Post Covid with Pleural Effusion: A Case Report

DOI

10.2991/978-94-6463-048-0_5How to use a DOI?

Keywords

Post Covid-19; Pleural Effusion; Congestive Heart Failure

Abstract

The Covid-19 pandemic has lasted for 1,5 years. There are many patients who suffered from many conditions or symptoms post Covid-19. In this report, we share our experience of caring for a post Covid-19 who suffered from worsening symptoms of breathlessness. Clinicians should be aware of post Covid-19 syndrome, and try to find the underlying cause and solve the problems. A 65-year-old man came to Universitas Islam Indonesia Hospital with severe dyspnea 3 months after discharged from hospitalization for Covid-19 diagnosis. Clinical examination showed bilateral massive pleural effusion and was confirmed by chest x-ray. From echocardiography, we found a 42% decrease in ejection fraction of systolic function. After furosemide treatment, there was only marginal improvement. In order to reduce the pleural effusion, we conducted pleural effusion tapping, and we tapped 1200 ml serous discharge from the right pleura and 1100 ml from left pleura. From the laboratory examination we concluded that the discharge was transudation from reduced cardiac function. There was no evidence of bacterial infection nor mycobacterial tuberculosis infection. The patient had diabetes mellitus as comorbidity; however, the blood glucose remained stable and controlled with diet during hospitalization. Follow-up several months after discharge showed that maintenance treatment with diuretic, beta-blocker and Angiotensin II Receptor blocker showed good results and there was no recurrence of pleural effusion. Post Covid-19 symptoms can manifest as severe dyspnea from pleural effusion caused by reduced cardiac function. Several diagnostic tests should be performed to exclude other causes of pleural effusion. The symptom will improve with pleural tapping and administration of diuretic, beta-blocker and Angiotensin II receptor blocker.

Copyright

© 2023 The Author(s)

Open Access

Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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TY  - CONF
AU  - Ana Fauziyati
AU  - Bagus Andi Pramono
AU  - Untung Widodo
PY  - 2022
DA  - 2022/12/19
TI  - Post Covid with Pleural Effusion: A Case Report
BT  - Proceedings of the 3rd International Conference on Cardiovascular Diseases (ICCvD 2021)
PB  - Atlantis Press
SP  - 25
EP  - 36
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-048-0_5
DO  - 10.2991/978-94-6463-048-0_5
ID  - Fauziyati2022
ER  -