Pulmonary alveolar proteinosis diagnosis of after exposure to covid-19: case report
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
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 |
Resumo: | 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. |
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Pulmonary alveolar proteinosis diagnosis of after exposure to covid-19: case reportDiagnóstico de proteinosis alveolar pulmonar tras exposición al covid-19: reporte de casoDiagnóstico de proteinose alveolar pulmonar após exposição à covid-19: relato de casoProteinose alveolar pulmonarPavimentação em mosaicoCovid-19CoronavírusSARS-CoV-2Proteinosis alveolar pulmonarEmpedrado en mosaicoCovid-19CoronavirusSARS-CoV-2Pulmonary alveolar proteinosisCrazy pavingCOVID-19CoronavirusSARS-CoV-2This 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.Los objetivos de este artículo son presentar el caso de un paciente diagnosticado de proteinosis alveolar pulmonar (PAP) tras empeorar el cuadro clínico debido a infección por covid-19 y realizar una revisión sobre la PAP con el fin de generar más conocimiento a los profesionales sanitarios sobre esta comorbilidad. El caso investigado fue de un paciente masculino de 48 años de edad, con reporte de tos y disnea desde hace un año, que presentaba exacerbación del cuadro respiratorio posterior a infección por SARS-CoV-2, lo que requirió inicio de soporte de oxígeno vía catéter nasal por disminución de la saturación y deterioro de las actividades de la vida diaria. Se realizó una tomografía computarizada de alta resolución (TCAR) de tórax y se observó empedrado en mosaico con afectación difusa de los campos pulmonares. Según los hallazgos clínicos y radiológicos compatibles con PAP, se le realizó al paciente lavado pulmonar total y mejoró la disnea y la tos. La proteinosis alveolar pulmonar es una enfermedad que merece relevancia por el compromiso clínico que puede ocasionar al paciente. Es necesario un seguimiento médico periódico para observar la evolución de la enfermedad y definir el abordaje terapéutico según la presentación clínica de cada paciente. También es necesario repetir el lavado pulmonar total y, en casos refractarios, buscar alternativas terapéuticas. Ante la afectación pulmonar y síntomas similares a infecciones por SARS-CoV-2, es importante prestar atención a los diagnósticos diferenciales.Os objetivos deste artigo são relatar o caso de um paciente diagnosticado com proteinose alveolar pulmonar (PAP) após piora do quadro clínico decorrente da infecção por covid-19 e realizar uma revisão sobre a PAP na busca de promover o maior conhecimento dos profissionais de saúde sobre essa comorbidade. Participou da pesquisa um paciente de 48 anos de idade, sexo masculino, com relato de quadro de tosse e dispneia há um ano, apresentando exacerbação do quadro respiratório após infecção por SARS-CoV-2, com necessidade de início de suporte de oxigênio via cateter nasal devido à diminuição da saturação e ao comprometimento das atividades da vida diária. Foi realizada tomografia computadorizada de alta resolução do tórax (TCAR) e evidenciada pavimentação em mosaico com comprometimento difuso dos campos pulmonares. Conforme achados clínicos e radiológicos compatíveis com PAP, o paciente foi submetido à lavagem pulmonar total e apresentou melhora da dispneia e da tosse. A proteinose alveolar pulmonar é uma doença que merece relevância devido ao comprometimento clínico que pode ocasionar ao paciente. É necessário um acompanhamento médico periódico para observar a evolução da doença e definir a conduta terapêutica conforme apresentação clínica de cada enfermo. Por vezes, pode ser necessário repetir a lavagem pulmonar total e em casos refratários, buscar alternativas terapêuticas. Tendo em vista o envolvimento pulmonar e os sintomas semelhantes a infecções por SARS-CoV-2, é importante atentar para os diagnósticos diferenciais.SESAB2022-12-14info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/377710.22278/2318-2660.2022.v46.nSupl_1.a3777Revista