Background: In this study authors retrospectively analyzed the record of 102 patients with confirmed COVID-19 infection to determine factors associated with severity of disease.  Methods: Clinical, biochemical, radiological and hematological profiles of 102 patients with confirmed SARS-CoV-2 RNA testing were obtained and analyzed.  Results: A total of 102 patients were enrolled, with median age of patients of 32.5 years (range 10-85 years), of which 83.3% (85/102) were asymptomatic and 16.67% (17/102) symptomatic. Eighteen (17.6%) patients had co-existing illnesses. Clinical spectrum among COVID-19 patients varied from being asymptomatic to having symptoms like fever, dry cough, breathlessness with few progressing to respiratory failure and multi-organ failure. In our study, 97.05% (99/102) recovered while 2.94% (3/102) died. Mean age, total leucocyte count (TLC), neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR), and lactate dehydrogenase (LDH) of severely ill patients were significantly higher than those of patients with non-severe illness.Conclusions: Elevated NLR, TLC, PLR, LDH and lymphopenia were seen in the symptomatic patients especially manifesting severe disease. Early intervention and periodic monitoring of these parameters in patients, especially with severe disease may help in improving disease outcome.

We analyzed the data of 102 confirmed patients with novel Coronavirus 2 infection (COVID-19) during the early period of nationwide lockdown announced in India after the declaration of pandemic. We analyzed epidemiological, clinical characteristics and outcome of hospitalization in 102 patients with positive results for novel corona virus (SARS-CoV-2) RNA testing which were traced on the basis of history of travel, contact with a confirmed COVID-19 case, resident of hotspot areas or presence of symptoms, thus providing an accurate estimate of the proportion of asymptomatic cases in the initial population. Of 102 patients enrolled in the study, 83.3% (85/102) were asymptomatic and 16.67% (17/102) were symptomatic. Seventy-seven (75.49%) were males and 24.50% (25/102) were females. Eighteen (17.6%) patients had associated comorbidities, the most prevalent of which were diabetes mellitus 10.8% (11/102), hypertension 7.8% (8/102), chronic obstructive pulmonary disease (COPD) in 3.92% (4/102), chronic kidney Disease (CKD) 0.98% (1/102), coronary artery Disease (CAD) 0.98% (1/102) and cerebro-vascular disease (CVD) 0.98% (1/102). The clinical spectrum among symptomatic COVID-19 patients varied from dry cough and fever to respiratory failure and multi-organ failure. Twelve (11.76%) patients were kept in intensive care unit (ICU). Ninety-nine (97.05%) patients recovered while three (2.94%) died during hospital stay. With majority of COVID-19 cases in India being asymptomatic, changes in biochemical and inflammatory profile were small and insignificant in asymptomatic patients when compared to symptomatic patients. Elevated NLR, lymphopenia, age and presence of comorbidities were associated with increased severity and poor outcome.

Priapism is a rare presenting feature of Chronic Myeloid Leukemia (CML). It is an urological emergency which requires urgent treatment to prevent long term complications, in particular erectile dysfunction. Author report a case of 18 year old male presenting with persistent painful erection of penis for around 14 hours. The patient underwent immediate irrigation and decompression of priapism in emergency and was started on cytoreductive therapy. During hospitalization, peripheral blood smear and bone marrow aspiration confirmed the diagnosis of CML.

Background: We retrospectively analyzed and compared 98 patients admitted in Intensive care unit (ICU) with symptoms of acute respiratory illness (ARI) during the era of COVID-19 pandemic.Methods: We examined patients presenting in emergency department of SMS Medical College, Jaipur between 3rd and 20th May, 2020 with symptoms of ARI who were tested for SARS-CoV-2. Among those hospitalized, we compared symptoms, vital signs, comorbidities, biochemical and hematological parameters including viral diagnostics. We determined differences in outcomes (ICU admission, interventions, acute respiratory distress syndrome and cardiac injury).Results: In a cohort of 98 patients with symptoms of ARI, 9 (9.183%) tested positive for SARS-CoV-2. Patients were divided into group A and B based on SARS CoV2 RNA testing. Among patients with additional viral testing, no co-infections with SARS-CoV-2 were identified by PCR. FDP and d-dimer was positive in 44.44% patients in group A and 68.53% in group B. 11.11% mortality was observed in group A and 14.606% in group B. The most common complication of ARI observed in both groups was coagulopathy 33.33% in group A and 42.696% in group B.Conclusions: Presence of comorbidities, lymphopenia, elderly age and elevated NLR, TLC, PLR and LDH have been associated with increased morbidity and mortality. Tuberculosis was most common coinfection seen in patients presenting with ARI. ARI due to non-COVID-19 illness was more severe than due to COVID-19 and was accompanied by multiple respiratory and systemic symptoms and was associated with hospitalization.