Carrel name: journal-bmjCaseRep-cord Creating study carrel named journal-bmjCaseRep-cord Initializing database file: cache/cord-257839-kfzc4pwq.json key: cord-257839-kfzc4pwq authors: Ferguson, Katie; Quail, Nathaniel; Kewin, Peter; Blyth, Kevin G title: COVID-19 associated with extensive pulmonary arterial, intracardiac and peripheral arterial thrombosis date: 2020-08-03 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-237460 sha: doc_id: 257839 cord_uid: kfzc4pwq file: cache/cord-257884-5exwwxin.json key: cord-257884-5exwwxin authors: Kumar, Rajesh; Kumar, Jathinder; Daly, Caroline; Edroos, Sadat Ali title: Acute pericarditis as a primary presentation of COVID-19 date: 2020-08-18 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-237617 sha: doc_id: 257884 cord_uid: 5exwwxin file: cache/cord-259250-ybfyiykz.json key: cord-259250-ybfyiykz authors: Korem, Sindhuja; Gandhi, Haresh; Dayag, Decerie Baculi title: Guillain-Barré syndrome associated with COVID-19 disease date: 2020-09-21 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-237215 sha: doc_id: 259250 cord_uid: ybfyiykz file: cache/cord-257691-oka9d03h.json key: cord-257691-oka9d03h authors: Bogaert, Kelly; Christensen, Kyrstin; Cagliostro, Matthew; Ferrara, Lauren title: Contained aortic rupture in a term pregnant patient during the COVID-19 pandemic date: 2020-09-15 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-238370 sha: doc_id: 257691 cord_uid: oka9d03h file: cache/cord-259108-16lqa84n.json key: cord-259108-16lqa84n authors: Gananandan, Kohilan; Sacks, Benjamin; Ewing, Iain title: Guttate psoriasis secondary to COVID-19 date: 2020-08-11 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-237367 sha: doc_id: 259108 cord_uid: 16lqa84n file: cache/cord-275699-hdmeyomt.json key: cord-275699-hdmeyomt authors: Singh, Aminder; Sood, Neena; Narang, Vikram; Goyal, Abhishek title: Morphology of COVID-19–affected cells in peripheral blood film date: 2020-05-27 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-236117 sha: doc_id: 275699 cord_uid: hdmeyomt file: cache/cord-276984-npgalqoz.json key: cord-276984-npgalqoz authors: Dahl Mathiasen, Victor; Jensen-Fangel, Søren; Skov, Karin; Leth, Steffen title: Uneventful case of COVID-19 in a kidney transplant recipient date: 2020-07-20 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-237427 sha: doc_id: 276984 cord_uid: npgalqoz file: cache/cord-269703-d3yv9mcl.json /data-disk/reader-compute/reader-cord/bin/json2txt-carrel.sh: fork: retry: No child processes key: cord-269703-d3yv9mcl authors: Hori, Arinobu; Takebayashi, Yoshitake; Tsubokura, Masaharu; Kim, Yoshiharu title: PTSD and bipolar II disorder in Fukushima disaster relief workers after the 2011 nuclear accident date: 2020-09-17 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-236725 sha: doc_id: 269703 cord_uid: d3yv9mcl file: cache/cord-276938-hv2ttwr8.json /data-disk/reader-compute/reader-cord/bin/json2txt-carrel.sh: fork: retry: Resource temporarily unavailable key: cord-276938-hv2ttwr8 authors: Artru, Florent; Alberio, Lorenzo; Moradpour, Darius; Stalder, Grégoire title: Acute immune thrombocytopaenic purpura in a patient with COVID-19 and decompensated cirrhosis date: 2020-07-07 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-236815 sha: doc_id: 276938 cord_uid: hv2ttwr8 file: cache/cord-263530-t9ryky6f.json /data-disk/reader-compute/reader-cord/bin/json2txt-carrel.sh: fork: retry: No child processes key: cord-263530-t9ryky6f authors: Kamal, Yasmine Mohamed; Abdelmajid, Yasmin; Al Madani, Abubaker Abdul Rahman title: Cerebrospinal fluid confirmed COVID-19-associated encephalitis treated successfully date: 2020-09-16 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-237378 sha: doc_id: 263530 cord_uid: t9ryky6f file: cache/cord-281121-pleula62.json key: cord-281121-pleula62 authors: Ameer, Nasir; Shekhda, Kalyan Mansukhbhai; Cheesman, Ann title: Guillain-Barré syndrome presenting with COVID-19 infection date: 2020-09-14 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-236978 sha: doc_id: 