Baiana de Saúde Pública; v. 46 n. supl. 1 (2022); 231-2442318-26600100-023310.22278/2318-2660.2022.v46.NSupl_1reponame:Revista Baiana de Saúde Pública (Online)instname:Secretaria da Saúde do Estado da Bahia (Sesab)instacron:IBICTporhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3777/3075Copyright (c) 2022 Revista Baiana de Saúde Públicainfo:eu-repo/semantics/openAccessRamos, Bruno Bulhões RibeiroJezler, Sérgio Fernandes de OliveiraFreire, Camila Verônica SouzaFarias, Daniel Santana2023-02-13T16:37:43Zoai:ojs.pkp.sfu.ca:article/3777Revistahttps://rbsp.sesab.ba.gov.br/index.php/rbspPUBhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/oai||saude.revista@saude.ba.gov.br|| rbsp.saude@saude.ba.gov.br2318-26600100-0233opendoar:2024-03-06T12:58:28.651777Revista Baiana de Saúde Pública (Online) - Secretaria da Saúde do Estado da Bahia (Sesab)false |
dc.title.none.fl_str_mv |
Pulmonary alveolar proteinosis diagnosis of after exposure to covid-19: case report Diagnóstico de proteinosis alveolar pulmonar tras exposición al covid-19: reporte de caso Diagnóstico de proteinose alveolar pulmonar após exposição à covid-19: relato de caso |
title |
Pulmonary alveolar proteinosis diagnosis of after exposure to covid-19: case report |
spellingShingle |
Pulmonary alveolar proteinosis diagnosis of after exposure to covid-19: case report Ramos, Bruno Bulhões Ribeiro 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 |
title_short |
Pulmonary alveolar proteinosis diagnosis of after exposure to covid-19: case report |
title_full |
Pulmonary alveolar proteinosis diagnosis of after exposure to covid-19: case report |
title_fullStr |
Pulmonary alveolar proteinosis diagnosis of after exposure to covid-19: case report |
title_full_unstemmed |
Pulmonary alveolar proteinosis diagnosis of after exposure to covid-19: case report |
title_sort |
Pulmonary alveolar proteinosis diagnosis of after exposure to covid-19: case report |
author |
Ramos, Bruno Bulhões Ribeiro |
author_facet |
Ramos, Bruno Bulhões Ribeiro Jezler, Sérgio Fernandes de Oliveira Freire, Camila Verônica Souza Farias, Daniel Santana |
author_role |
author |
author2 |
Jezler, Sérgio Fernandes de Oliveira Freire, Camila Verônica Souza Farias, Daniel Santana |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Ramos, Bruno Bulhões Ribeiro Jezler, Sérgio Fernandes de Oliveira Freire, Camila Verônica Souza Farias, Daniel Santana |
dc.subject.por.fl_str_mv |
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 |
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 |
description |
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. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-12-14 |
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://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3777 10.22278/2318-2660.2022.v46.nSupl_1.a3777 |
url |
https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3777 |
identifier_str_mv |
10.22278/2318-2660.2022.v46.nSupl_1.a3777 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3777/3075 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 Revista Baiana de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2022 Revista Baiana de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
SESAB |
publisher.none.fl_str_mv |
SESAB |
dc.source.none.fl_str_mv |
Revista Baiana de Saúde Pública; v. 46 n. supl. 1 (2022); 231-244 2318-2660 0100-0233 10.22278/2318-2660.2022.v46.NSupl_1 reponame:Revista Baiana de Saúde Pública (Online) instname:Secretaria da Saúde do Estado da Bahia (Sesab) instacron:IBICT |
instname_str |
Secretaria da Saúde do Estado da Bahia (Sesab) |
instacron_str |
IBICT |
institution |
IBICT |
reponame_str |
Revista Baiana de Saúde Pública (Online) |
collection |
Revista Baiana de Saúde Pública (Online) |
repository.name.fl_str_mv |
Revista Baiana de Saúde Pública (Online) - Secretaria da Saúde do Estado da Bahia (Sesab) |
repository.mail.fl_str_mv |
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