Case 2
A 83-year old man with past medical history of hypertension, diabetes
mellitus , cerebrovascular accident (CVA) and end stage renal disease
(ESRD) was referred to hospital with Emergency medical services (EMS)
because of dyspnea, dry cough and fever for 2 days.
He had no history of recent travel or known contact with sick patient.
At arrival he was hypoxic and febrile (tempreture=39°C). Laboratory
tests revealed lymphopenia and thrombocytopenia, elevated C-reactive
protein (CRP), cardiac Troponin-I and D-Dimer (table 1).
Axial CT images of the lungs show extensive ground glass appearance in
the lungs, mainly in the peripheral regions. Some crazy paving and
consolidation is also present in addition to mild bilateral pleural
effusion (figure 2 a,b) (table 2).
The decedent admitted to intensive care unit and suffered a cardiac
arrest the next day.
Nasopharyngeal swabs for SARS-CoV-2 were reported as positive (by
rRT-PCR)