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1.
Italian Journal of Medicine ; 16(SUPPL 1):71, 2022.
Article in English | EMBASE | ID: covidwho-1913220

ABSTRACT

About 38% of patients admitted to the high-intensity ward during the SARS-CoV-2 pandemic died in hospital. These are elderly patients (average 82 years) with multiple pathologies. Case report: We describe the case of the death of a 70-yearold woman from SRI Lanka, of Buddhist religion, with bulbar amyotrophic lateral sclerosis, severe malnutrition, thin 29 kg, 158 cm tall, anemic, despite PEG nutrition, language barrier problems but without cognitive or sensory impairment. She had been followed at home for 4 years, no respiratory problems, she was taken to the emergency room for worsening dyspnea in suspicion of ab-ingestis pneumonia. Recognized carrier of interstitial pneumonia from SARS-CoV-2. Despite the therapies set (oxygen, antibiotics, steroids, with low molecular weight heparin, total parenteral nutrition, hydration and electrolytes) the conditions worsened rapidly. We then communicated the imminent death of the joint to the relatives. The main care-giver granddaughter, well integrated, who understands the Italian language, asked to set up a group with whatsApp in order to see and greet her mother one last time. The 4 children (2 in Sri Lanka), and the 12 grandchildren formed a whatsApp group. They asked for another occasion to celebrate the milk rite with an elderly officiant. The rite took place with the patient very awake and present, gathered in prayer, all the relatives connected with the tablet: the doctor carried out the milk rite on the recommendation of the connected officiant from Sri Lanka, then they said a Christian prayer in homage to the staff, thanking them.

2.
European Respiratory Journal ; 58:3, 2021.
Article in English | Web of Science | ID: covidwho-1700040
3.
Italian Journal of Medicine ; 14(SUPPL 2):124-125, 2020.
Article in English | EMBASE | ID: covidwho-984675

ABSTRACT

Background and Aim: We present the heterogeneous clinical features of SARS-CoV-2 infection in a family cluster of Varese. Two ofthe five members were healthcare workers, and all of them weretreated at home. Description of cases: First case was a 29-year woman, who wasdiagnosed with COVID-19 after close contact with affected patientsat work, despite absence of symptoms at time. She lived with herfamily. The day after testing (day 1) she developed fever and malaise,followed by arthralgia, headache and sudden loss of smell and tasteby day 2. On day 3 her father, a 53-year old ex-smoker with history of hypertension, presented with fever for 5 days with subsequentapparent recovery. On the same day, her mother, a 53-year old physician, developed arthralgia and cough without sputum. On day 5 oneof her brothers (26 years old) had fever and diarrhoea. On day 11her father presented new onset of fever (up to 41.8°C), dysgeusia,dyspnoea and desaturation on air. According to local protocol hewas treated with idrossicloroquine, antibiotics, a course of steroids,heparin and mild oxygen support with progressive improvement ofrespiratory function. On day 17 the other brother (22-year-old) reported headache, anosmia and dysgeusia. Serological testing confirmed COVID-19 infections. Conclusions: Three weeks later her father underwent a CT scanshowing sparse pulmonary infiltrates suggestive of resolvingCOVID-19 pneumonia. All members recovered, but our patient, herfather and brother still complain of hyposmia and dysgeusia afterover three months.

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