Case Report

Incidentally Diagnosed COVID-19 in the Emergency Department: A Case Series

Abstract

Coronavirus disease 2019 (COVID-19) has become the most important challenge for health care worldwide. COVID-19 can be presented as an asymptomatic infection primarily or entirely, which plays a critical role in human-to-human transmission. This issue poses a huge challenge to the patients seeking care in the Emergency Department (ED).

We described the incidental diagnosis of COVID-19 among 11 patients referring to the ED due to the complaints not in favor of COVID-19. All patients had lung involvements in their chest computed tomography scan, and positive reverse transcriptase-polymerase chain reaction test.

It is suggested that during the COVID-19 outbreak, all the staff in the ED must be extremely cautious and deploy recommended personal protective equipment regardless of the patient’s primary complaint. All patients and their family members must be protected against any suspicious contacts while visiting the ED.

[1] Khazaei M, Asgari R, Zarei E, Moharramzad Y, Haghighatkhah H, Sanei Taheri M. Incidentally diagnosed COVID-19 infecton in trauma patents: A clinical experience. Archives of Academic Emergency Medicine. 2020; 8(1):e31. [PMID] [PMCID]
[2] Zhou Z, Guo D, Li C, Fang Z, Chen L, Yang R, et al. Coronavirus disease 2019: inital chest CT fndings. European Radiology. 2020; 30(8):4398- 406. [DOI:10.1007/s00330-020-06816-7] [PMID] [PMCID]
[3] Velavan TP, Meyer CG. The COVID-19 epidemic. Tropical Medicine & Internatonal Health : TM & IH. 2020; 25(3):278-80. [DOI:10.1111/ tmi.13383] [PMID] [PMCID]
[4] Tian Y, Rong L, Nian W, He Y. Review artcle: Gastrointestnal features in COVID-19 and the possibility of faecal transmission. Alimentary Pharmacology & Therapeutcs. 2020; 51(9):843-51. [DOI:10.1111/apt.15731] [PMID] [PMCID]
[5] Albano D, Bertagna F, Bertolia M, Bosio G, Lucchini S, Mota F, et al. Incidental fndings suggestve of COVID-19 in asymptomatc patents undergoing nuclear medicine procedures in a high-prevalence region. Journal of Nuclear Medicine. 2020; 61(5):632-6. [DOI:10.2967/jnumed.120.246256] [PMID]
[6] Gao M, Yang L, Chen X, Deng Y, Yang S, Xu H, et al. A study on infectvity of asymptomatc SARS-CoV-2 carriers. Respiratory Medicine. 2020:106026. [DOI:10.1016/j.rmed.2020.106026] [PMID] [PMCID]
[7] Hu Z, Song C, Xu C, Jin G, Chen Y, Xu X, et al. Clinical characteristcs of 24 asymptomatc infectons with COVID-19 screened among close contacts in Nanjing, China. Science China Life Sciences. 2020; 63(5):706-11. [DOI:10.1007/s11427-020-1661-4] [PMID] [PMCID]
[8] Treibel TA, Manisty C, Burton M, McKnight A, Lambourne J, Augusto JB, et al. COVID-19: PCR screening of asymptomatc health-care workers at London hospital. Lancet (London, England). 2020; 395(10237):1608- 10. [DOI:10.1016/S0140-6736(20)31100-4] [PMID] [PMCID]
[9] Ye F, Xu S, Rong Z, Xu R, Liu X, Deng P, et al. Delivery of infecton from asymptomatc carriers of COVID-19 in a familial cluster. Internatonal Journal of Infectous Diseases. 2020; 94:133-8. [DOI:10.1016/j. ijid.2020.03.042] [PMID] [PMCID]
[10] Murray CJL. Forecastng the impact of the frst wave of the COVID-19 pandemic on hospital demand and deaths for the USA and European Economic Area countries. The Insttute for Health Metrics and Evaluaton (IHME). medRxiv. 2020:2020.04.21.20074732. 21 April 2020. htp://www.healthdata.org/research-artcle/forecasting-impact-frst-wave-covid 19-pandemic-hospital-demand-anddeaths-usa-and
[11] Bai Y, Yao L, Wei T, Tian F, Jin DY, Chen L, et al. Presumed asymptomatc carrier transmission of COVID-19. JAMA. 2020; 323(14):1406- 7. [DOI:10.1001/jama.2020.2565] [PMID] [PMCID]
[12] Gandhi M, Yokoe DS, Havlir DV. Asymptomatc transmission, the Achilles’ Heel of current strategies to control Covid-19. New England Journal of Medicine. 2020; 382(22):2158-60. [DOI:10.1056/ NEJMe2009758] [PMID] [PMCID]
[13] Samsami M, Zebarjadi Bagherpour J, Nemathonar B, Tahmasbi H. COVID-19 infecton in asymptomatc trauma patents: Report of 8 cases. Archives of Academic Emergency Medicine. 2020; 8(1):e46. [PMID] [PMCID]
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IssueVol 5 No Covid- 19 (2020): In Press QRcode
SectionCase Report(s)
Published2021-03-07
Keywords
Incidental fndings Emergency Service Hospital COVID-19 Asymptomatc diseases

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How to Cite
1.
Jalali A, Karimi Alavijeh E, Aliniagerdroudbari E, Babaniamansour S. Incidentally Diagnosed COVID-19 in the Emergency Department: A Case Series. CRCP. 5(Covid- 19):145-148.