Pulmonary alveolar proteinosis diagnosis of after exposure to covid-19: case report

• Autor(a) principal: Ramos, Bruno Bulhões Ribeiro
• Data de Publicação: 2022
• Outros Autores: Jezler, Sérgio Fernandes de Oliveira, Freire, Camila Verônica Souza, Farias, Daniel Santana
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Baiana de Saúde Pública (Online)
• Texto Completo: https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3777
• topic: Proteinose alveolar pulmonar; Pavimentação em mosaico; Covid-19; Coronavírus; SARS-CoV-2; Proteinosis alveolar pulmonar; Empedrado en mosaico; Covid-19; Coronavirus; SARS-CoV-2; Pulmonary alveolar proteinosis; Crazy paving; COVID-19; Coronavirus; SARS-CoV-2

This paper reports the case of a patient diagnosed with pulmonary alveolar proteinosis (PAP) after a worsening clinical picture due to COVID-19 infection, reviewing the literature on PAP to promote greater knowledge on this comorbidity for health professionals. A 48-year-old male patient with reported coughing and dyspnea for one year, presenting exacerbation of respiratory symptoms after SARS-CoV-2 infection, needing to start oxygen support via nasal catheter due to decreased saturation and impairment of daily living activities. High resolution computed tomography (HRCT) of the chest was performed and showed crazy paving with diffuse involvement of the lung fields. As per clinical and radiological findings compatible with PAP, the patient underwent total lung lavage and showed improvement in dyspnea and coughing. Pulmonary alveolar proteinosis deserves relevance due to the clinical impairment it can cause to the patient. Periodic medical follow-up is necessary to observe the disease evolution and define the therapeutic approach according to the clinical presentation of each patient. Sometimes, it may be necessary to repeat the total lung lavage, and to seek therapeutic alternatives in refractory cases. Given the pulmonary involvement and symptoms similar to SARS-CoV-2 infections, one must pay attention to the differential diagnoses.