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Summary The COVID 19 pandemic is causing health systems to question and adapt to the issues arising from this epidemic.The reliability of RT-PCR has shown its limits.The place of clinical and pulmonary ultrasound in the detection of suspected COVID 19 cases should be emphasized, to justify a diagnostic conformation by CT. Introduction Since the global emergence of the COVID 19 pandemic, the scientific community regularly highlights new discoveries.This coronavirus, which has been raging these past months, is responsible for thousands of victims.Many are the scientific committees or health institutions that regularly publish new recommendations or directives for the care of people with the MERSCoV infection. Our national institutions recommend performing RT-PCR [1] screening for people with symptoms suggestive of COVID.The chest scanner is reserved for those with signs of clinical severity [2].Some patients have reported difficulties accessing a general practitioner or a technical diagnostic platform permitting confirmation of a COVID infection 19. Clinical case We present the case of two patients who were seen and followed during the month of April 2020, by the health service of the Departmental Fire and Rescue Service (SDIS34) of the Herault in France.This consultation was carried out at their request, during a strong epidemic period, with a saturation of hospital health capacities, and the difficulty of accessing general practitioners and technical platforms. Patient A, a 63-year-old woman, presented symptoms such as rhinorrhea, asthenia, anosmia, muscle or joint pain, and dyspnea. Patient B, a 31-year-old man, experienced asthenia, headache, and dyspnea. Neither showed signs of respiratory or hemodynamic severity.The presentation of these symptoms justified a medical consultation. |
