RESUMEN
RESUMEN Paciente de 19 años, sexo femenino, residente en Buenos Aires, Argentina, que el día 25 de marzo de 2020 contacta con su médico internista de cabecera en forma privada mediante el sistema de videoconsulta por haber presentado desde 48 horas atrás, lesiones eritemato violáceas en región distal de los dedos de los pies y además lesiones máculo-eritematosas circulares de pocos milímetros en los pulpejos de los dedos de los pies. Las lesiones eran referidas como dolorosas, principalmente durante la noche y presentaban hiperalgesia al tacto. Presentaba nexo epidemiológico con dos personas afectadas por probable SARS-CoV-2, una semana previa a la aparición de estas lesiones.
ABSTRACT This was a 19-year-old female patient, residing in Buenos Aires, Argentina, who in March 25, 2020 contacted her general internist doctor privately through the video consultation system for having presented violet erythematous lesions in the distal region of the toes and also circular maculo-erythematous lesions of a few millimeters on the toe tips 48 hours ago. The lesions were referred to as painful, mainly at night, and they presented hyperalgesia to the touch. She had an epidemiological link with two people affected by probable SARS-CoV-2, one week before the appearance of these injuries.
RESUMEN
As a part of global health care system we are now facing an unprecedented increase in the number of COVID positive patients. While the SARS-CoV2 continues to expand its reach, newer information gets reported every day. The phenomenon of acro-ischemia in patients testing positive for SARS-CoV2 has started gathering attention within the medical community. Also, with increased need for tracheostomy HCWs(health care workers)are constantly at a high risk of aerosol exposure. We report a case of a critically ill, late detected, COVID positive male, with dermatological signs who landed in a tracheostomy. We aim to highlight the importance of high index of suspicion and early detection that would make a significant difference.