Acute hypothermia in a patient with COVID-19: a case report and summary of the evidence

被引:0
|
作者
Jyoti, Avijit Sarker [1 ]
Kamrul-Hasan, A. B. M. [4 ]
Rahman, Monjur [2 ]
Hasan, Mohammad Jahid [3 ,5 ]
机构
[1] Mugda Med Coll, Dept Med, Dhaka, Bangladesh
[2] Pi Res Dev Ctr, Dhaka, Bangladesh
[3] Trop Dis & Hlth Res Ctr, Dhaka, Bangladesh
[4] Mymensingh Med Coll, Dept Endocrinol, Mymensingh, Bangladesh
[5] Trop Dis & Hlth Res Ctr, Dhaka 1100, Bangladesh
来源
ANNALS OF MEDICINE AND SURGERY | 2024年 / 86卷 / 03期
关键词
Case Report; COVID-19; hypothermia; SARS-CoV-2; temperature; viral infections; CORONAVIRUS;
D O I
10.1097/MS9.0000000000001709
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction and importance:SARS-COV-2 has many presenting signs including a number of typical and atypical symptoms. However, having the enormous capacity of mutation, the virus is changing its genetic pattern continuously, giving rise to newer and rarer manifestations. Here, the authors report a case of adult COVID-19 along with features of hypothermia which is relatively rare and has future implications in clinical perspective.Case presentation:The patient presented with hypothermia and indicative symptoms of COVID-19 during admission. Comorbidities were assessed, potential differentials were ruled out thorough appropriate clinical examination and investigations. Insulation with a blanket and room heater was used to stabilize the normal body temperature (98.6 degrees F) in the hospital setting, during this period vitals (Blood pressure, Pulse rate and oxygen saturation) were assessed regularly. On the sixth day of hospital admission, he was discharged from the hospital with advice.Clinical discussion:COVID-19 virus can enter into brain through olfactory tract and may cause dysfunction in the medial preoptic area of the hypothalamus containing warm sensitive neurons directly or via cytokine-induced release of prostaglandin E2 from endothelial cells, which acts through a paracrine mechanism that may provoke hypothermia in our case.Conclusions:This case highlights a rare presentation of COVID-19 infection that has not been thoroughly explored. The authors believe the case report holds particular importance especially in dealing with COVID-19 cases in both clinical and home settings.
引用
收藏
页码:1691 / 1694
页数:4
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