Covid19 Positive and Recovering | Figure 1

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Covid19 Positive and Recovering

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49 y/o male pharmacist with PMH of HTN presented with initial symptoms of cough. Others symptoms developed over the next 3-4 days: flu like symptoms, cough, sore throat and mild shortness of breathe. No travel history outside the US.

He present to the ER and was tested for flu and Covid19 and sent home to self-quarantine. The next day, patient was informed that flu results were negative and he self-dosed with chloroquine one tab but symptoms got worse. Two days later, he was confirmed to be #Covid19 positive, at which point he increased his dose and took 2 tabs daily for 7 days. Patient is currently symptom free with residual cough.

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Clinical scenario - female in early twenties (in one of covid 19 endemic areas of Atlanta metro), works in a medical clinic seeing patients even some suspected with COVID19, (without protective gear) presents to you after going to ER a few days ago with “symptoms of cough and subjective fever” and diagnosed by ER physician as “bronchitis” without testing. She says that her symptoms over the last few days have become more intense including now a dry cough with some chest congestion and discomfort, along with a low grade fever, and shortness of breath. She indicates that her mother who is early forties is developing similarly symptoms.
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A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this EKG that would warrant further work-up or is this just a pediatric EKG?