COVID-19 tsunami: the first case of a spinal cord injury patient in Italy

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dc.creatorRighi, Gabriele
dc.creatorDel Popolo, Giulio
dc.date.accessioned2020-07-15T19:57:12Z
dc.date.available2020-07-15T19:57:12Z
dc.date.created2020-04-17
dc.description.abstractenglishIntroduction 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.spa
dc.format.extent5 páginasspa
dc.format.mimetypeapplication/pdfspa
dc.identifier.doihttps://doi.org/10.1038/s41394-020-0274-9spa
dc.identifier.issn2058-6124 (online)spa
dc.identifier.otherhttps://www.nature.com/articles/s41394-020-0274-9spa
dc.identifier.urihttps://hdl.handle.net/20.500.12010/10584
dc.publisherSpinal Cord Series and Caseseng
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.sourcereponame:Expeditio Repositorio Institucional UJTLspa
dc.sourceinstname:Universidad de Bogotá Jorge Tadeo Lozanospa
dc.subjectspinal cord injuryspa
dc.subjectLopinavispa
dc.subjectRitonavirspa
dc.subjecthydroxychloroquinespa
dc.subject.lembSíndrome respiratorio agudo gravespa
dc.subject.lembCOVID-19spa
dc.subject.lembSARS-CoV-2spa
dc.subject.lembCoronavirusspa
dc.titleCOVID-19 tsunami: the first case of a spinal cord injury patient in Italyspa
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersionspa
dc.type.localArtículospa

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