Extremely severe case of COVID-19 pneumonia recovered despite bad prognostic indicators: a didactic report

Abstract

Introduction: COVID-19 is a highly infectious respiratory disease caused by Severe Acute Respiratory Syndrome - Coronavirus - 2 (SARS-COV2). Starting from Wuhan (China) where it was firstly reported, it rapidly spread to the rest of the world, causing a pandemic with more than 300.000 deaths to date. Case presentation: we report an extremely severe case of coronavirus pneumonia in an over-80 years old patient with hypertension, coronary heart disease, chronic heart failure and chronic obstructive pulmonary disease. Despite several bad anamnestic indicators, the severe clinical conditions and complications that arose during hospitalization, the patient recovered and was discharged.Conclusions: Although a higher vulnerability of geriatric patients has been observed, the literature on elderly COVID-19 patients have remained very scarce, especially in those over 80. The aim of this paper is to describe an extremely severe case of coronavirus pneumonia in an over-80 years old patient that, despite a clearly poor anamnestic and clinical prognostic forecast was successfully discharged thanks to a careful evaluation of the case and of the complications that have arisen. Several efforts have been made to identify therapeutic strategies and prognostic indicators of COVID-19 but there is still much to learn. With this report, we hope to provide important elements to better understand this disease.

Thrombosis and Bleeding as Presentation of COVID-19 Infection with Polycythemia Vera. A Case Report

“…We describe a case of cerebral venous thrombosis in COVID-19 infection with underlying polycythemia vera that happened in Sarawak General Hospital, Malaysia during the early stage of the pandemic. To date, there is scarce data on patient with myeloproliferative neoplasm such as polycythemia vera, especially in the geriatric population, who has COVID-19 infection [ 10 ].…”

Factors Affecting Mortality in 1022 COVID-19 Patients Referred to an Emergency Department in Bergamo during the Peak of the Pandemic

“…In fact, some of them, in spite of extremely severe conditions, were successfully discharged thanks to the intensive care received [15]. This was done according to the WHO recommendation for endemic, the international literature on COVID-19, and the current indications of the scientific societies [16][17][18][19].…”

Geriatric Rehabilitation and COVID-19: a Case Report

“…Although a higher vulnerability of geriatric patients has been observed, the literature on aged COVID-19 patients has remained very scarce. A few studies have already adequately targeted these patients and described interesting clinical pictures and associated medical treatments [ 45 ]. However, to our knowledge, this is the first case report highlighting the rehabilitation process with an aged COVID-19 patient who needs to be seen also as a respiratory case and as a frail patient.…”