RESUMEN
[This retracts the article DOI: 10.7759/cureus.19763.].
RESUMEN
The coronavirus disease 2019 (COVID-19) may have multisystem organ involvement. Thrombotic events are well-recognized complications of COVID-19. Such complications may include the pulmonary, renal, and other organs vasculature. The risk of coagulopathy is usually related to the severity of COVID-19 pneumonia. Few cases suggested that the coagulopathy risk may persist for some period after the recovery from COVID-19. We report the case of a middle-aged man with severe COVID-19 pneumonia that required seven days of endotracheal intubation and mechanical ventilation who presented with headache and left-sided weakness that occurred three days after his discharge. A computed tomography scan was performed to rule out intracranial hemorrhage before initiating the thrombolytic therapy. The scan demonstrated hemorrhage in the right temporal lobe with surrounding vasogenic edema along with density in the right transverse sinus. Subsequently, computed tomography venography was performed and demonstrated the filling defect representing right sigmoid venous sinus thrombosis. The patient received conservative measures in the form of intravenous hydration, anticoagulation, analgesics, and anticonvulsants. During the hospital stay, the patient had improvement in his symptom and mild neurological deficit persisted. The case highlighted that risk of thrombotic complications in COVID-19 pneumonia may persist for some period after the recovery from the disease. Hence, thromboprophylaxis may be indicated in selected patients with a risk of thrombotic events after their recovery from severe COVID-19.
RESUMEN
BACKGROUND: The Coronavirus disease 2019 (COVID-19) has now been declared a global public health disaster with no currently available vaccine. This study was undertaken to analyse the effect of meteorological parameters such as temperature, humidity, and wind speed on the spread of ongoing COVID-19 in Saudi Arabia. METHODS: The COVID-19 dashboard for five major cities of Saudi Arabia - Riyadh, Makah, Jeddah, Medina and Dammam was used for data collection. The data on weather were collected from the Weather Underground Company (IBM business GA, USA, 2020). The data were analysed by Spearman's rank correlations using JASP statistical software in two main sections. In the first section the data on COVID-19 from cities were combined to analyse the overall picture of COVID-19 and in the second section, different meteorological parameters such as temperature, humidity and wind speed were analysed. RESULTS: Novel data revealed interesting facts on the spreading of COVID-19 in Saudi Arabia, the data showed that the number of COVID-19 positive cases increases due to the decrease of temperature or humidity, whereas an average decrease in the wind speed was also found to be associated with an elevation of the number of positive cases. CONCLUSIONS: This study determined the impact meteorological factors on the infectivity rate of COVID-19. An inverse association was found between the meteorological parameters with the spreading of COIVD-19. Therefore, this study directs the health authorities to implement specific measures against the spreading of this global pandemic based on weather patterns.