Acute bronchial asthma in emergency care in a city of Pernambuco during the COVID-19 pandemic: Case report

Authors

DOI:

https://doi.org/10.33448/rsd-v10i5.14959

Keywords:

Asthma; Symptom flare up; Therapeutics; Ambulatory care; Coronavirus infections.

Abstract

Bronchial asthma is a chronic disease of the airways, heterogeneous and of unknown etiology. In Brazil, decompensated bronchial asthma is the fourth leading cause of hospitalizations, with a higher incidence in the Northeast and Southeast regions, with descending mortality rates. The most common symptoms and signs are dyspnea, wheezing, retrosternal chest tightness and cough, resulting from the inflammatory process, with bronchial hyperreactivity and bronchoconstriction. This article aims to alert health professionals about the early diagnosis and treatment of exacerbated asthma in an emergency in the pandemic context of COVID-19, through this case report. Also dealing with the differential diagnosis in respiratory symptoms for COVID-19 with assessment of epidemiological risks and radiography, not very sensitive and specific for COVID-19, but widely available. This case report is about a 19-year-old Caucasian woman, single, born in Caruaru-PE, with complaints of low intensity chest discomfort, dyspnea and fatigue for three days, presenting exacerbation of symptoms in the last four hours, with previous diagnosis of asthma since childhood, currently with treatment interrupted due to fear of worsening for COVID-19 and waking up at night every day during the last month. After therapeutic conduct and clinical improvement, the patient was discharged with instructions on continuity of oral corticosteroids, return to bronchial asthma control therapy, need for follow-up in Primary Health Care (PHC) and symptoms of severity for bronchial asthma and COVID- 19 that indicate the need for emergency care.

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Published

15/05/2021

How to Cite

AFONSO, T. de O.; SANTOS, S. L. dos; ARAÚJO, G. B.; CARVALHO, I. de O.; BORGES, G. D.; BARROS, C. V. M. de L.; CARVALHO, S. B. de; DIAS, E. M. da L.; MACHADO, M. G. de O.; BARBOSA, R. R. R.; VIEIRA, A. I. A.; COSTA, L. C.; LOURES, L. L. da S.; BARBOSA, B. da L.; PORTO, G. M. de A.; DELAIA, I. N.; SOUZA, E. P. D. de; SILVA, M. T. da; SOUSA, C. L. T. C. de; SANTOS, A. de C. I. dos; DIAS, F. A. O. Acute bronchial asthma in emergency care in a city of Pernambuco during the COVID-19 pandemic: Case report. Research, Society and Development, [S. l.], v. 10, n. 5, p. e52910514959, 2021. DOI: 10.33448/rsd-v10i5.14959. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/14959. Acesso em: 29 jan. 2023.

Issue

Section

Health Sciences