Clinical and paraclinical indicators to evaluate the prognosis of COVID-19: Lessons from a case

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Larry Miguel Torres-Criollo
Andrés Alexis Ramírez-Coronel
Pedro C. Martínez-Suárez
Lilia Azucena Romero-Sacoto
Ignacia Margarita Romero-Galabay
Joaquín Sepúlveda-Aravena

Resumen

The coronavirus is a disease that affects the respiratory system, it comes from the SARS-CoV-2 virus that belongs to the Beta coronavirus group and is currently the cause of a high mortality rate worldwide. The diagnosis through images and oropharyngeal and nasopharyngeal tests helps in the recognition of this respiratory condition. We present a clinical case of a 74-year-old patient with diarrhea, dyspnea, and cough, establishing the diagnosis of COVID-19. We found clinical and paraclinical parameters such as advanced age, history of arterial hypertension, dyspnea, low oxygen saturation, increased azoados, increased hepatic enzymes (AST), leukocytosis, lymphopenia, neutrophilia, increased PCR and procalcitonin, plaquetopenia, increased lactic dehydrogenase, increased ferritin, pulmonary infiltrates with a frosted glass appearance evidenced in the X-ray and CT scan of the chest; all these determining factors of unfavorable prognosis according to current scientific evidence. The results of the case analysis are discussed.

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Torres-Criollo, L. M. ., Ramírez-Coronel, A. A. ., Martínez-Suárez, P. C. ., Romero-Sacoto, . L. A. ., Romero-Galabay, I. M. ., & Sepúlveda-Aravena, J. . (2022). Clinical and paraclinical indicators to evaluate the prognosis of COVID-19: Lessons from a case. Gaceta Médica De Caracas, 130(2S). Recuperado a partir de http://caelum.ucv.ve/ojs/index.php/rev_gmc/article/view/24118
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ANÁLISIS DE TÓPICOS-ESPECÍFICOS
Biografía del autor/a

Larry Miguel Torres-Criollo, Carrera de Enfermería de la Universidad Católica de Cuenca Sede Azogues, Ecuador. Hospital IESS- Babahoyo, Ecuador

Universidad Católica de Cuenca Sede Azogues, Ecuador.
Carrera de Medicina de la Universidad Católica de Cuenca Sede
Azogues, Ecuador