Atypical presentation of COVID-19 in a diabetic patient with malaria-like symptoms: case report

Since the emergence of the coronavirus (COVID-19) pandemic beginning in China in 2019, all health workers have faced a difficult challenge. One challenge is a clinical picture in some cases, where the presenting symptoms do not fit with the usual pattern. In this report, we present a case whose init...

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Main Authors: Abrar Bakry Elmalik, Mohamed Eltayieb Elawad, Alaa Eltayieb Elawad Ahmed, Ibrahim A. Ali
Format: Article
Language:English
Published: Health and Social Sciences Research Institute - South Sudan (HSSRI-SS) 2020-12-01
Series:South Sudan Medical Journal
Online Access:https://bit.ly/3pMejcX
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author Abrar Bakry Elmalik
Mohamed Eltayieb Elawad
Alaa Eltayieb Elawad Ahmed
Ibrahim A. Ali
author_facet Abrar Bakry Elmalik
Mohamed Eltayieb Elawad
Alaa Eltayieb Elawad Ahmed
Ibrahim A. Ali
author_sort Abrar Bakry Elmalik
collection DOAJ
description Since the emergence of the coronavirus (COVID-19) pandemic beginning in China in 2019, all health workers have faced a difficult challenge. One challenge is a clinical picture in some cases, where the presenting symptoms do not fit with the usual pattern. In this report, we present a case whose initial symptoms were headache, dizziness, and vomiting suggesting malaria bearing in mind that the patient was from Sudan, where there is a high incidence of malaria. These unusual symptoms may be attributed to the presence of the receptor ACE2, in various body systems. The mild pathological course may be related to the patient’s age and the fact that diabetic patients are less likely to develop lung injury, hence the absence of respiratory symptoms. We recommend that physicians are alert to the variety of different presenting features of COVID-19 and test with Polymerase Chain Reaction (PCR) whenever there is doubt.
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spelling doaj.art-f6b975156d624ac6b94c738a1e685f4f2023-01-02T03:35:38ZengHealth and Social Sciences Research Institute - South Sudan (HSSRI-SS)South Sudan Medical Journal2309-46052309-46132020-12-01135196199Atypical presentation of COVID-19 in a diabetic patient with malaria-like symptoms: case reportAbrar Bakry Elmalik0Mohamed Eltayieb Elawad1Alaa Eltayieb Elawad Ahmed2Ibrahim A. Ali3Medical student, Faculty of Medicine, Omdurman Islamic University, Khartoum, Sudan Medical student, Faculty of Medicine, National Ribat University, Khartoum, SudanFaculty of Nursing, Sharjah University, Sharjah, United Arab EmiratesAssistant Professor of Physiology, Faculty of Medicine, The National Ribat University, Khartoum, Sudan Since the emergence of the coronavirus (COVID-19) pandemic beginning in China in 2019, all health workers have faced a difficult challenge. One challenge is a clinical picture in some cases, where the presenting symptoms do not fit with the usual pattern. In this report, we present a case whose initial symptoms were headache, dizziness, and vomiting suggesting malaria bearing in mind that the patient was from Sudan, where there is a high incidence of malaria. These unusual symptoms may be attributed to the presence of the receptor ACE2, in various body systems. The mild pathological course may be related to the patient’s age and the fact that diabetic patients are less likely to develop lung injury, hence the absence of respiratory symptoms. We recommend that physicians are alert to the variety of different presenting features of COVID-19 and test with Polymerase Chain Reaction (PCR) whenever there is doubt.https://bit.ly/3pMejcX
spellingShingle Abrar Bakry Elmalik
Mohamed Eltayieb Elawad
Alaa Eltayieb Elawad Ahmed
Ibrahim A. Ali
Atypical presentation of COVID-19 in a diabetic patient with malaria-like symptoms: case report
South Sudan Medical Journal
title Atypical presentation of COVID-19 in a diabetic patient with malaria-like symptoms: case report
title_full Atypical presentation of COVID-19 in a diabetic patient with malaria-like symptoms: case report
title_fullStr Atypical presentation of COVID-19 in a diabetic patient with malaria-like symptoms: case report
title_full_unstemmed Atypical presentation of COVID-19 in a diabetic patient with malaria-like symptoms: case report
title_short Atypical presentation of COVID-19 in a diabetic patient with malaria-like symptoms: case report
title_sort atypical presentation of covid 19 in a diabetic patient with malaria like symptoms case report
url https://bit.ly/3pMejcX
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AT alaaeltayiebelawadahmed atypicalpresentationofcovid19inadiabeticpatientwithmalarialikesymptomscasereport
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