9/4/2023 0 Comments Pin point pain in left chest![]() ![]() He was an accountant and his only sick contact was a colleague who had returned from international travel with mild upper respiratory tract symptoms, whom the patient was exposed to several days earlier. His home medications included perindopril 8 mg daily, metformin 500 mg twice daily, and empagliflozin 25 mg daily, and there had been no changes to his regimen in recent months. He had a medical profile notable for hypertension and type 2 diabetes mellitus, with a recent hemoglobin A1c of 7.8%. This article adds to this developing literature by reporting the first case of viral pleurisy associated with COVID-19.Ī 48-year-old white man presented to the Emergency Department with acute-onset pleuritic chest pain. It is crucial for clinicians to be aware of these atypical presentations so that these patients are appropriately identified, isolated, and treated, while properly protecting health care workers from exposure. In addition to the classic respiratory symptoms, it is now becoming clear that gastrointestinal symptoms such as nausea and diarrhea, the loss of smell and taste, and thromboembolic events, among others, can be the main presentation of COVID-19. Although classically causing fever, cough, and shortness of breath, more and more evidence suggests that the manifestations of COVID-19 can be much more subtle or masquerade as other clinical entities. ![]() ![]() This disease is still in its early stages internationally and there is much we still do not know about the virus. Severe acute respiratory syndrome coronavirus 2, the virus responsible for COVID-19, has infected more than 8 million people worldwide and placed massive strains on healthcare systems around the world. The world is currently in the midst of the Coronavirus Disease 2019 (COVID-19) pandemic. ![]()
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