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Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Dtsch+Med+Wochenschr 2020 ; 145 (10): 665-669 Nephropedia Template TP
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Coronavirus (SARS-CoV-2) - Ausbruch in Nordrhein-Westfalen (Kreis Heinsberg) - Erstdiagnose einer COVID-19-Infektion bei einem Ehepaar #MMPMID32428957
Laufs J; Elsbernd H; Holzl F; Winter KD
Dtsch Med Wochenschr 2020[May]; 145 (10): 665-669 PMID32428957show ga
HISTORY AND CLINICAL FINDINGS: Up to February 24(th) 2020 occasionally occuring SARS-CoV-2 infections in Germany without severe course. Emergency presentation of a couple in the emergency room. For seven days now, the man has fever, dry cough und physical weakness and the wife has similar symptoms of a milder form. The clinical examination shows fine crackles over both lungs and a respiratory failure of the husband. INVESTIGATIONS AND DIAGNOSIS: Laboratory increase in inflammation parameters as well as transaminases and lactate dehydrogenase. Radiologically lung infiltrates of different severity. Further on diagnosis of a SARS-CoV-2-infection of both patients with a severe course of the male. TREATMENT AND COURSE: Intubation and mechanical ventilation of the male patient with prolonged intenive care treatment. Recovery of the female patient under conventional oxygen therapy. DISCUSSION: These two cases show the starting point of an endemic spread of SARS-CoV-2 in the district of Heinsberg (North Rhine-Westphalia) and up to this point the first case of a life-threatenning course in Germany.