281121 cord_uid: pleula62 file: cache/cord-281733-bsq0ewac.json key: cord-281733-bsq0ewac authors: Veyseh, Maedeh; Pophali, Prateek; Jayarangaiah, Apoorva; Kumar, Abhishek title: Left gonadal vein thrombosis in a patient with COVID-19-associated coagulopathy date: 2020-09-07 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-236786 sha: doc_id: 281733 cord_uid: bsq0ewac file: cache/cord-285579-gvgt55o4.json key: cord-285579-gvgt55o4 authors: Asif, Rehan; O' Mahony, Marcella Sinead title: Rare complication of COVID-19 presenting as isolated headache date: 2020-10-29 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-239275 sha: doc_id: 285579 cord_uid: gvgt55o4 file: cache/cord-279989-swsxez0a.json /data-disk/reader-compute/reader-cord/bin/json2txt-carrel.sh: fork: retry: Resource temporarily unavailable key: cord-279989-swsxez0a authors: Sokolov, Elisaveta; Hadavi, Shahrzad; Mantoan Ritter, Laura; Brunnhuber, Franz title: Non-convulsive status epilepticus: COVID-19 or clozapine induced? date: 2020-10-04 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-239015 sha: doc_id: 279989 cord_uid: swsxez0a file: cache/cord-288608-2y5626qf.json key: cord-288608-2y5626qf authors: Ramadan, Shadi M; Kasfiki, Eirini V; Kelly, Ciaran WP; Ali, Irshad title: An interesting case of small vessel pathology following coronavirus infection date: 2020-09-07 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-237407 sha: doc_id: 288608 cord_uid: 2y5626qf file: cache/cord-295527-d5laummv.json key: cord-295527-d5laummv authors: El-Baba, Firas; Gabe, Danielle; Frank, Allan title: Prolonged RNA shedding of the 2019 novel coronavirus in an asymptomatic patient with a VP shunt date: 2020-09-14 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-237720 sha: doc_id: 295527 cord_uid: d5laummv file: cache/cord-291642-xfkdxnfb.json /data-disk/reader-compute/reader-cord/bin/json2txt-carrel.sh: fork: retry: No child processes key: cord-291642-xfkdxnfb authors: Howley, Fergal; O'Doherty, Laura; McEniff, Niall; O'Riordan, Ruth title: Late presentation of ‘Lemierre’s syndrome’: how a delay in seeking healthcare and reduced access to routine services resulted in widely disseminated Fusobacterium necrophorum infection during the global COVID-19 pandemic date: 2020-10-10 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-239269 sha: doc_id: 291642 cord_uid: xfkdxnfb file: cache/cord-296950-9dldbs6o.json key: cord-296950-9dldbs6o authors: El-Zein, Rayan S; Cardinali, Serge; Murphy, Christie; Keeling, Thomas title: COVID-19-associated meningoencephalitis treated with intravenous immunoglobulin date: 2020-09-06 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-237364 sha: doc_id: 296950 cord_uid: 9dldbs6o file: cache/cord-297693-lqyc49t6.json key: cord-297693-lqyc49t6 authors: Samec, Matthew J; Khawaja, Ali; Patel, Ashokakumar M; Dugani, Sagar B title: 80-year-old man with dyspnoea and bilateral groundglass infiltrates: an elusive case of COVID-19 date: 2020-05-27 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-236069 sha: doc_id: 297693 cord_uid: lqyc49t6 file: cache/cord-309236-p4c2d5y3.json key: cord-309236-p4c2d5y3 authors: Khurram, Ruhaid; Johnson, Franklin T F; Naran, Revati; Hare, Samanjit title: Spontaneous tension pneumothorax and acute pulmonary emboli in a patient with COVID-19 infection date: 2020-08-11 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-237475 sha: doc_id: 309236 cord_uid: p4c2d5y3 file: cache/cord-311232-hhfdqhx1.json key: cord-311232-hhfdqhx1 authors: Yang, Yunfei; Qidwai, Umair; Burton, Benjamin J L; Canepa, Carlo title: Bilateral, vertical supranuclear gaze palsy following unilateral midbrain infarct date: 2020-11-04 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-238422 sha: doc_id: 311232 cord_uid: hhfdqhx1 file: cache/cord-296619-uhhndp0a.json /data-disk/reader-compute/reader-cord/bin/json2txt-carrel.sh: fork: retry: No child processes key: cord-296619-uhhndp0a authors: Kondo, Yuki; Miyazaki, Shinichi; Yamashita, Ryo; Ikeda, Takuya title: Coinfection with SARS-CoV-2 and