| Autor: |
M G M, Olde Rikkert, R W, Vingerhoets, N, van Geldorp, E, de Jong, H A A M, Maas |
| Jazyk: |
Dutch; Flemish |
| Rok vydání: |
2020 |
| Předmět: |
|
| Zdroj: |
Nederlands tijdschrift voor geneeskunde. 164 |
| ISSN: |
1876-8784 |
| Popis: |
Clinical characteristics and outcomes among older patients with a SARS-CoV-2 infection differ greatly from those seen in younger patients. Here we highlight atypical presentations of this fulminant infectious disease COVID-19, based on a clinical case and a cohort of 19 patients admitted to a geriatric ward. The degree of frailty, resilience and number of co-morbidities caused COVID-19 to present as acute geriatric syndrome events such as falls, delirium and dehydration in these patients. Clinical laboratory results considered typical for COVID-19 were present less often in this frail older population. As in other countries, morbidity and mortality is most severe among frail male patients; therefore, assessment of changes suggestive of typical acute geriatric syndromes in frail older patients with chronic diseases should lead to a careful clinical examination for a SARS-CoV-2 infection. Protocols for diagnosis, and contact isolation measures, should take these atypical presentations into account. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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