Primary Health Care, Muscat Governorate, Ministry of Health, Oman.
J Prim Care Community Health. 2020 Jan-Dec;11:2150132720985641. doi: 10.1177/2150132720985641.
Coronavirus disease 2019 (COVID-19) has become an urgent global health priority. Although most patients with COVID-19 manifest with fever and respiratory tract symptoms, COVID-19 infections may also involve other organs and extrarespiratory manifestations, including cardiac, gastrointestinal, hepatic, renal, and neurological symptoms. This case describes a 16-year-old boy who presented with fever, sore throat, myalgia, and subsequently with shortness of breath. A diagnosis of COVID-19 was confirmed by polymerase chain reaction. His condition deteriorated and he died within 3 days of admission. An evaluation of his past medical history confirmed an episode of viral illness which had progressed to myositis and rhabdomyolysis 1 year prior. Clinicians should be aware of this complication and maintain a high index of suspicion in cases of COVID-19 presenting with extrapulmonary symptoms.
新型冠状病毒病 2019（COVID-19）已成为一项紧迫的全球卫生重点。尽管大多数 COVID-19 患者表现为发热和呼吸道症状，但 COVID-19 感染也可能涉及其他器官和非呼吸道表现，包括心脏、胃肠道、肝脏、肾脏和神经系统症状。本病例描述了一名 16 岁男孩，他出现发热、咽痛、肌痛，随后出现呼吸急促。聚合酶链反应证实了 COVID-19 的诊断。他的病情恶化，入院后 3 天内死亡。对其既往病史的评估证实，1 年前他曾患过病毒性疾病，病情进展为肌炎和横纹肌溶解症。临床医生应注意这种并发症，并对出现非肺部症状的 COVID-19 保持高度怀疑。
