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新型冠状病毒的一种不寻常且非典型表现:一例病例报告及文献简要综述

An unusual and atypical presentation of the novel coronavirus: A case report and brief review of the literature.

作者信息

Alshoabi Sultan A, Haider Kamel H, Mostafa Mahmoud A, Hamid Abdullgabbar M, Daqqaq Tareef S

机构信息

Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah, KSA.

Cardiology Department, Prince Mohammed Bin Nasser Hospital, Jazan, KSA.

出版信息

J Taibah Univ Med Sci. 2021 Aug;16(4):637-642. doi: 10.1016/j.jtumed.2021.01.014. Epub 2021 Apr 12.

Abstract

The coronavirus disease 2019 (COVID-19) is a highly contagious novel infection that predominantly presents with fever and respiratory symptoms. However, COVID-19 can masquerade as an acute coronary syndrome, leg pain or swelling with venous thrombosis, loss of consciousness with cerebral venous thrombosis, confusion, limb weakness with brain infarction, facial neuralgia, acute conjunctivitis, acute appendicitis, and testicular pain. We report on a 42-year-old man who presented with mild symptoms of COVID-19. The patient's electrocardiogram showed an ST-segment elevation myocardial infarction (STEMI) due to a left coronary thrombosis. The patient was managed conservatively with medicines and had an uneventful recovery. Emergency physicians should have a high index of suspicion for the unusual presentations of COVID-19.

摘要

2019年冠状病毒病(COVID-19)是一种具有高度传染性的新型感染病,主要表现为发热和呼吸道症状。然而,COVID-19可能会伪装成急性冠状动脉综合征、伴有静脉血栓形成的腿部疼痛或肿胀、伴有脑静脉血栓形成的意识丧失、意识模糊、伴有脑梗死的肢体无力、面部神经痛、急性结膜炎、急性阑尾炎以及睾丸疼痛。我们报告了一名42岁男性,他表现出COVID-19的轻微症状。患者的心电图显示因左冠状动脉血栓形成导致的ST段抬高型心肌梗死(STEMI)。该患者通过药物进行保守治疗,恢复顺利。急诊医生应对COVID-19的不寻常表现保持高度怀疑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f77/8348269/d6e325d59941/gr1.jpg

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