Clinical manifestations and course of the first six reported cases of COVID-19 in the medical doctors of Peru

Introduction Health personnel, including physicians, are a fundamental part of the first line of defense against the SARS-CoV-2 pandemic. Objective To characterize the clinical manifestations and course of the first cases of contagion by SARS-CoV-2 in doctors of Peru. Methodology We present...

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Main Authors: Martín A. Vilela-Estrada, Irwing R. Benites-Flores, Mario B. García-Saavedra, Christian R. Mejia
Format: Article
Language:English
Published: Medwave Estudios Limitada 2020-08-01
Series:Medwave
Subjects:
Online Access:https://www.medwave.cl/link.cgi/Medwave/Estudios/Casos/7994.act
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author Martín A. Vilela-Estrada
Irwing R. Benites-Flores
Mario B. García-Saavedra
Christian R. Mejia
author_facet Martín A. Vilela-Estrada
Irwing R. Benites-Flores
Mario B. García-Saavedra
Christian R. Mejia
author_sort Martín A. Vilela-Estrada
collection DOAJ
description Introduction Health personnel, including physicians, are a fundamental part of the first line of defense against the SARS-CoV-2 pandemic. Objective To characterize the clinical manifestations and course of the first cases of contagion by SARS-CoV-2 in doctors of Peru. Methodology We present a series of six cases of doctors infected by SARS-CoV-2, with confirmed positivity for COVID-19, showing the daily evolution from the diagnosis of the disease, its main signs and symptoms, evolution, and until the outcome in each case. Results Five were men. The median age was 28 years (interquartile range: 27 to 33). In three cases the physician worked more than 12 hours a day in emergency and hospitalization services and not wear a mask at all times. The most frequent symptoms were axillary temperature above 38°C, malaise, dry cough, and odynophagia (the latter in three of the cases). The diagnosis was made at a median of 3 days (interquartile range: 3 to 4 days). The symptoms that persisted the most were dry cough (present during ten days in four doctors). Dysgeusia was the only symptom with the most extended duration (15 days in only one doctor). In the six cases, the course was favorable. However, these doctors found it difficult to return to functions in their hospital centers adequately. Discussion Despite a small number of cases, it is the first report detailing the evolution of symptoms day by day, which can help for occupational health and even for case surveillance and monitoring.
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spelling doaj.art-f480bce4e03843e485d8e5ac532333202022-12-22T03:47:58ZengMedwave Estudios LimitadaMedwave0717-63840717-63842020-08-01200710.5867/medwave.2020.07.7994Clinical manifestations and course of the first six reported cases of COVID-19 in the medical doctors of PeruMartín A. Vilela-Estrada0Irwing R. Benites-Flores1Mario B. García-Saavedra2Christian R. Mejia3Facultad de Medicina Humana, Universidad Privada Antenor Orrego, Trujillo, PerúEscuela de Posgrado, Universidad Nacional Mayor de San Marcos, Lima, PerúEscuela de Posgrado, Universidad Nacional Mayor de San Marcos, Lima, Perú; Departamento de Cardiología, Hospital Nacional Daniel Alcides Carrión, Callao, PerúUniversidad Continental, Lima, PerúIntroduction Health personnel, including physicians, are a fundamental part of the first line of defense against the SARS-CoV-2 pandemic. Objective To characterize the clinical manifestations and course of the first cases of contagion by SARS-CoV-2 in doctors of Peru. Methodology We present a series of six cases of doctors infected by SARS-CoV-2, with confirmed positivity for COVID-19, showing the daily evolution from the diagnosis of the disease, its main signs and symptoms, evolution, and until the outcome in each case. Results Five were men. The median age was 28 years (interquartile range: 27 to 33). In three cases the physician worked more than 12 hours a day in emergency and hospitalization services and not wear a mask at all times. The most frequent symptoms were axillary temperature above 38°C, malaise, dry cough, and odynophagia (the latter in three of the cases). The diagnosis was made at a median of 3 days (interquartile range: 3 to 4 days). The symptoms that persisted the most were dry cough (present during ten days in four doctors). Dysgeusia was the only symptom with the most extended duration (15 days in only one doctor). In the six cases, the course was favorable. However, these doctors found it difficult to return to functions in their hospital centers adequately. Discussion Despite a small number of cases, it is the first report detailing the evolution of symptoms day by day, which can help for occupational health and even for case surveillance and monitoring.https://www.medwave.cl/link.cgi/Medwave/Estudios/Casos/7994.actcoronavirushealth personnelcoronavirus infectionsoccupational healthperu (source: mesh)
spellingShingle Martín A. Vilela-Estrada
Irwing R. Benites-Flores
Mario B. García-Saavedra
Christian R. Mejia
Clinical manifestations and course of the first six reported cases of COVID-19 in the medical doctors of Peru
Medwave
coronavirus
health personnel
coronavirus infections
occupational health
peru (source: mesh)
title Clinical manifestations and course of the first six reported cases of COVID-19 in the medical doctors of Peru
title_full Clinical manifestations and course of the first six reported cases of COVID-19 in the medical doctors of Peru
title_fullStr Clinical manifestations and course of the first six reported cases of COVID-19 in the medical doctors of Peru
title_full_unstemmed Clinical manifestations and course of the first six reported cases of COVID-19 in the medical doctors of Peru
title_short Clinical manifestations and course of the first six reported cases of COVID-19 in the medical doctors of Peru
title_sort clinical manifestations and course of the first six reported cases of covid 19 in the medical doctors of peru
topic coronavirus
health personnel
coronavirus infections
occupational health
peru (source: mesh)
url https://www.medwave.cl/link.cgi/Medwave/Estudios/Casos/7994.act
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