Asian Journal of Case Reports in Medicine and Health

  • About
    • About the Journal
    • Submissions & Author Guideline
    • Accepted Papers
    • Editorial Policy
    • Editorial Board Members
    • Reviewers
    • Propose a Special Issue
    • Printed Hard copy
    • Subscription
    • Membership
    • Publication Ethics and Malpractice Statement
    • Digital Archiving
    • Contact
  • Archives
  • Indexing
  • Publication Charge
  • Submission
  • Testimonials
  • Announcements
Advanced Search
  1. Home
  2. Archives
  3. 2020 - Volume 3 [Issue 3]
  4. Case Report

Submit Manuscript


Subscription



  • Home Page
  • Author Guidelines
  • Editorial Board Member
  • Editorial Policy
  • Propose a Special Issue
  • Membership

Complications of Spinal Cord Injury can Hide Fever and Cough Associated to COVID-19

  • Aylin Ayyıldız
  • Banu Kuran
  • Banu Altoparlak
  • Beril Dogu
  • Figen Yılmaz

Asian Journal of Case Reports in Medicine and Health, Page 1-5

Published: 22 June 2020

  • View Article
  • Download
  • Cite
  • References
  • Statistics
  • Share

Abstract


Aim: Coronavirus disease (COVID-19) is a lower respiratory tract infectious disease. This new coronavirus responsible for severe acute respiratory syndrome, higher level of illness and death. Comorbid health conditions are highly important in clinical course of Coronavirus disease. Patient with spinal cord injury (SCI) may have numerous comorbidities like respiratory muscle weakness, tendency to coagulation caused by immobilisation, autonomic dysreflexia accompanied by hypertension, urinary tract infection, SCI-induced immune suppression etc.


Case of Presentation: A 43 year-old male patient is affected by ASIA A, T7 level paraplegia. After the COVID-19 outbreak, he acquired severe dorsal pain with recurrent submaximal fever at night. The patient was considered primarily as a urinary tract infection. He was evaluated covid-19 on the development of dyspnoea and cough in the following periods. Due to SCI complications, it is late in diagnosis and treatment.


Discussion: SCI patients are vulnerable individuals of our society in having respiratory infections. Comorbidities caused by the spinal cord injury lay the ground for this. The importance of this sensitive condition should be emphasized in the COVID-19 pandemic. SCI patients may not come with symptoms such as fever, cough and dyspnoea, which are typical symptoms of covid-19 in initial hospital admissions.


Conclusion: Complications of SCI can cover COVID-19 infections. Evaluating SCI patients in terms of infection, this should be known and cautious. In this way, there is no delay in the treatment of SCI patients and less mortality can be observed.


Keywords:
  • Coronavirus
  • infections
  • spinal cord injuries
  • Full Article - PDF
  • Review History

How to Cite

Ayyıldız, A., Kuran, B., Altoparlak, B., Dogu, B., & Yılmaz, F. (2020). Complications of Spinal Cord Injury can Hide Fever and Cough Associated to COVID-19. Asian Journal of Case Reports in Medicine and Health, 3(3), 1-5. Retrieved from https://journalajcrmh.com/index.php/AJCRMH/article/view/30128
  • ACM
  • ACS
  • APA
  • ABNT
  • Chicago
  • Harvard
  • IEEE
  • MLA
  • Turabian
  • Vancouver

References

Li Q, Guan X, Wu P, et al. Early transmission dynamics in Wuhan, China, of novel coronavirus–infected pneumonia. New England Journal of Medicine. 2020;382:1199-207.

Coronavirus COVID-19 Global Cases by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University (JHU). JHU COVID-19 Resource Center. Johns Hopkins Coronavirus Resource Center.

Available:https://www.arcgis.com/apps/opsdashboard/index.html#/bda7594740fd40299423467b48e9ecf6

(Accessed 20 May 2020)

The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19) in China. Zhonghua Liu Xing Bing Xue Za Zhi. 2020;41:145-51.

McDonald JW, Sadowsky C. Spinal-cord injury. Lancet. 2002;359:417-25.

Trbovich M, Li C, Lee S. Does the CDC definition of fever accurately predict inflammation and infection in persons with SCI? Top Spinal Cord Inj Rehabil. 2016;22:260-8.

Dicks MA, Clements ND, Gibbons CR, Verduzco-Gutierrez M, Trbovich M. Atypical presentation of Covid-19 in persons with spinal cord injury. Spinal Cord Series and Cases. 2020;6:38.

Cardozo CP. Respiratory complications of spinal cord injury. J Spinal Cord Med. 2007;30:307-8.

Rodríguez-Cola M, Jiménez-Velasco I, Gutiérrez-Henares F, et al. Clinical features of coronavirus disease 2019 (COVID-19) in a cohort of patients with disability due to spinal cord injury. Spinal Cord Ser Cases. 2020;6:39.

Korupolu R, Stampas A, Gibbons C, Hernandez Jimenez I, Skelton F, Verduzco-Gutierrez M. COVID-19: Screening and triage challenges in people with disability due to spinal cord injury. Spinal Cord Series and Cases. 2020;6: 35.

Held KS, Steward O, Blanc C, Lane TE. Impaired immune responses following spinal cord injury lead to reduced ability to control viral infection. Exp Neurol. 2010;226:242-53.

Schmidt KD, Chan CW. Thermoregulation and fever in normal persons and in those with spinal cord injuries. Mayo Clin Proc. 1992;67:469-75.
  • Abstract View: 2576 times
    PDF Download: 996 times

Download Statistics

  • Linkedin
  • Twitter
  • Facebook
  • WhatsApp
  • Telegram
Make a Submission / Login
Information
  • For Readers
  • For Authors
  • For Librarians
Current Issue
  • Atom logo
  • RSS2 logo
  • RSS1 logo


© Copyright 2010-Till Date, Asian Journal of Case Reports in Medicine and Health. All rights reserved.