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10.1038/s41394-020-0274-9 http://scihub22266oqcxt.onion/10.1038/s41394-020-0274-9 32303672!7163165!32303672     free     free     free Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Spinal+Cord+Ser+Cases 2020 ; 6 (1): 22 Nephropedia Template TP {{tp|p=32303672|t=2020. COVID-19 tsunami: the first case of a spinal cord injury patient in Italy |pdf=|usr=}}{{32303672}} gab.com Text COVID-19 tsunami: the first case of a spinal cord injury patient in Italy JO: Spinal Cord Ser Cases http://www.kidney.de/pget.php?&tw=1&pmid=32303672 #FOAvip INTRODUCTION: We present the report of the first, to our best knowledge, case of COVID-19 in a tetraplegic person. CASE PRESENTATION: A 56-year-old male with AIS A C4 tetraplegia developed fever during the night, without any prodrome. His general practitioner suspected a urinary tract infection and prescribed him antibiotic therapy. After 2 days of antibiotic therapy the fever still persisted, so the individual was admitted to the local hospital and treated with broad-spectrum antibiotics. After 2 days he was transferred to our spinal unit. Considering the worsening of the chest X-ray and fever despite 48 h of broad-spectrum antibiotic therapy, we strongly suspected viral pneumonia. SARS-CoV-2 was detected and antiviral therapy with Lopinavir/Ritonavir, associated with hydroxychloroquine, was promptly started. Fever ceased after 2 days of therapy. DISCUSSION: Blood test and chest X-ray findings in this patient were similar to previously published findings regarding COVID-19. One difference between this case and the known clinical course of COVID-19 is that did not develop cough. Another interesting feature of our case is that, despite tetraplegia, the clinical course was not severe. Persons with COVID-19 remain asymptomatic, these results underscore the need for rehabilitation and SCI professionals to have a high index of suspicion for COVID-19 in their inpatient and outpatient clients. Only inpatient with fever hase being tested for COVID-19. All new patients are submitted to SARS-COV-2 Test. Moreover, routine testing of patients who have to participate in therapy in common gym areas may be warranted. Twit Text FOAVip COVID-19 tsunami: the first case of a spinal cord injury patient in Italy ????Spinal Cord Ser Cases http://www.kidney.de/pget.php?&tw=1&pmid=32303672 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32303672 #FOAvip English Wikipedia <ref>{{Cite pmid|32303672}}</ref> COVID-19 tsunami: the first case of a spinal cord injury patient in Italy #MMPMID32303672 Righi G; Del Popolo G Spinal Cord Ser Cases 2020[Apr]; 6 (1): 22 PMID32303672show ga INTRODUCTION: We present the report of the first, to our best knowledge, case of COVID-19 in a tetraplegic person. CASE PRESENTATION: A 56-year-old male with AIS A C4 tetraplegia developed fever during the night, without any prodrome. His general practitioner suspected a urinary tract infection and prescribed him antibiotic therapy. After 2 days of antibiotic therapy the fever still persisted, so the individual was admitted to the local hospital and treated with broad-spectrum antibiotics. After 2 days he was transferred to our spinal unit. Considering the worsening of the chest X-ray and fever despite 48 h of broad-spectrum antibiotic therapy, we strongly suspected viral pneumonia. SARS-CoV-2 was detected and antiviral therapy with Lopinavir/Ritonavir, associated with hydroxychloroquine, was promptly started. Fever ceased after 2 days of therapy. DISCUSSION: Blood test and chest X-ray findings in this patient were similar to previously published findings regarding COVID-19. One difference between this case and the known clinical course of COVID-19 is that did not develop cough. Another interesting feature of our case is that, despite tetraplegia, the clinical course was not severe. Persons with COVID-19 remain asymptomatic, these results underscore the need for rehabilitation and SCI professionals to have a high index of suspicion for COVID-19 in their inpatient and outpatient clients. Only inpatient with fever hase being tested for COVID-19. All new patients are submitted to SARS-COV-2 Test. Moreover, routine testing of patients who have to participate in therapy in common gym areas may be warranted. |Anti-Bacterial Agents/therapeutic use[MESH] |Anti-Retroviral Agents/therapeutic use[MESH] |COVID-19[MESH] |COVID-19 Testing[MESH] |Clinical Laboratory Techniques[MESH] |Coronavirus Infections/complications/*diagnosis/drug therapy[MESH] |Cough[MESH] |Fever/diagnosis[MESH] |Hospitalization[MESH] |Humans[MESH] |Italy[MESH] |Lopinavir/therapeutic use[MESH] |Male[MESH] |Middle Aged[MESH] |Pandemics[MESH] |Pneumonia, Viral/complications/*diagnosis/drug therapy[MESH] |Quadriplegia/*complications[MESH] |Respiration, Artificial[MESH] |Ritonavir/therapeutic use[MESH] |Severe acute respiratory syndrome-related coronavirus[MESH]COVID-19 tsunami: the first case of a spinal cord injury patient in It(epmc).pdf DeepDyve Pubget Overpricing