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J Investig Med High Impact Case Rep . Atypical Presentation of Novel Coronavirus Disease 2019 in a Peritoneal Dialysis Patient

tetano

Editor, Senior Moderator
J Investig Med High Impact Case Rep


. Jan-Dec 2020;8:2324709620931238.
doi: 10.1177/2324709620931238.
Atypical Presentation of Novel Coronavirus Disease 2019 in a Peritoneal Dialysis Patient


Subhasish Bose[SUP] 1 [/SUP], Sreedhar Adapa[SUP] 2 [/SUP], Venu Madhav Konala[SUP] 3 [/SUP], Hemapriya Gopalreddy[SUP] 4 [/SUP], Salim Sohail[SUP] 5 [/SUP], Srikanth Naramala[SUP] 2 [/SUP], Hema Kondakindi[SUP] 6 [/SUP], Vijayadershan Muppidi[SUP] 7 [/SUP], Manoj V Ramachandran[SUP] 8 [/SUP], Peter J Juran[SUP] 4 [/SUP], Narothama Reddy Aeddula[SUP] 4 9 [/SUP]



Affiliations

Abstract

Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is a rapidly spreading disease causing increased morbidity and mortality across the globe. There is limited available knowledge regarding the natural history of the SARS-CoV-2 infection. Other factors that are also making this infection spread like a pandemic include global travelers, lack of proven treatment, asymptomatic carriers, potential reinfection, underprepared global health care systems, and lack of public awareness and efforts to prevent further spread. It is understood that certain preexisting medical conditions increase the risk of mortality with COVID-19; however, the outcome of this disease in traditionally vulnerable chronic illnesses such as end-stage renal disease is not well documented. We present a case of a 56-year-old African American lady with end-stage renal disease on the peritoneal dialysis who presented predominantly with nausea, vomiting, and subsequently found to have COVID-19. We use this case to illustrate an atypical presentation of the COVID-19 in a vulnerable patient and discuss the literature.

Keywords: COVID-19; atypical presentation; end-stage renal disease; peritoneal dialysis.
 
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