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- Title
Candida Pneumonia with Lung Abscess as a Complication of Severe COVID-19 Pneumonia.
- Authors
Abdelhadi, Adel; Kassem, Abeer
- Abstract
aimah, Ras Al-Khaimah, United Arab Emirates; 2Department of Pulmonary Medicine, IBHOA Hospital, MOH, Ras Al-Khaimah, Ras Al-Khaimah, United Arab EmiratesCorrespondence: Adel AbdelhadiDepartment of Critical Care Medicine, Saqr Hospital, MOH, Ras Al-Khaimah, Ras Al-Khaimah, United Arab EmiratesTel +97172049868Fax +97142574933Email [email protected] A South Asian male patient in his mid-forties presented with symptoms of severe 2019-nCoV (COVID-19) and recent brain infarction. Subsequently, he was found to have evidence of sepsis, underlying undetected diabetes mellitus (DM) and oral candida mucositis, possibly leading to the rare occurrence of direct spread to the lung, manifesting as a necrotizing candida lung abscess. We describe the diagnosis, clinical course, and management of the unique complication in this case that occurred during his admission, hospitalization, and eventual successful discharge from the hospital. This case highlights the importance of early identification and treatment of suspected COVID-19 infection based on clinical and radiological assessments before the confirmation of COVID-19 by real-time polymerase chain reaction (rtPCR) test result, especially in patients with hyperglycemia. It also indicates the complications that can occur due to COVID-19 such as arteriovenous manifestations and the rare occurrence of pulmonary candida lung abscess. Early detection and prompt management by interdisciplinary teams in the emergency room, followed by close monitoring of complications in the intensive care unit (ICU), can lead to successful outcomes in severe/critical COVID-19 infection.
- Subjects
RA'S al-Khaymah (United Arab Emirates); MUCOSITIS; COVID-19; LUNGS; HOSPITAL admission &; discharge; CEREBRAL infarction; ABSCESSES; ARTERIOVENOUS fistula
- Publication
International Medical Case Reports Journal, 2021, Vol 14, p853
- ISSN
1179-142X
- Publication type
Case Study
- DOI
10.2147/IMCRJ.S342054