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Case report: postoperative myocardial injury in a patient with left ureteric stone and asymptomatic COVID-19 disease.

Authors :
Kassam, Nadeem
Aziz, Omar
Ismail, Ally Zain
Swai, Rodgers
Somji, Samina
Mvungi, Robert
Bapumia, Mustaafa
Zehri, Aliakber
Surani, Salim
Source :
Pan African Medical Journal. May-Aug2020, Vol. 36, p1-7. 7p.
Publication Year :
2020

Abstract

Coronavirus disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It was first identified on 8th December 2019 in Wuhan, Hubei, China, and has since spread globally to become an emergency of international concern. Patients infected with SARS-CoV-2 may be asymptomatic or present with symptoms ranging from mild clinical manifestations: such as fever, cough, and sore throat to moderate and severe form of the disease such as pneumonia and acute respiratory distress syndrome (ARDS). In some patients, SARS-CoV-2 can affect the heart and cause myocardial injury which is evidenced either by electrocardiographic (ECG) changes or by a rise in serum troponin level. Patients with myocardial involvement are generally at risk of developing severe illness and tend to have a poor outcome. We hereby present a case of a hypertensive male patient with undiagnosed, asymptomatic COVID-19, who underwent an emergency urologic procedure for ureteric calculi. He eventually sustained a postoperative myocardial injury resulting in his demise. This case highlights the importance of detailed preoperative assessment and anticipation of complications during this global pandemic. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
19378688
Volume :
36
Database :
Academic Search Index
Journal :
Pan African Medical Journal
Publication Type :
Academic Journal
Accession number :
149988589
Full Text :
https://doi.org/10.11604/pamj.2020.36.170.23882