• Dtsch. Med. Wochenschr. · May 2020

    Case Reports

    [Coronavirus (SARS-CoV-2) - Outbreak in North Rhine-Westphalia (District of Heinsberg) - First diagnosis of a COVID-19 manifestation in a couple].

    • Jendrik Laufs, Harry Elsbernd, Friedrich Hölzl, and Klaus-Dieter Winter.
    • Klinik für Kardiologie, Hermann-Josef-Krankenhaus Erkelenz.
    • Dtsch. Med. Wochenschr. 2020 May 1; 145 (10): 665-669.

    History And Clinical FindingsUp to February 24th 2020 occasionally occuring SARS-CoV-2 infections in Germany without severe course. Emergency presentation of a couple in the emergency room. For seven days now, the man has fever, dry cough und physical weakness and the wife has similar symptoms of a milder form. The clinical examination shows fine crackles over both lungs and a respiratory failure of the husband.Investigations And DiagnosisLaboratory increase in inflammation parameters as well as transaminases and lactate dehydrogenase. Radiologically lung infiltrates of different severity. Further on diagnosis of a SARS-CoV-2-infection of both patients with a severe course of the male.Treatment And CourseIntubation and mechanical ventilation of the male patient with prolonged intenive care treatment. Recovery of the female patient under conventional oxygen therapy.DiscussionThese two cases show the starting point of an endemic spread of SARS-CoV-2 in the district of Heinsberg (North Rhine-Westphalia) and up to this point the first case of a life-threatenning course in Germany.© Georg Thieme Verlag KG Stuttgart · New York.

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