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

Résumé Introduction: 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.
AuteursGabriele Righi, Giulio Del Popolo
Titre de revue/journal, volume et numéroRevue Nature, volume 6, numéro 22.
Langue de la publication et/ou de traductionAnglais (langue originale)
Année de parution2020
Institutions affiliéesHôpital universitaire de Carregi
Lien vers la publicationhttps://www.nature.com/articles/s41394-020-0274-9.pdf
Type d’accès à la publicationGratuit
Mots clésTetraplegia, X-Ray, COVID-19, antiviral therapy
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