Tapé Chantal, Byrd Katrina M, Aung Su, Lonks John R, Flanigan Timothy P, Rybak Natasha R
Warren Alpert Medical School of Brown University.
The Miriam Hospital Division of Infectious Diseases; Warren Alpert Medical School of Brown University.
R I Med J (2013). 2020 Mar 26;103(3):50-51.
SARS-CoV-2 is a novel virus that has now affected hundreds of thousands of individuals across the world. Amidst this global pandemic, maintaining a high index of suspicion, rapid testing capacity, and infection control measures are required to curtail the virus' rapid spread. While fever and respiratory symptoms have been commonly used to identify COVID-19 suspects, we present an elderly female who arrived to the hospital after a syncopal episode. She was afebrile with a normal chest X-ray and there was no suspicion of COVID-19. She then developed a fever and tested positive for COVID-19. Our unique case underscores the increasing diversity of COVID-19 presentations and potential for initial mis- diagnosis and delay in implementing proper precautions.
严重急性呼吸综合征冠状病毒2（SARS-CoV-2）是一种新型病毒，目前已感染全球数十万人。在这场全球大流行中，需要保持高度的怀疑指数、快速检测能力和感染控制措施，以遏制该病毒的快速传播。虽然发热和呼吸道症状通常用于识别新冠肺炎疑似病例，但我们报告了一名老年女性，她在晕厥发作后入院。她没有发热，胸部X光检查正常，当时没有新冠肺炎嫌疑。随后她出现发热，新冠肺炎检测呈阳性。我们这个独特的病例突显了新冠肺炎临床表现日益多样化，以及最初误诊和延迟采取适当预防措施的可能性。
