Atypical SARS in Geriatric Patient

Tee, Augustine; Oh, Hong Choon; Lien, Christopher Tsung Chien; Narendran, K; Heng, Bee Hoon; Ling, Ai-Ee

doi:10.3201/eid1002.030322

Cited by 18 publications

(15 citation statements)

References 12 publications

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“…Atypical presentation of SARS in geriatric patients is a diagnostic challenge. The clinical picture is often confounded by multiple co-existing diseases that apparently could explain the illnesses [41]. Epidemiological history of contact may not be obvious.…”

Section: Atypical Presentationmentioning

confidence: 99%

Severe acute respiratory syndrome: clinical features

Lee¹,

Tsui²,

Tsang³

et al. 2005

Coronaviruses With Special Emphasis on First Insights Concerning SARS

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Section: Atypical Presentationmentioning

confidence: 99%

Severe acute respiratory syndrome: clinical features

Lee¹,

Tsui²,

Tsang³

et al. 2005

Coronaviruses With Special Emphasis on First Insights Concerning SARS

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“…Unfortunately, fever is a non-specific and insensitive screening tool for SARS [56]. Atypical presentations of SARS without fever have been reported especially in older and immunocompromised patients [59]. One case is particularly illustrative [47].…”

Section: Fever Screeningmentioning

confidence: 99%

SARS: responding to an unknown virus

Tambyah

2004

Eur J Clin Microbiol Infect Dis

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The severe acute respiratory syndrome (SARS) is an emerging infection caused by a novel coronavirus which first appeared in southern China at the end of 2002. In early 2003, through a single incident, it spread to Hong Kong, Singapore, Canada and Vietnam. For busy clinicians in large public hospitals, the response to the virus was initially based on ensuring a high level of protection for staff. However, as the epidemic progressed and more information became available about the virus, procedures were rationalized and the virus is currently under control worldwide. There are, however, numerous unanswered questions concerning super-spreading events, the modes of transmission of the virus and, perhaps most importantly, the rapid detection of the virus early in the course of disease. These issues need to be addressed in case the virus becomes more widespread in the near future.

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“…Also, atypical presentations of SARS may pose an infection control risk for similar reasons. [82][83][84] SARS patients may also present to ICU because of complications of other diseases such as diabetes, 83 gastrointestinal bleeding, 83 leukaemia 82 and cardiac failure. 84 About 20-30% of SARS patients develop respiratory failure, requiring admission to ICU for mechanical ventilation.…”

Section: Suspect Casementioning

confidence: 99%

“…[82][83][84] SARS patients may also present to ICU because of complications of other diseases such as diabetes, 83 gastrointestinal bleeding, 83 leukaemia 82 and cardiac failure. 84 About 20-30% of SARS patients develop respiratory failure, requiring admission to ICU for mechanical ventilation. 5,48,71,74,80,85,86 The most common indication for ICU admission is respiratory failure, others were admitted due to multi-organ failure or other co-morbidity.…”

Section: Suspect Casementioning

confidence: 99%

Severe acute respiratory syndrome (SARS) in intensive care units (ICUs): limiting the risk to healthcare workers

Tang

Chan

2004

Current Anaesthesia & Critical Care

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The global epidemic of severe acute respiratory syndrome (SARS) during the first half of 2003 resulted in over 8000 cases with more than 800 deaths. Many of those who eventually died, did so in the critical (intensive) care units of various hospitals around the world, and many secondary cases of SARS arose in healthcare workers looking after such patients in these units. Research on SARS coronavirus (SARS CoV) demonstrated that this virus belongs to the same family of viruses, the Coronaviridae that causes the common cold, with some important differences. Properties of this virus have been discovered which can be used to develop important infection control policies within hospitals to limit the number of secondary cases. These properties include environmental survival, transmissibility, viral load in various organs and fluids and periods of symptomatic illness during which infectivity is greatest. Various barrier methods were used throughout the epidemic to protect healthcare workers from SARS, with varying degrees of success. Treatment of SARS patients has mainly involved steroid therapy, with or without ribavirin, but there is no consensus on the best treatment protocol, as yet. This review focuses on the implications of SARS for healthcare workers and patients on critical care units.

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Atypical SARS in Geriatric Patient

Cited by 18 publications

References 12 publications

Severe acute respiratory syndrome: clinical features

Severe acute respiratory syndrome: clinical features

SARS: responding to an unknown virus

Severe acute respiratory syndrome (SARS) in intensive care units (ICUs): limiting the risk to healthcare workers

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