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Case Reports
. 2021 Apr:81:105826.
doi: 10.1016/j.ijscr.2021.105826. Epub 2021 Mar 23.

Survived COVID-19 patient presented with death on arrival: A case report

Aryan A Hama Amin  1 , Ahmed H Awakhti  2 , Lana A Hama Hussein  3 , Fattah H Fattah  4 , Hiwa O Baba  5 , Fahmi H Kakamad  6 , Abdulwahid M Salih  4 , Hiwa O Abdullah  5 , Berwn A Abdulla  5 , Karokh H Salih  7
Affiliations
Case Reports

Survived COVID-19 patient presented with death on arrival: A case report

Aryan A Hama Amin et al. Int J Surg Case Rep. 2021 Apr.

Abstract

Introduction and importance: Although Corona virus primarily infects respiratory system, several complications have been reported. The aim of this paper is to report a strange case of corona virus disease presented with death on arrival and survived after rigorous cardiopulmonary resuscitation.

Case presentation: A 35-year-old male present as a sudden loss of consciousness 10 min before admission. The patient was unconscious, pulseless, there was no sign of breathing, the pupils fixed, did not react to light. Blood sugar was 112 mg/dl. Cardiopulmonary resuscitation (CPR) commenced with insertion of two wide bore cannulas. The patient developed ventricular fibrillation. Later, he reverted to pulseless ventricular tachycardia. After several minutes of CPR, the patient returned back to sinus rhythm. He underwent percutaneous coronary intervention and became healthy one month after the intervention.

Clinical discussion: Cardiac involvement in case of COVID-19 might be explained by the presence of the angiotensin-converting enzyme 2 (ACE2) receptor which is a transmembrane soluble protein regulating the local actions of the renin-angiotensin apparatus in cardio-vascular system.

Conclusion: death on arrival could be the first presentation of COVID-19. Aggressive CPR is necessary to revive the victim.

Keywords: COVID-19; CPR; DOA; Infection.

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Figures

Fig. 1
Fig. 1
ECG showing ventricular fibrillation.
Fig. 2
Fig. 2
Ventricular tachycardia.
See this image and copyright information in PMC

References

    1. Abdullah H.M., Hama-Ali H.H., Ahmed S.N., Ali K.M., Karadakhy K.A., Mahmood S.O. Severe refractory COVID-19 patients responding to convalescent plasma; A case series. Ann. Med. Surg. 2020;56(1):125–127. - PMC - PubMed
    1. Shereen M.A., Khan S., Kazmi A., Bashir N., Siddique R. COVID-19 infection: origin, transmission, and characteristics of human coronaviruses. J. Adv. Res. 2020;24(1):91–98. - PMC - PubMed
    1. World Health Organization. https://covid19.who.int/. Accepted on 19 January 2021.
    1. Omer S.B., Malani P., Del Rio C. The COVID-19 pandemic in the US: a clinical update. JAMA. 2020;323(18):1767–1768. - PubMed
    1. Agha R.A., Franchi T., Sohrabi C., Mathew G., for the SCARE Group The SCARE 2020 guideline: updating consensus Surgical CAse REport (SCARE) guidelines. Int. J. Surg. 2020;84:226–230. - PubMed

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