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10.1111/jgs.16536

http://scihub22266oqcxt.onion/10.1111/jgs.16536
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32383778!7272789!32383778
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suck abstract from ncbi


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pmid32383778      J+Am+Geriatr+Soc 2020 ; 68 (7): 1382-1384
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  • A Unique Presentation of Delirium in a Patient with Otherwise Asymptomatic COVID-19 #MMPMID32383778
  • Alkeridy WA; Almaghlouth I; Alrashed R; Alayed K; Binkhamis K; Alsharidi A; Liu-Ambrose T
  • J Am Geriatr Soc 2020[Jul]; 68 (7): 1382-1384 PMID32383778show ga
  • OBJECTIVE: Infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which causes coronavirus disease 2019 (COVID-19), manifests with a wide spectrum of presentations. Most reports of COVID-19 highlight fever and upper respiratory symptoms as the dominant initial presentations, consistent with the World Health Organization guidelines regarding suspected SARS-CoV-2 infection. However, atypical presentations of this disease have been evolving since the initial outbreak of the pandemic in December 2019. We report a case of an older male patient who presented at our hospital with an unusual manifestation of COVID-19. DESIGN: Brief report. SETTING: A university hospital in Saudi Arabia. PARTICIPANT: A 73-year-old man who presented with confusion in the absence of any respiratory symptoms or fever. INTERVENTION: The patient was initially admitted with delirium and underwent a further work-up. MEASUREMENTS: Given his recent history of domestic travel and the declaration of a global COVID-19 pandemic status, the patient was administered a swab test for SARS-CoV-2. RESULTS: The patient's positive test led to a diagnosis of COVID-19. Although he began to experience a spiking fever and mild upper respiratory symptoms, he recovered rapidly with no residual sequela. CONCLUSION: The recognition of atypical presentations of COVID-19 infection, such as delirium, is critical to the timely diagnosis, provision of appropriate care, and avoidance of outbreaks within healthcare facilities during this pandemic. J Am Geriatr Soc 68:1382-1384, 2020.
  • |*Asymptomatic Infections[MESH]
  • |*Betacoronavirus[MESH]
  • |Aged[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*psychology[MESH]
  • |Delirium/*virology[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*psychology[MESH]


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