Complex management of GS (Good's syndrome) with persistent COVID-19 infection and polymicrobial infections: A case report
This case report highlights the diagnostic and therapeutic complexities faced by a 56-year-old female with Good's syndrome (GS), who presented with persistent Coronavirus Disease 2019 (COVID-19) infection alongside <i>Aspergillus</i> spp, <i>cytomegalovirus</i>, and <i>Pseudomonas aeruginosa</i> co-infection, which collectively contributed to severe pulmonary involvement. The report further emphasizes a multifaceted treatment approach, incorporating antivirals, antifungals, antimicrobials, immunoglobulins, and antifibrotic therapy, which ultimately led to an improvement in the patient's condition. It underscored the intricate challenges of managing immunocompromised patients with multiple concurrent infections. The detailed diagnosis and treatment process of this complex case provides valuable insights to clinicians managing similar scenarios.
Authors
- Hua Yin (ORCID: https://orcid.org/0000-0002-2793-0860)
- Hongni Jiang (ORCID: https://orcid.org/0000-0002-6820-3723)
- Zhisheng Chen (ORCID: https://orcid.org/0000-0002-0854-2547)
- Lumin Wang (ORCID: https://orcid.org/0000-0001-7093-9839)
- Jiaxin Liu (ORCID: https://orcid.org/0000-0002-8903-114X)
- Huijun Zhang (ORCID: https://orcid.org/0000-0003-1722-7511)
- Yijiao Xu (ORCID: https://orcid.org/0000-0002-4685-2378)
Institutions
- Sun Yat-sen University (CN)
- Fudan University (CN)
- Zhongshan Hospital of Xiamen University (CN)
- Zhongshan Hospital (CN)
- The First Affiliated Hospital, Sun Yat-sen University (CN)
Publication Details
- Journal
- Heliyon
- Published
- 2024-12-21
- DOI
- https://doi.org/10.1016/j.heliyon.2024.e41382
- Citations
- 1
- Primary Topic
- Myasthenia Gravis and Thymoma
- Type
- article
- Field-Weighted Citation Impact
- 0.37