A Patient with 38 Years of Smoking History and Severe Shortness of Breath
Aim: to present a clinical case of post-COVID bronchiolitis in an adult.Key points. A 54-year-old female patient with a long history of smoking was hospitalized in the pulmonology department of the Clinic with a leading complaint of progressive shortness of breath after a COVID-19 infection. The dia...
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| Format: | Article |
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Gastro LLC
2023-12-01
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| Series: | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
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| Online Access: | https://www.gastro-j.ru/jour/article/view/796 |
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| author | E. R. Buklis N. I. Kokina E. L. Bueverova M. V. Feldsherov V. S. Komarova V. T. Ivashkin |
| author_facet | E. R. Buklis N. I. Kokina E. L. Bueverova M. V. Feldsherov V. S. Komarova V. T. Ivashkin |
| author_sort | E. R. Buklis |
| collection | DOAJ |
| description | Aim: to present a clinical case of post-COVID bronchiolitis in an adult.Key points. A 54-year-old female patient with a long history of smoking was hospitalized in the pulmonology department of the Clinic with a leading complaint of progressive shortness of breath after a COVID-19 infection. The diagnosis was established: bilateral bronchiolitis associated with a new coronavirus infection (SARS-CoV-2 polymerase chain reaction — positive); chronic obstructive pulmonary disease stage II according to GOLD (Global Initiative for Chronic Obstructive Lung Disease), exacerbation. Against the background of the therapy, there was a significant positive dynamics in well-being and in CT-picture of bronchiolitis. The patient was discharged for outpatient follow-up treatment. One of the most common symptoms of post-COVID syndrome is shortness of breath. Diagnosis of bronchiolitis, in which this symptom may be the only one, is difficult, especially in patients with a long history of smoking and the presence of comorbid pulmonary pathology.Conclusion. A clinical case of bilateral bronchiolitis in the framework of the post-COVID syndrome is presented. The key to successful diagnosis of bronchiolitis is a thorough differential analysis of the totality of anamnestic and clinical laboratory data, as well as a characteristic CT pattern. |
| format | Article |
| id | doaj-art-8642381b6f9b48569aeac85a9abd2112 |
| institution | Kabale University |
| issn | 1382-4376 2658-6673 |
| language | Russian |
| publishDate | 2023-12-01 |
| publisher | Gastro LLC |
| record_format | Article |
| series | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| spelling | doaj-art-8642381b6f9b48569aeac85a9abd21122025-02-10T16:14:38ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732023-12-0133510511310.22416/1382-4376-2023-33-5-105-113574A Patient with 38 Years of Smoking History and Severe Shortness of BreathE. R. Buklis0N. I. Kokina1E. L. Bueverova2M. V. Feldsherov3V. S. Komarova4V. T. Ivashkin5I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)Polyclinic No. 7 of the Federal Security Service of the Russian FederationI.M. Sechenov First Moscow State Medical University (Sechenov University)Aim: to present a clinical case of post-COVID bronchiolitis in an adult.Key points. A 54-year-old female patient with a long history of smoking was hospitalized in the pulmonology department of the Clinic with a leading complaint of progressive shortness of breath after a COVID-19 infection. The diagnosis was established: bilateral bronchiolitis associated with a new coronavirus infection (SARS-CoV-2 polymerase chain reaction — positive); chronic obstructive pulmonary disease stage II according to GOLD (Global Initiative for Chronic Obstructive Lung Disease), exacerbation. Against the background of the therapy, there was a significant positive dynamics in well-being and in CT-picture of bronchiolitis. The patient was discharged for outpatient follow-up treatment. One of the most common symptoms of post-COVID syndrome is shortness of breath. Diagnosis of bronchiolitis, in which this symptom may be the only one, is difficult, especially in patients with a long history of smoking and the presence of comorbid pulmonary pathology.Conclusion. A clinical case of bilateral bronchiolitis in the framework of the post-COVID syndrome is presented. The key to successful diagnosis of bronchiolitis is a thorough differential analysis of the totality of anamnestic and clinical laboratory data, as well as a characteristic CT pattern.https://www.gastro-j.ru/jour/article/view/796post-covid syndromebronchiolitiscomputed tomographysteroid therapy |
| spellingShingle | E. R. Buklis N. I. Kokina E. L. Bueverova M. V. Feldsherov V. S. Komarova V. T. Ivashkin A Patient with 38 Years of Smoking History and Severe Shortness of Breath Российский журнал гастроэнтерологии, гепатологии, колопроктологии post-covid syndrome bronchiolitis computed tomography steroid therapy |
| title | A Patient with 38 Years of Smoking History and Severe Shortness of Breath |
| title_full | A Patient with 38 Years of Smoking History and Severe Shortness of Breath |
| title_fullStr | A Patient with 38 Years of Smoking History and Severe Shortness of Breath |
| title_full_unstemmed | A Patient with 38 Years of Smoking History and Severe Shortness of Breath |
| title_short | A Patient with 38 Years of Smoking History and Severe Shortness of Breath |
| title_sort | patient with 38 years of smoking history and severe shortness of breath |
| topic | post-covid syndrome bronchiolitis computed tomography steroid therapy |
| url | https://www.gastro-j.ru/jour/article/view/796 |
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