Acute bronchial asthma in emergency care in a city of Pernambuco during the COVID-19 pandemic: Case report
DOI:
https://doi.org/10.33448/rsd-v10i5.14959Keywords:
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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Copyright (c) 2021 Thyago de Oliveira Afonso; Samuel Lopes dos Santos; Gustavo Baroni Araújo; Igor de Oliveira Carvalho; Guilherme Dantas Borges; Caio Victor Muniz de Lima Barros; Simone Barroso de Carvalho; Elvira Marques da Luz Dias; Marília Girão de Oliveira Machado; Rosanna Rafena Ribeiro Barbosa; Ana Izabel Aparecida Vieira; Luziane Cardoso Costa; Leandro Luiz da Silva Loures; Bernardo da Luz Barbosa; Gustavo Martins de Araújo Porto; Isadora Nunes Delaia; Erica Patrícia Dias de Souza; Mariana Teixeira da Silva; Camila Leanne Teixeira Coelho de Sousa; Ana de Cássia Ivo dos Santos; Francisca Agda Oliveira Dias
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