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Atypical presentation of SARS-CoV-2 infection: A case report.
Li, Rui-Lin; Chu, Shu-Guang; Luo, Yu; Huang, Zhen-Hao; Hao, Ying; Fan, Cheng-Hui.
  • Li RL; Department of Cardiology, Shanghai East Hospital (East Hospital affiliated to Tongji University), Tongji University, Shanghai 200123, China.
  • Chu SG; Department of Medical Imaging, Shanghai East Hospital (East Hospital affiliated to Tongji University), Tongji University, Shanghai 200123, China.
  • Luo Y; Department of Cardiology, Shanghai East Hospital (East Hospital affiliated to Tongji University), Tongji University, Shanghai 200123, China.
  • Huang ZH; Department of Cardiology, Shanghai East Hospital (East Hospital affiliated to Tongji University), Tongji University, Shanghai 200123, China.
  • Hao Y; Department of Cardiology, Shanghai East Hospital (East Hospital affiliated to Tongji University), Tongji University, Shanghai 200123, China.
  • Fan CH; Department of Cardiology, Shanghai East Hospital (East Hospital affiliated to Tongji University), Tongji University, Shanghai 200123, China. fchman@163.com.
World J Clin Cases ; 8(7): 1265-1270, 2020 Apr 06.
Article in English | MEDLINE | ID: covidwho-52196
Semantic information from SemMedBD (by NLM)
1. Symptoms PROCESS_OF Patients
Subject
Symptoms
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PROCESS_OF
Object
Patients
2. Gastrointestinal dysfunction PROCESS_OF Patients
Subject
Gastrointestinal dysfunction
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PROCESS_OF
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Patients
3. Radionuclide Imaging DIAGNOSES Nodule
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Radionuclide Imaging
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DIAGNOSES
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Nodule
4. COVID-19 PROCESS_OF Patients
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COVID-19
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Patients
5. Symptoms PROCESS_OF Patients
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6. Gastrointestinal dysfunction PROCESS_OF Patients
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Gastrointestinal dysfunction
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PROCESS_OF
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7. Radionuclide Imaging DIAGNOSES Nodule
Subject
Radionuclide Imaging
Predicate
DIAGNOSES
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Nodule
8. COVID-19 PROCESS_OF Patients
Subject
COVID-19
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ABSTRACT

BACKGROUND:

The first case of pneumonia subsequently attributed to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) occurred in Wuhan, Hubei Province on December 8, 2019. The symptoms included fever, coughing, and breathing difficulties. A few patients with this infection may only have atypical symptoms, which could lead to a misdiagnosis and subsequently further facilitate the spread of the virus. CASE

SUMMARY:

A 74-year-old female patient complained of severe diarrhea. She did not have fever, coughing, or breathing difficulties. A physical examination revealed no obvious positive signs. The patient had been hypertensive for more than 10 years. Her blood pressure was well controlled. On January 9, 2020, the patient's son visited a colleague who was later confirmed positive for SARS-CoV-2 and his first close contact with our patient was on January 17. The patient was first diagnosed with gastrointestinal dysfunction. However, considering her indirect contact with a SARS-CoV-2-infected individual, we suggested that an atypical pneumonia virus infection should be ruled out. A computed tomography scan was performed on January 26, and showed ground-glass nodules scattered along the two lungs, suggestive of viral pneumonia. Given the clinical characteristics, epidemiological history, and examination, the patient was diagnosed with coronavirus disease-2019 (COVID-19).

CONCLUSION:

Our patient had atypical symptoms of COVID-19. Careful acquisition of an epidemiological history is necessary to make a correct diagnosis and strategize a treatment plan.

Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Language: English Journal: World J Clin Cases Year: 2020

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Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Language: English Journal: World J Clin Cases Year: 2020
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