Pigoń, Katarzyna, Ryszard Grzanka, Ewa Nowalany-Kozielska, and Andrzej Tomasik. Severe respiratory failure developing in the course of high-altitude pulmonary edema in an alpinist with COVID-19 pneumonia: a case report. High Alt Med Biol. 23:372–376, 2022.—The case of a 38-year-old Polish alpinist, evacuated from base camp (4,200 m) under Lenin's Peak due to severe high-altitude pulmonary edema (HAPE) and symptoms of acute mountain sickness/high-altitude cerebral edema (HACE), is presented. Starting the expedition, the man was asymptomatic and had a negative COVID-19 molecular test. After a few days of trekking, he developed typical HAPE and HACE. After evacuation to the hospital in Bishkek, a diagnosis of acute bronchopneumonia was made by computed tomography (CT) imaging. A COVID-19 test was not performed at that time. After returning to Poland, a complete noninvasive cardiac and pulmonary assessment disclosed no pathology. The initial chest CT reassessment was read as demonstrating the densities typical for COVID-19 pneumonia, and a SARS-CoV-2 antibody test corroborated the diagnosis. Pre-existing lung disease increases the risk of developing HAPE. In the era of the COVID-19 pandemic, people traveling at a high altitude and unaware of the infection are at particular risk.

中文翻译：

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患有 COVID-19 肺炎的登山者在高原肺水肿过程中发生严重呼吸衰竭：病例报告

Pigoń、Katarzyna、Ryszard Grzanka、Ewa Nowalany-Kozielska 和 Andrzej Tomasik。患有 COVID-19 肺炎的登山者在高原肺水肿过程中发生严重呼吸衰竭：病例报告。高 Alt 医学生物学. 23:372–376, 2022.—一名 38 岁的波兰登山者因严重的高原肺水肿 (HAPE) 和急性高山病症状从列宁峰下的大本营 (4,200 m) 撤离的案例/介绍了高原脑水肿 (HACE)。开始探险时，该男子没有症状，并且 COVID-19 分子测试呈阴性。经过几天的徒步旅行，他出现了典型的 HAPE 和 HACE。在疏散到比什凯克的医院后，通过计算机断层扫描 (CT) 成像诊断为急性支气管肺炎。当时没有进行 COVID-19 测试。返回波兰后，完整的无创心脏和肺部评估未发现任何病理变化。最初的胸部 CT 重新评估被解读为显示了 COVID-19 肺炎的典型密度，SARS-CoV-2 抗体检测证实了这一诊断。预先存在的肺部疾病会增加发生 HAPE 的风险。在 COVID-19 大流行的时代，在高海拔地区旅行且未意识到感染的人面临着特别的风险。