May 15, 2020 - a podcast by COVID19LST
from 2020-05-17T00:59:48
Your daily COVID-19 LST Report:
— More evidence suggesting the lack of negative predictive value of the nasopharyngeal swab RT-PCR continues to build:
— A case report of an obese 14 year old boy who presented initially with fever, gastrointestinal symptoms, and a negative COVID-19 nasopharyngeal swab subsequently developed severe respiratory and cardiac symptoms and positive SARS-CoV-2 on retest. This case emphasizes obesity as a potential independent risk factor for COVID-19 as well as the poor negative predictive value of nasopharyngeal swabs.
— A case report of a cystic fibrosis patient with ultimately diagnosed with COVID-19 via positive RT-PCR after 2 false negatives and a subsequent positive rhinovirus test highlights that identifying another respiratory pathogen should not exclude the possibility of an additional infection of SARS-CoV-2 in patients with severe respiratory disease and the propensity for false negative SARS-CoV-2 RT-PCR result.
— Clinicians are urged to differentiate between High Altitude Pulmonary Edema (HAPE) and COVID-19 because pulmonary vasodilators routinely used to treat HAPE could critically worsen ventilation-perfusion mismatch or cause hypotension in COVID-19 patients.
— Visit COVID19LST.org for our full report with links to the articles.
— Reach out to us at: contact@covid19lst.org
---
Support this podcast: https://anchor.fm/covid19lst/support
Further episodes of The COVID-19 LST Report
Further podcasts by COVID19LST
Website of COVID19LST