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Ahmed OF, kakamad FH, Hama Amin BJ, Abdullah BA, Hassan MN, Salih RQ, Mohammed SH, Othman S, Ahmed GS, Salih AM. Post COVID-19 pulmonary complications; a single center experience. Ann Med Surg (Lond) 2021; 72:103052. [PMID: 34777798 PMCID: PMC8578026 DOI: 10.1016/j.amsu.2021.103052] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2021] [Revised: 11/05/2021] [Accepted: 11/09/2021] [Indexed: 12/29/2022] Open
Abstract
INTRODUCTION Although the rate and severity of complications after coronavirus 2019 disease (COVID-19) resolution is currently unknown, evidence regarding their presence is increasing in the literature. This study presents a series of cases with post COVID-19 short-term pulmonary complications. METHODS This is a single center retrospective case series study. The demographic and clinical data were collected from the center's electronic records. All the included cases were confirmed COVID-19 patients who had pulmonary complications even after their recovery. RESULTS Nineteen COVID-19 patients were involved in this study. Fourteen of them were male (73.7%) and only 5 (26.3%) cases were female, with a mean age of 52.05 years (26-77). All of the patients developed severe COVID-19 and were admitted to intensive care unit (ICU). The average infection duration was 13.5 days (10-21). The most common complaints after recovery from COVID-19 were shortness of breath, fever, and hemoptysis. Computed tomography scan showed different pulmonary abnormalities between the cases. Different surgical procedures were performed for the patients according to their conditions, such as decortications, lobectomy, and bullectomy. More than half of the patients (n = 10) recovered and were discharged from hospital without complications, five patients were admitted to the ICU, 3 cases developed mucormycosis, and one case passed away. CONCLUSION Following the resolution of COVID-19, patients may experience severe pulmonary complications that may last for months and can affect quality of life, ICU admission, or even death.
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Affiliation(s)
| | - Fahmi H. kakamad
- Department of Surgery, College of Medicine, University of Sulaimani, Sulaimani, Kurdistan Region, Iraq
- Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq
- Kscien Organization for Scientific Research, Hamdi Street, Al Sulaymaniyah, Kurdistan Region, Iraq
| | - Bnar J. Hama Amin
- Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq
| | - Berwn A. Abdullah
- Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq
- Kscien Organization for Scientific Research, Hamdi Street, Al Sulaymaniyah, Kurdistan Region, Iraq
| | - Marwan N. Hassan
- Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq
- Kscien Organization for Scientific Research, Hamdi Street, Al Sulaymaniyah, Kurdistan Region, Iraq
| | - Rawezh Q. Salih
- Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq
- Kscien Organization for Scientific Research, Hamdi Street, Al Sulaymaniyah, Kurdistan Region, Iraq
| | - Shvan H. Mohammed
- Kscien Organization for Scientific Research, Hamdi Street, Al Sulaymaniyah, Kurdistan Region, Iraq
| | - Snur Othman
- Kscien Organization for Scientific Research, Hamdi Street, Al Sulaymaniyah, Kurdistan Region, Iraq
| | - Gasha S. Ahmed
- College of Health Sciences, Medical Laboratory Science Department, University of Human Development, Sulaimani, Kurdistan, Iraq
- Department of Medical Microbiology, Faculty of Medicine, Gaziosmanpasa University, Tokat, Turkey
| | - Abdulwahid M. Salih
- Department of Surgery, College of Medicine, University of Sulaimani, Sulaimani, Kurdistan Region, Iraq
- Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq
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Tessitore A, Patella M, Giuliani M, Theologou T, Freguia S, Minerva EM, Rugel G, Cafarotti S. Surgical treatment of pleural empyema in Coronavirus disease 19 patients: the Southern Switzerland experience. Interact Cardiovasc Thorac Surg 2021; 32:367-370. [PMID: 33221888 PMCID: PMC7717251 DOI: 10.1093/icvts/ivaa269] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Revised: 10/02/2020] [Accepted: 10/13/2020] [Indexed: 12/13/2022] Open
Abstract
We report the first surgical series of patients developing pleural empyema after severe bilateral interstitial lung disease in confirmed severe acute respiratory syndrome coronavirus 2 infection. The empyema results in a complex medical challenge that requires combination of medical therapies, mechanical ventilation and surgery. The chest drainage approach was not successful to relieve the symptomatology and to drain the excess fluid. After multidisciplinary discussion, a surgical approach was recommended. Even though decortication and pleurectomy are high-risk procedures, they must be considered as an option for pleural effusion in Coronavirus disease-positive patients. This is a life-treating condition, which can worsen the coronavirus disease manifestation and should be treated immediately to improve patient’s status and chance of recovery.
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Affiliation(s)
- Adele Tessitore
- Department of Thoracic Surgery, San Giovanni Hospital, Ente ospedaliero cantonale Bellinzona, Bellinzona, Switzerland
| | - Miriam Patella
- Department of Thoracic Surgery, San Giovanni Hospital, Ente ospedaliero cantonale Bellinzona, Bellinzona, Switzerland
| | - Mauro Giuliani
- Division of General Surgery, Ospedale Regionale di Locarno, Locarno, Switzerland
| | - Thomas Theologou
- Department of Cardiac Surgery, Cardiocentro Ticino, Lugano, Switzerland
| | - Stefania Freguia
- Clinical Cytopathology Service, Histopathology Service, Locarno, Switzerland
| | | | - Gregor Rugel
- Department of Thoracic Surgery, San Giovanni Hospital, Ente ospedaliero cantonale Bellinzona, Bellinzona, Switzerland
| | - Stefano Cafarotti
- Department of Thoracic Surgery, San Giovanni Hospital, Ente ospedaliero cantonale Bellinzona, Bellinzona, Switzerland
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