A Unique Presentation of Delirium in a Patient with Otherwise Asymptomatic COVID-19.
J Am Geriatr Soc
; 68(7): 1382-1384, 2020 Jul.
Article
in English
| MEDLINE | ID: covidwho-209990
ABSTRACT
OBJECTIVE:
Infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which causes coronavirus disease 2019 (COVID-19), manifests with a wide spectrum of presentations. Most reports of COVID-19 highlight fever and upper respiratory symptoms as the dominant initial presentations, consistent with the World Health Organization guidelines regarding suspected SARS-CoV-2 infection. However, atypical presentations of this disease have been evolving since the initial outbreak of the pandemic in December 2019. We report a case of an older male patient who presented at our hospital with an unusual manifestation of COVID-19.DESIGN:
Brief report.SETTING:
A university hospital in Saudi Arabia. PARTICIPANT A 73-year-old man who presented with confusion in the absence of any respiratory symptoms or fever. INTERVENTION The patient was initially admitted with delirium and underwent a further work-up. MEASUREMENTS Given his recent history of domestic travel and the declaration of a global COVID-19 pandemic status, the patient was administered a swab test for SARS-CoV-2.RESULTS:
The patient's positive test led to a diagnosis of COVID-19. Although he began to experience a spiking fever and mild upper respiratory symptoms, he recovered rapidly with no residual sequela.CONCLUSION:
The recognition of atypical presentations of COVID-19 infection, such as delirium, is critical to the timely diagnosis, provision of appropriate care, and avoidance of outbreaks within healthcare facilities during this pandemic. J Am Geriatr Soc 681382-1384, 2020.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pneumonia, Viral
/
Coronavirus Infections
/
Delirium
/
Asymptomatic Infections
/
Betacoronavirus
Type of study:
Case report
/
Prognostic study
Topics:
Long Covid
Limits:
Aged
/
Humans
/
Male
Language:
English
Journal:
J Am Geriatr Soc
Year:
2020
Document Type:
Article
Affiliation country:
Jgs.16536
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