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10.1055/a-1163-1335

http://scihub22266oqcxt.onion/10.1055/a-1163-1335
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32428957!ä!32428957

suck abstract from ncbi


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pmid32428957      Dtsch+Med+Wochenschr 2020 ; 145 (10): 665-669
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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.
  • |*Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*diagnosis/*epidemiology[MESH]
  • |Cough/diagnosis[MESH]
  • |Disease Outbreaks[MESH]
  • |Disease Progression[MESH]
  • |Female[MESH]
  • |Fever/diagnosis[MESH]
  • |Germany/epidemiology[MESH]
  • |Humans[MESH]
  • |Lung/pathology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*diagnosis/*epidemiology[MESH]


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