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一名镰状细胞病患者感染新型冠状病毒2 - 非典型表现

SARS CoV-2 infection in a patient with sickle cell disease - Atypical presentation.

作者信息

Al-Naami Awaji Q, Khan Liaqat A, Zaidan Faisal I, Al-Ibrahim Yousef Y, Al-Neami Ibrahim A, Awad Akram S, Hobani Abdulwahab I, Shaikh Ali H, Ahmadini Mousa A

机构信息

Jazan Health, Kingdom of Saudi Arabia.

出版信息

J Family Med Prim Care. 2021 Apr;10(4):1792-1794. doi: 10.4103/jfmpc.jfmpc_2210_20. Epub 2021 Apr 29.

Abstract

Severe acute respiratory syndrome coronavirus-2 (SARS CoV-2) infection causes the disease known as coronavirus disease that started in Wuhan (China) in December 2019, leading to the current COVID-19 pandemic. The common presenting symptoms include fever, dry cough, shortness-of-breath, while sore throat, diarrhea, and abdominal and chest pain are the least. The atypical presentation of SARS CoV-2 infection poses a challenge for family physicians to screen and manage such patients for COVID-19 and specifically those at high risk with underlying disease such a sickle cell disease. Herein, we report a case of SARS CoV-2 infection in a known patient of sickle cell disease (SCD) with an atypical presentation, in whom the course of the disease was mild to moderate, uncomplicated, and the patient had an uneventful recovery. Primary care physicians should be vigilant to screen and manage such patients with established protocols, especially in the ongoing COVID-19 pandemic.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染引发了2019年12月始于中国武汉的冠状病毒病,导致了当前的COVID-19大流行。常见的症状包括发热、干咳、呼吸急促,而喉咙痛、腹泻以及腹痛和胸痛则较为少见。SARS-CoV-2感染的非典型表现给家庭医生筛查和管理COVID-19患者,尤其是那些患有镰状细胞病等基础疾病的高危患者带来了挑战。在此,我们报告一例已知患有镰状细胞病(SCD)的患者感染SARS-CoV-2,其表现非典型,疾病过程为轻至中度,无并发症,患者顺利康复。基层医疗医生应保持警惕,按照既定方案筛查和管理此类患者,尤其是在当前COVID-19大流行期间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c744/8144769/83552bfadc76/JFMPC-10-1792-g001.jpg

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