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10.5152/eurasianjmed.2021.20227

http://scihub22266oqcxt.onion/10.5152/eurasianjmed.2021.20227
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34177302!8184038!34177302
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suck abstract from ncbi


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pmid34177302      Eurasian+J+Med 2021 ; 53 (2): 155-157
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  • Telemedicine and Home-Based Treatment of COVID-19 in Resource-Limited Countries Report of 3 Cases #MMPMID34177302
  • Briones-Claudett KH; Monica HB; Briones-Zamora KH; Briones-Marquez DC; Icaza-Freire A; Grunauer M
  • Eurasian J Med 2021[Jun]; 53 (2): 155-157 PMID34177302show ga
  • Ecuador, despite having taken aggressive and early measures to stop the progression of the pandemic (COVID-19), ended up becoming an epicenter of the pandemic in Latin America, and with the collapse of its health care system. The authors describe three patients who had confirmed COVID-19 and met the criteria for hospital admission but could not be assigned a hospital bed in a resource-limited country. The patients included a 72-year-old male, an 82-year-old female, and a 56-year-old male. They typically presented with fever, dyspnea, loss of taste and smell, diarrhea, and abdominal pain. Oxygen saturation during the initial evaluation ranged from 80-89%. Laboratory results reported lymphopenia and neutrophilia, with leukocytosis in two patients. Inflammatory markers were also elevated for all three patients. CT scan findings showed bilateral ground-glass pulmonary opacities. SARS-CoV-2 was confirmed in all three patients by real time polymerase chain reaction (RT-PCR) testing. Home-based treatment was established. At the time of writing this report, all patients remain asymptomatic and with negative COVID-19 testing. Telemedicine and home-based treatment were essential assets in the care of these severely ill patients living in a low-resource setting where not all patients who have criteria to be admitted into the hospital are able to find a place in a collapsed health care system.
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