EARLY PREDICTING LYMPHOPENIA OF SERIOUS INFLATION PNEUMONIA COVID-19: CASE PRESENTATION

Valdiviezo Allauca Nataly Sofia; Chavez Berrones Mayra Silvana; Luisa Carolina Maldonado Avila; Claudia Maritza Arteaga Navarrete; Micaela Alexandra Ron Urbano; Stefany Misshel Garcia Chamba; Bryan Harold Astudillo Ramirez; Sandy Estefania Yandun Guamani; Adriana Ximena Guachi Criollo

Volume : IX, Issue : V, May - 2020

EARLY PREDICTING LYMPHOPENIA OF SERIOUS INFLATION PNEUMONIA COVID-19: CASE PRESENTATION

Valdiviezo Allauca Nataly Sofia, Chavez Berrones Mayra Silvana, Luisa Carolina Maldonado Avila, Claudia Maritza Arteaga Navarrete, Micaela Alexandra Ron Urbano, Stefany Misshel Garcia Chamba, Bryan Harold Astudillo Ramirez, Sandy Estefania Yandun Guamani, Adriana Ximena Guachi Criollo

Abstract :

Coronaviruses are common viruses in many species of animals such as cows, camels, cats and bats, some have the ability to transmit from animals to people, producing symptoms that range from the common cold to more serious pathologies. The new coronavirus is called SARS-CoV2, the disease is called Corona Virus Disease 2019 = COVID-19. It is a new type of coronavirus that can affect humans, discovered in December 2019 in Wuhan, China. The existing bibliography tells us as a main risk factor the antecedent of arterial hypertension (HT), and the presence of lymphopenia as a predictor of poor prognosis.1 We present the case of an older adult patient with a history of controlled HT, who, after exposure in a shopping center, presented respiratory symptoms based on cough without expectoration, and myalgias; He goes to a specialized hospital where they carry out extension studies, highlighting lymphopenia and nasopharyngeal swab: SARS-COV-2 Positive PCR in addition to ground chest pattern tomography in ground glass without response to the prescribed treatment; due to type I respiratory failure, he was transferred to the intensive care unit, where he presented complications: pneumonia associated with mechanical ventilation, apical laminar pneumothorax, and lung abscess in the middle lobe, carrier of a tracheostomy, with poor response to clinical management, evolved unfavorably and died . Objective: Early recognition of the immune phenotype of lymphopenia in patients with COVID-19 infection, to help quickly identify serious patients and avoid a poor prognosis. Method: This is a systematic review of lymphopenia as an early predictor of severe pneumonia due to COVID-19 infection, emphasizing its clinical and radiological characteristics. Conclusion: Coronaviruses are a wide family of viruses that can cause various conditions, from the common cold to more serious diseases, as is the case of our patient, who came with symptoms of COVID-19 infection and the finding in lymphopenia tests made that he had a poor prognosis due to the complications that led to his death.