Faculty of Medicine

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    Sindroma inflamatore multisistemike te femijet e asocuar me SARS-Covid 2 – karakteristikat klinike dhe trajtimi.
    (Medicus 2021, Vol. 26 (3): 330-338., 2021-12)
    A. Hasani
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    Hyrje: Sindroma multisistemike inflamatore tek femijet (MIS-c) eshte gjendje e rralle por serioze e cila lidhet me infekcionin SARS-COVID-2. Qellimi i ketij punimi eshte publikimi i pervojes tone me femije me MIS. Pershkrimi i simptomeve klinike, analizave laboratorike, mikrobiologjike dhe trajtimit do te sherbej ne rritjen e njohurive per kete syndrome te re tek femijet. Rezultatet: Jane pershkruar simptomet, shenjat klinike, analizat laboratorike dhe mikrobiologjike ne 18 femije te hospitalizuar ne repartin e Imunologjise ne periudhen dhjetor 2020-shtaror 2021. Te gjithe femijet jane pranuar ne repart me vlera te larte te parametrave inflamator, me temperature te larte minimum 3 dite para pranimit si dhe analiza serologjike pozitive per SARS-COVID2 infekcion. Ne asnje femije nuk eshte izoluar patogjen mikrobiologjik si shkaktar i mundshem etiologjik. Simptomet me te shpeshta ishin ato te traktit gastrointestinal ne 88.8% te femijeve. Ndryshimet ne lekure, edeme dhe hipotensioni ishin te pranishem ne 61.1% te rasteve. 4 femije (22.2%) ishin me simptome e shenja te apendicitit akut, tre prej te cileve jane operuar, nje eshte trajtuar ne menyre konzervative. 3 femije ishin me miokardit/perikardit dhe me pankreatit akut. Vetem nje femije (5.5%) ishte me shenja te insuficiences akute renale. Perfundimi: Femijet me MIS mund te kerkojne trajtim intenziv pediatric dhe qasje multidiciplinare ne trajtim.Njohja dhe identifikimi I hershem I kesaj gjendje si dhe udhezimi ne kohe per trajtim specialistik eshte me rendesi te veqante.
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    TREATMENT AND RESOLVING SEVERE, POTENTIAL LIFE-THREATENING COMPLICATIONS (PNEUMOMEDIASTNUM, PNEUAMTOCELES, PULMONARY FIBROSIS ) IN COVID-19 PATIENT - CASE REPORT
    (Macedonian Association of Anatomists, 2021-12-29)
    SARS-CoV-2 sometime is associated with potential life-threatening rare complication, more specifically, pneumomediastinum, pneumatocelеs, cyst formations, and very often pulmonary fibrosis. Our patient was 35 years old with main complaints: dry cough. chest pain, fatigue. She experienced a severe form of COVID 19, which resulted in complications of pneumomediastinum, pneumatocell, and pulmonary fibrosis. During the treatment of six months there is an almost complete withdrawal of the complications. She now feels well, able to work, and is still under our control. Physicians should be aware and careful in COVID 19 patients with severe clinical form given ventilator support, that such complications are possible and before a discharge from the hospital to do an X-ray or CT scan of the lungs. Especially when advising procedures such as postural drainage.