表现为斑丘疹的 COVID-19 感染:病例报告。

Q4 Medicine
Acta Medica Philippina Pub Date : 2024-07-31 eCollection Date: 2024-01-01 DOI:10.47895/amp.v58i13.8092
Maricar G Santos, Am Karoline V Gabuyo
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引用次数: 0

摘要

COVID-19 通常表现为呼吸道症状,但也有报道称其可累及包括皮肤在内的其他器官。这是一例通过逆转录酶聚合酶链反应(RT-PCR)鼻咽拭子(NPS)确诊为轻度 COVID-19 感染的 58 岁男性病例。他最初出现发热、咳嗽、感冒、咽喉痛、无嗅、衰老、肌痛和腹泻等症状。发病第 3 天,他的四肢出现大丘疹性皮肤损害,并伴有瘙痒和灼热感。患者接受了保守治疗,口服补液和维生素补充剂。在家庭隔离期间,通过远程医疗对症状进行了监测。他在发病 36 天后康复并无症状。在大流行初期,由于实施的限制,进一步的诊断检测很困难。不过,仔细询问病史、修改体格检查和通过远程会诊进行监测证明非常有用。记录有皮肤表现的 COVID-19 患者的病程和结果将有助于及时诊断和治疗,并预测有类似临床模式的患者可能出现的预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
COVID-19 Infection Manifesting with Maculopapular Rash: A Case Report.

COVID-19 commonly manifests with respiratory symptoms but is reported to involve other organs including the skin. This is a case of a 58-year-old male diagnosed with mild COVID-19 infection via reverse transcriptase-polymerase chain reaction (RT-PCR) nasopharyngeal swab (NPS). He initially presented with symptoms of fever, cough, colds, sore throat, anosmia, ageusia, myalgia, and diarrhea. Maculopapular cutaneous lesions appeared on the extremities on the 3rd day of illness and were described as pruritic and blanching. The patient was managed conservatively with oral hydration and vitamin supplementation. During home isolation, symptoms were monitored via telemedicine. He recovered and was asymptomatic 36 days from the onset of symptoms. During the early part of the pandemic, further diagnostic testing was challenging due to the restrictions that were implemented. However, careful history, modified physical examination, and monitoring through teleconsultation proved to be very useful. Documenting the course and outcome of COVID-19 patients with skin manifestations would help facilitate timely diagnosis and treatment, as well as anticipate the possible prognosis of patients who present with a similar clinical pattern.

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来源期刊
Acta Medica Philippina
Acta Medica Philippina Medicine-Medicine (all)
CiteScore
0.40
自引率
0.00%
发文量
199
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