Respiratory Distress in Postanesthesia Care Unit: First Presentation of Coronavirus Disease 2019 in a 17-Year-Old Girl: A Case Report.

Rahmanzade, Ramin; Rahmanzadeh, Reza; Hashemian, Seyed MohammadReza

Rahmanzade, Ramin; Rahmanzadeh, Reza; Hashemian, Seyed MohammadReza.

Rahmanzade R; From the Biomedical Research & Training, University Hospital Basel, Basel, Switzerland.
Rahmanzadeh R; Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Hashemian SM; Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

A A Pract ; 14(7): e01227, 2020 May.

Article in English | MEDLINE | ID: covidwho-201374

ABSTRACT

ABSTRACT

A 17-year-old healthy girl underwent an uneventful esthetic septorhinoplasty. She was easily extubated and transferred to the postanesthesia care unit (PACU) with oxygen saturation (SpO2) of 96%. About 30 minutes after arrival in the PACU, she developed dyspnea with SpO2 of 84% and promptly received oxygen with bilevel positive airway pressure in conjunction with low-dose corticosteroid. The subsequent chest computed tomography (CT) revealed bilateral patchy infiltrates similar to the radiologic findings of Coronavirus Disease 2019 (COVID-19). Finally, a reverse transcriptase polymerase chain reaction (RT-PCR) of a pharyngeal specimen confirmed the diagnosis of COVID-19.

Subject(s)

Coronavirus Infections/diagnostic imaging; Coronavirus/isolation & purification; Dyspnea/diagnostic imaging; Lung/diagnostic imaging; Pneumonia, Viral/diagnostic imaging; Respiratory Distress Syndrome/complications; Tomography, X-Ray Computed/methods; Adolescent; Airway Extubation; Betacoronavirus; COVID-19; COVID-19 Testing; Clinical Laboratory Techniques; Coronavirus/genetics; Coronavirus Infections/diagnosis; Coronavirus Infections/drug therapy; Dyspnea/etiology; Female; Humans; Hydroxychloroquine/administration & dosage; Hydroxychloroquine/therapeutic use; Oxygen/therapeutic use; Pandemics; Pharynx/virology; Postoperative Care; Reverse Transcriptase Polymerase Chain Reaction; SARS-CoV-2; Treatment Outcome; COVID-19 Drug Treatment

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Respiratory Distress Syndrome / Tomography, X-Ray Computed / Coronavirus Infections / Coronavirus / Dyspnea / Lung Type of study: Case report / Diagnostic study / Prognostic study Topics: Long Covid Limits: Adolescent / Female / Humans Language: English Journal: A A Pract Year: 2020 Document Type: Article Affiliation country: XAA.0000000000001227

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