Table 1.
Showing clinical presentation and progression of the patient.
| Clinical symptoms | Duration (Days) | Description | Day 5 status | Day 14 status |
|---|---|---|---|---|
| Fever | 10 | High grade and intermittent | ||
| Breathlessness | 4 | Progressive worsening | ||
| Rashes | 4 | Face, upper limbs and trunks, pruritic | ||
| Flaking of lips | 4 | Peeling of the upper lips and mucous membranes of the mouth | ||
| Redness of eyes | 3 | Cream-coloured sticky discharge | ||
| Diarrhoea | 3 | Stools were loose, greenish, non-bloody with 3 to 4 bowel motions per day | ||
| Physical examination signs | Values | |||
| AVPU | Responds to Voice | Alert | Alert | |
| Temperature (OC) | 39 | 37 | 36.5 | |
| Respiratory rate/minute | 48 | 32 | 28 | |
| Pulse/minute | 135 | 90 | 84 | |
| Blood Pressure (mmHg) | 90/50 | 90/50 | 90/60 | |
| SPO2 (room air) % | 76 | 98 | 99 | |
| Capillary refill | 2–4 s | <2 s | <2 s | |
| PEWs score | 11 | 0 | 0 | |
| Eyes | Bilateral conjunctival injection | |||
| Mouth and mucosa | Dried peeled lips and hyperaemic oral mucosa | |||
| Skin | Diffuse maculopapular rashes were found on the face and upper limbs | |||
| Legs | pedal oedema | |||
| Chest | Bibasilar crackles | |||
| Abdomen | Tender hepatomegaly |
| Parameters | Result | Normal ranges | Interpretation |
|---|---|---|---|
| Haemoglobin (g/dl) | 8.95 | 11.5–13.5 | Anaemia |
| White blood count (x109/L) | 21.20 × 109/L | 4.5–13.5 | Leucocytosis |
| Neutrophils % | 85.19 | 40–75 | Neutrophilia |
| Lymphocytes % | 8.7 | 20–45 | Lymphopenia |
| Neutrophils (x109/L) | 18.06 | 1.50–8.50 | Neutrophilia |
| Lymphocyte (x109/L) | 0.85 | 1.00–6.5 × 109/L | Lymphopenia |
| Eosinophil (x109/L) | 0.42 | 0.00–0.40 | Marginal elevation |
| Monocytes (x109/L) | 0.77 | 0.00–1.00 | Normal |
| Platelet (x 109/L) | 84.3 | 150–450 | Thrombocytopenia |
| ESR (mm/h) | 70 mm/h | 0.00–4 | Elevated |
| Sodium (mmol/L) | 135 mmol/L | 135–145 | Normal |
| Potassium (mmol/L) | 3.4 mmol/L | 3.5–5.5 | Hypokalemia |
| Bicarbonate (mmol/L) | 29 mmol/L | 24–30 | Normal |
| Urea (mmol/L) | 2.9 mmol/L | 2.4–6.2 | Normal |
| Creatinine (umol/L) | 130 mmol/L | 60–120 | Azotemia |
| Random blood sugar (mmol/l) | 5.6 | 4.0–10.0 | Normal |
| HIV screening | Seronegative | ||
| Glomerular filtration rate (GFR) (mls/min/BSA) | 70.87 | Evidence of renal impairment (AKI) | |
| RT-PCR for SARS-COV-2 Test date: (3/6/2020) | Positive | RT-PCR for SARS-COV-2 Test date: (24/6/2020) | Negative |
| Chest radiograph | Dense lung fields with bilateral background tiny nodular lesions | Atypical interstitial pneumonia |