MarinaBeber Machado, BrunoPaiva Moraes, AugustoBatista Marques Junior, Roberto2021-01-25T19:35:01Zoai:ojs.www.fmc.br:article/421Revistahttps://www.fmc.br/ojs/index.php/RCFMC/PRIhttps://www.fmc.br/ojs/index.php/RCFMC/oai||revista@fmc.br1980-78131980-7813opendoar:2021-01-25T19:35:01Revista Científica da Faculdade de Medicina de Campos - Faculdade de Medicina de Campos (FMC)false |
dc.title.none.fl_str_mv |
CLINICAL EVOLUTION OF SARS-CoV-2 SYNDROME IN A PATIENT WITH HYPERTENSION, TYPE II DIABETES AND METABOLIC SYNDROME – CASE REPORT EVOLUÇÃO CLÍNICA DA SÍNDROME SARS-CoV-2 EM PACIENTE PORTADOR DE HIPERTENSÃO, DIABETES TIPO II E SÍNDROME METABÓLICA – RELATO DE CASO |
title |
CLINICAL EVOLUTION OF SARS-CoV-2 SYNDROME IN A PATIENT WITH HYPERTENSION, TYPE II DIABETES AND METABOLIC SYNDROME – CASE REPORT |
spellingShingle |
CLINICAL EVOLUTION OF SARS-CoV-2 SYNDROME IN A PATIENT WITH HYPERTENSION, TYPE II DIABETES AND METABOLIC SYNDROME – CASE REPORT Souza Poubel de Paula, Renata Souza covid-19; vidro fosco; obesidade; ventilação não invasiva. covid-19; frosted glass; obesity; non-invasive ventilation. |
title_short |
CLINICAL EVOLUTION OF SARS-CoV-2 SYNDROME IN A PATIENT WITH HYPERTENSION, TYPE II DIABETES AND METABOLIC SYNDROME – CASE REPORT |
title_full |
CLINICAL EVOLUTION OF SARS-CoV-2 SYNDROME IN A PATIENT WITH HYPERTENSION, TYPE II DIABETES AND METABOLIC SYNDROME – CASE REPORT |
title_fullStr |
CLINICAL EVOLUTION OF SARS-CoV-2 SYNDROME IN A PATIENT WITH HYPERTENSION, TYPE II DIABETES AND METABOLIC SYNDROME – CASE REPORT |
title_full_unstemmed |
CLINICAL EVOLUTION OF SARS-CoV-2 SYNDROME IN A PATIENT WITH HYPERTENSION, TYPE II DIABETES AND METABOLIC SYNDROME – CASE REPORT |
title_sort |
CLINICAL EVOLUTION OF SARS-CoV-2 SYNDROME IN A PATIENT WITH HYPERTENSION, TYPE II DIABETES AND METABOLIC SYNDROME – CASE REPORT |
author |
Souza Poubel de Paula, Renata Souza |
author_facet |
Souza Poubel de Paula, Renata Souza Hübner Freitas dos Santos Silva Machado, Marina Beber Machado, Bruno Paiva Moraes, Augusto Batista Marques Junior, Roberto |
author_role |
author |
author2 |
Hübner Freitas dos Santos Silva Machado, Marina Beber Machado, Bruno Paiva Moraes, Augusto Batista Marques Junior, Roberto |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Souza Poubel de Paula, Renata Souza Hübner Freitas dos Santos Silva Machado, Marina Beber Machado, Bruno Paiva Moraes, Augusto Batista Marques Junior, Roberto |
dc.subject.por.fl_str_mv |
covid-19; vidro fosco; obesidade; ventilação não invasiva. covid-19; frosted glass; obesity; non-invasive ventilation. |
topic |
covid-19; vidro fosco; obesidade; ventilação não invasiva. covid-19; frosted glass; obesity; non-invasive ventilation. |
description |
Abastract Introduction: The Covid-19 pandemic has brought a race to find a cure for SARS-CoV-2 infections. The most reported symptoms are fever, cough, dyspnoea and breathing difficulties, although many cases have been declared asymptomatic. There is a great investment in science and technology at this moment and, also, many questions about ethics in conducting these researches. Objective: The objective of this study is to describe the evolution of SARS-CoV-2 syndrome in the patient and the measures taken during his treatment. Methodology: The method used was a case report of a patient diagnosed with Covid-19, with hypertension, type II diabetes and metabolic syndrome, with significant pulmonary impairment and diffuse ground-glass infiltration, who progressed to hospitalization in the intensive care unit - ICU. The prone position protocol, recommended for the treatment of patients affected by Covid-19, cannot be used during hospitalization, due to its obesity. Results: The patient presented hypoxemia associated with dyspnea, with episodes of desaturation, with the need for oxygen therapy and non-invasive ventilation on a constant basis, using an O2 nasal cannula. Conclusion: The prone position is safe and should be used whenever possible because it favors a positive response to treatment, however, the patient recovered from the condition without performing it. It is essential to monitor the patient, as well as monitor the pulmonary evolution of the disease, using imaging tests. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-12-21 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.fmc.br/ojs/index.php/RCFMC/article/view/421 10.29184/1980-7813.rcfmc.421.vol.15.n3.2020 |
url |
https://www.fmc.br/ojs/index.php/RCFMC/article/view/421 |
identifier_str_mv |
10.29184/1980-7813.rcfmc.421.vol.15.n3.2020 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.fmc.br/ojs/index.php/RCFMC/article/view/421/233 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2020 Revista Científica da Faculdade de Medicina de Campos https://creativecommons.org/licenses/by-sa/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2020 Revista Científica da Faculdade de Medicina de Campos https://creativecommons.org/licenses/by-sa/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Faculdade de Medicina de Campos (FMC) |
publisher.none.fl_str_mv |
Faculdade de Medicina de Campos (FMC) |
dc.source.none.fl_str_mv |
Scientific Journal of the Medical School of Campos; Vol. 15 No. 3 (2020); 54-57 Revista Científica da Faculdade de Medicina de Campos; v. 15 n. 3 (2020); 54-57 1980-7813 reponame:Revista Científica da Faculdade de Medicina de Campos instname:Faculdade de Medicina de Campos (FMC) instacron:FMC |
instname_str |
Faculdade de Medicina de Campos (FMC) |
instacron_str |
FMC |
institution |
FMC |
reponame_str |
Revista Científica da Faculdade de Medicina de Campos |
collection |
Revista Científica da Faculdade de Medicina de Campos |
repository.name.fl_str_mv |
Revista Científica da Faculdade de Medicina de Campos - Faculdade de Medicina de Campos (FMC) |
repository.mail.fl_str_mv |
||revista@fmc.br |
_version_ |
1798042302059380736 |