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Morte por falência múltipla de órgãos em paciente com COVID-19 grave, AIDS, comprometimento cardiovascular e infecções pulmonares prévias
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Palavras-chave

COVID-19
HIV
coinfecção
Falência de múltiplos órgãos

Como Citar

Morte por falência múltipla de órgãos em paciente com COVID-19 grave, AIDS, comprometimento cardiovascular e infecções pulmonares prévias. (2024). Revista Eletrônica Acervo Saúde, 24(6), e15610. https://doi.org/10.25248/reas.e15610.2024

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Resumo

Objetivo: Relatar um caso de coinfecção pelo SARS-CoV-2/HIV em um paciente com histórico recente de infecções pulmonares, que teve parada cardiopulmonar no dia de sua internação para tratar da COVID-19, falecendo alguns dias depois de falência múltipla de órgãos. Detalhamento de caso: Um homem de 33 anos, imunossuprimido (em abandono de tratamento para o HIV) deu entrada no serviço de pronto-atendimento com sintomas respiratórios e testou positivo para SARS-CoV-2. Durante a internação, o paciente teve parada cardiopulmonar e apresentou intenso perfil inflamatório, infecção fúngica, sepse, acidose metabólica, hipertensão arterial, trombose, hemorragia, além de lesão hepática, muscular e renal. Por fim, o paciente evoluiu para falência de múltiplos órgãos, indo à óbito.  Considerações finais: A grave imunodeficiência causada pelo HIV, associada a doenças cardiopulmonares de base, contribui para desfechos letais da COVID-19.

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Referências

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