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Ned Tijdschr Geneeskd ; 1642020 Apr 08.
Artículo en Holandés | MEDLINE | ID: mdl-32395966

RESUMEN

Clinical characteristics and outcomes among older patients with a SARS-CoV-2 infection differ greatly from those seen in younger patients. Here we highlight atypical presentations of this fulminant infectious disease COVID-19, based on a clinical case and a cohort of 19 patients admitted to a geriatric ward. The degree of frailty, resilience and number of co-morbidities caused COVID-19 to present as acute geriatric syndrome events such as falls, delirium and dehydration in these patients. Clinical laboratory results considered typical for COVID-19 were present less often in this frail older population. As in other countries, morbidity and mortality is most severe among frail male patients; therefore, assessment of changes suggestive of typical acute geriatric syndromes in frail older patients with chronic diseases should lead to a careful clinical examination for a SARS-CoV-2 infection. Protocols for diagnosis, and contact isolation measures, should take these atypical presentations into account.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/diagnóstico , Neumonía Viral/diagnóstico , Accidentes por Caídas , Anciano , Anciano de 80 o más Años , COVID-19 , Estudios de Cohortes , Delirio/diagnóstico , Diarrea/diagnóstico , Femenino , Hospitalización , Humanos , Masculino , Pandemias , SARS-CoV-2
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