En mann i 90-årene med feber og tørrhoste
| Autor: | Gjertrud Hole Kjøstolfsen, Nadim Latif, Liv Hesstvedt, Trond Mogens Aaløkken, Andreas Lind, Håkon Kinck Borén, Hanne Brekke |
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| Rok vydání: | 2020 |
| Předmět: |
0303 health sciences
Pediatrics medicine.medical_specialty Lung Respiratory rate business.industry General Medicine Disease Hypoxia (medical) medicine.disease 03 medical and health sciences Pneumonia 0302 clinical medicine medicine.anatomical_structure Respiratory failure Pandemic Medicine medicine.symptom business Hypercapnia 030217 neurology & neurosurgery 030304 developmental biology |
| Zdroj: | Tidsskrift for Den norske legeforening. |
| ISSN: | 0029-2001 |
| DOI: | 10.4045/tidsskr.20.0218 |
| Popis: | BACKGROUND COVID-19 can cause a fatal outcome in elderly patients, as this case report illustrates. CASE PRESENTATION An active male in his nineties with a high level of function, despite several severe chronic diseases, was admitted to Oslo University Hospital after two days of fatigue, fever, dyspnoea and dry cough. He scored qSOFA 1 of 3 points due to high respiratory rate, and SIRS 2 of 4 points due to high respiratory rate and fever of 39.4o C. PCR for influenza virus was negative and he received benzylpenicillin for pneumonia. The chest X-ray taken initially showed no lung affection. On day 5 after symptom debut he was tested for COVID-19 which was positive. He had not been travelling to high-risk areas or been exposed to any known confirmed COVID-19 patients. On the same day, a chest CT scan was performed that showed ground-glass opacities. In subsequent days the patient's health rapidly deteriorated. He developed irreversible respiratory failure with hypoxia without hypercapnia despite substantial oxygen support. Chest X-ray taken on disease day 7 showed progression of consolidations. The patient died 9 days after symptom debut. INTERPRETATION This case illustrates a severe course of COVID-19 with fatal outcome. The patient was also one of the earliest admitted with COVID-19 in a Norwegian hospital and marked a new phase of the epidemic, as he had not been travelling to high-risk areas or been exposed to any confirmed COVID-19 patients. |
| Databáze: | OpenAIRE |
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