An atypical presentation of COVID-19: Hidden risk for seniors to misdiagnose.

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL Northern Clinics of Istanbul Pub Date : 2023-01-01 DOI:10.14744/nci.2022.35336
Esra Ates Bulut, Guzin Ozden, Ahmet Turan Isik
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Abstract

The outbreak of coronavirus disease (COVID-19) was announced as a pandemic by the World Health Organization in March 2020. Clinical manifestations include cough, fever, dyspnea, myalgia, and loss of sense of smell and taste. Less common extrapulmonary signs and symptoms such as cutaneous manifestations, diarrhea, confusion, functional decline have been reported in the literature. Older patients with multiple comorbidities are at a greater risk for severe disease and death and are vulnerable to atypical presentations due to changes in organ systems, multimorbidity, cognitive impairment, and sensory disturbances. In this case, a 77-year-old patient diagnosed with COVID-19 pneumonia presented with atypically acute urticaria with angioedema was reported. Although there were no typical signs of the disease, such as cough or shortness of breath, the patient's laboratory values, and chest imaging were compatible with COVID-19. Therefore, the diagnosis of COVID-19 should be considered in older patients presenting with subtle signs or cutaneous manifestations.

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COVID-19的非典型表现:老年人误诊的潜在风险。
2020年3月,世界卫生组织宣布新冠肺炎(COVID-19)疫情为大流行。临床表现为咳嗽、发热、呼吸困难、肌痛、嗅觉和味觉丧失。不太常见的肺外体征和症状,如皮肤表现,腹泻,精神错乱,功能下降已在文献中报道。患有多种合并症的老年患者发生严重疾病和死亡的风险更大,并且由于器官系统的改变、多病、认知障碍和感觉障碍,容易出现非典型症状。在本病例中,报告了一名77岁的被诊断为COVID-19肺炎的患者,其表现为非典型急性荨麻疹伴血管性水肿。虽然没有典型的疾病症状,如咳嗽或呼吸短促,但患者的实验室值和胸部影像学与COVID-19相符。因此,在出现细微体征或皮肤表现的老年患者中应考虑COVID-19的诊断。
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来源期刊
Northern Clinics of Istanbul
Northern Clinics of Istanbul MEDICINE, GENERAL & INTERNAL-
CiteScore
0.40
自引率
0.00%
发文量
48
审稿时长
10 weeks
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