Title:A Patient with COVID-19 Disease in a Referral Hospital in Iran: A Typical Case
VOLUME: 20 ISSUE: 4
Author(s):Fereshteh Ghiasvand, Sepideh Zahak Miandoab, Hamid Harandi, Fereshteh Shahmari Golestan and Seyed Ahmad Seyed Alinaghi*
Affiliation:Liver Transplantation Research Center, Department of Infectious Diseases, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Department of Infectious Diseases, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High Risk Behaviors, Tehran University of Medical Sciences, Tehran, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High Risk Behaviors, Tehran University of Medical Sciences, Tehran
Keywords:Coronavirus, COVID-19, diabetes mellitus, ground glass Opacity, SARS-CoV-2 PCR test, severe acute respiratory
syndrome coronavirus 2.
Abstract:After the initial outbreak of the new Coronavirus in Wuhan at the end of December
2019, many new cases were reported in other provinces of China and also many other countries
over the world, including South Korea, Italy, Iran, Japan, and 68 other countries. We present a case
report of a 61-year-old woman with a history of diabetes mellitus who was referred to the emergency
department of a referral hospital in Tehran, Iran. The patient presented with fever, chills, and
myalgia within three days. Laboratory analysis showed increased levels of erythrocyte sedimentation
rate (ESR), and mild leukopenia. SARS-CoV-2 PCR test –under the Iran Ministry of Health
and Medical Education (MoH&ME) guidelines– was conducted and the result was positive. The chest
X-ray showed bilateral ground-glass opacity. O2 saturation was 87% (without O2 therapy). The
patient was hospitalized and treated with Oseltamivir 75 mg every 12 hours, Lopinavir/Ritonavir
(Kaletra) 400/100 mg every 12 hours and hydroxychloroquine 400 mg stat. The patient's last O2 saturation
measured was 93% and she had no fever on the 10th day of hospitalization. Therefore, she
was discharged from hospital and quarantined at home according to the Iran Ministry of Health protocol.
