O ACOMETIMENTO PULMONAR DA COINFECÇÃO DE COVID-19 COM TUBERCULOSE: UMA REVISÃO INTEGRATIVA DA LITERATURA

Autores

  • Gabriella Giandotti Gomar
  • Rogerio Saad Vaz

DOI:

https://doi.org/10.51161/rems/2243

Palavras-chave:

COINFECTION, COVID-19, MYCOBACTERIUM TUBERCULOSIS

Resumo

Introdução: A tuberculose é uma infecção causada pela bactéria Mycobacterium tuberculosis, acometendo mais frequentemente os pulmões. Já a COVID-19 consiste em uma infecção respiratória aguda ocasionada pelo SARS-CoV-2, um RNA vírus envelopado. Além disso, ambas as doenças apresentam semelhanças clínicas e radiológicas e podem levar a óbito. Objetivo: Tal estudo objetiva relacionar aspectos da coinfecção de tuberculose e COVID-19. Material e métodos: Trata-se de uma revisão integrativa da literatura, em que se utilizou os descritores “Coinfection”, “COVID-19” e “Mycobacterium tuberculosis” para busca nas bases de dados Pubmed, Biblioteca Virtual em Saúde e Portal de Periódicos CAPES. Foram selecionados artigos publicados nos últimos 5 anos, em inglês, português e espanhol. Resultados: Embora a infecção por tuberculose apresente-se cronicamente a infecção por COVID-19 de forma aguda, um obstáculo no diagnóstico dos casos de coinfecção de tais doenças consiste na mimetização dos sintomas entre elas e as apresentações inespecíficas. Apesar da presente escassez de dados sobre tal tema, sabe-se que a tuberculose pode ser um dos fatores de risco para o aumento da mortalidade do COVID-19. Além disso, foi relatada uma menor taxa de notificação da tuberculose com os aumentos das taxas de COVID-19. Assim, mesmo em pacientes com sintomas de doença respiratória grave e RT-PCR COVID-19 positivo, deve-se atentar a histórica clínica, e em alguns pacientes histórico de perda de peso ou contexto de medicamentos imunossupressores, deverá ser levantada e investigada a hipótese de tuberculose. São necessários mais estudos em populações variadas sobre tal coinfecção, para que assim existam resultados mais sólidos quanto ao tema. Conclusão: A coinfecção de tuberculose e COVID-19 pode ter sintomas inespecíficos e portanto o diagnóstico pode ser difícil. Entretanto, vale ressaltar que tais infecções quando simultâneas podem aumentar a chance de óbito do indivíduo, sendo, assim, necessária uma maior produção científica sobre tal tema.  

Publicado

2021-10-08

Como Citar

Gomar, G. G. ., & Vaz, R. S. . (2021). O ACOMETIMENTO PULMONAR DA COINFECÇÃO DE COVID-19 COM TUBERCULOSE: UMA REVISÃO INTEGRATIVA DA LITERATURA. Revista Multidisciplinar Em Saúde, 2(4), 99. https://doi.org/10.51161/rems/2243

Edição

Seção

I Congresso Brasileiro de Doenças Infectocontagiosas On-line

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Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
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Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php
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Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php
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                                                SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[3], null, null, null, 500, 1) % line  132, file: SubmissionSearch.inc.php
                                             SubmissionSearch._getMergedArray(Object:Journal, Array[1], null, null) % line  263, file: SubmissionSearch.inc.php
                                          SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1]) % line   92, file: RecommendBySimilarityPlugin.inc.php
                                       RecommendBySimilarityPlugin.callbackTemplateArticlePageFooter(Templates::Article::Footer::PageFooter, Array[3]) % line  107, file: HookRegistry.inc.php
                                    HookRegistry.call(Templates::Article::Footer::PageFooter, Array[3]) % line 1267, file: PKPTemplateManager.inc.php
                                 PKPTemplateManager.smartyCallHook(Array[1], Object:Smarty_Internal_Template) % line   43, file: 42362804174f266c598cdb32c3208fc745b92101^1c372c95cd85572e0fbc9a53d0323a0b229cfc78_0.app.frontendpagesarticle.tpl.php
                              content_6781613650b432_13896783(Object:Smarty_Internal_Template) % line  123, file: smarty_template_resource_base.php
                           Smarty_Template_Resource_Base.getRenderedTemplateCode(Object:Smarty_Internal_Template) % line  114, file: smarty_template_compiled.php
                        Smarty_Template_Compiled.render(Object:Smarty_Internal_Template) % line  216, file: smarty_internal_template.php
                     Smarty_Internal_Template.render(false, 1) % line  232, file: smarty_internal_templatebase.php
                  Smarty_Internal_TemplateBase._execute(Object:Smarty_Internal_Template, null, 42362804174f266c598cdb32c3208fc745b92101, null, 1) % line  134, file: smarty_internal_templatebase.php
               Smarty_Internal_TemplateBase.display(frontend/pages/article.tpl, null, 42362804174f266c598cdb32c3208fc745b92101, null) % line  924, file: PKPTemplateManager.inc.php
            PKPTemplateManager.display(frontend/pages/article.tpl) % line  292, file: ArticleHandler.inc.php
         ArticleHandler.view(Array[1], Object:Request) % line  391, file: PKPRouter.inc.php
      PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line  231, file: PKPPageRouter.inc.php
   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

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