influenza A virus date: 2020-07-01 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-236812 sha: doc_id: 296619 cord_uid: uhhndp0a file: cache/cord-327370-zo0n8wf6.json key: cord-327370-zo0n8wf6 authors: Vadukul, Prakash; Sharma, Deepak S; Vincent, Paul title: Massive pulmonary embolism following recovery from COVID-19 infection: inflammation, thrombosis and the role of extended thromboprophylaxis date: 2020-09-13 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-238168 sha: doc_id: 327370 cord_uid: zo0n8wf6 file: cache/cord-315288-fcx4q6mp.json /data-disk/reader-compute/reader-cord/bin/json2txt-carrel.sh: fork: retry: No child processes key: cord-315288-fcx4q6mp authors: Hussain, Mohammed Hassan; Siddiqui, Saad; Mahmood, Sara; Valsamakis, Theodoros title: Tracheal swab from front of neck airway for SARS-CoV-2; a bronchial foreign body date: 2020-08-27 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-237787 sha: doc_id: 315288 cord_uid: fcx4q6mp file: cache/cord-300183-z3fwtwqb.json /data-disk/reader-compute/reader-cord/bin/json2txt-carrel.sh: fork: retry: No child processes key: cord-300183-z3fwtwqb authors: Ahmed, Taha; Lodhi, Samra Haroon; Kapadia, Samir; Shah, Gautam V title: Community and healthcare system-related factors feeding the phenomenon of evading medical attention for time-dependent emergencies during COVID-19 crisis date: 2020-08-25 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-237817 sha: doc_id: 300183 cord_uid: z3fwtwqb file: cache/cord-337809-bxvgr6qg.json key: cord-337809-bxvgr6qg authors: Xiong, Yong; Song, Shihui; Ye, Guangming; Wang, Xinghuan title: Family cluster of three recovered cases of pneumonia due to severe acute respiratory syndrome coronavirus 2 infection date: 2020-05-04 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-235302 sha: doc_id: 337809 cord_uid: bxvgr6qg file: cache/cord-337878-hiylqqie.json key: cord-337878-hiylqqie authors: Namasivayam, Abirami; Soe, Than; Palman, Jason title: Atypical case of COVID-19 in a critically unwell 5-week old infant date: 2020-09-14 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-237142 sha: doc_id: 337878 cord_uid: hiylqqie file: cache/cord-333998-z2zahfv9.json key: cord-333998-z2zahfv9 authors: Taxbro, Knut; Kahlow, Hannes; Wulcan, Hannes; Fornarve, Anna title: Rhabdomyolysis and acute kidney injury in severe COVID-19 infection date: 2020-09-02 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-237616 sha: doc_id: 333998 cord_uid: z2zahfv9 file: cache/cord-333227-849bm17h.json /data-disk/reader-compute/reader-cord/bin/json2txt-carrel.sh: fork: retry: Resource temporarily unavailable key: cord-333227-849bm17h authors: Grewal, Ekjot; Sutarjono, Bayu; Mohammed, Ibbad title: Angioedema, ACE inhibitor and COVID-19 date: 2020-09-09 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-237888 sha: doc_id: 333227 cord_uid: 849bm17h file: cache/cord-331517-o5ejfq86.json /data-disk/reader-compute/reader-cord/bin/json2txt-carrel.sh: fork: retry: No child processes key: cord-331517-o5ejfq86 authors: Hirayama, Takehisa; Hongo, Yu; Kaida, Kenichi; Kano, Osamu title: Guillain-Barré syndrome after COVID-19 in Japan date: 2020-10-29 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-239218 sha: doc_id: 331517 cord_uid: o5ejfq86 file: cache/cord-331193-33cyvidx.json /data-disk/reader-compute/reader-cord/bin/json2txt-carrel.sh: fork: retry: No child processes key: cord-331193-33cyvidx authors: Mawhinney, Jamie A; Wilcock, Catherine; Haboubi, Hasan; Roshanzamir, Shahbaz title: Neurotropism of SARS-CoV-2: COVID-19 presenting with an acute manic episode date: 2020-06-14 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-236123 sha: doc_id: 331193 cord_uid: 33cyvidx file: cache/cord-341246-fz66z2p2.json key: cord-341246-fz66z2p2 authors: Bhattacharyya, Pranab J; Attri, Pawan K; Farooqui, Waseem title: Takotsubo cardiomyopathy in early term pregnancy: a rare cardiac complication of SARS-CoV-2 infection date: 2020-09-28 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-239104 sha: doc_id: 341246 cord_uid: fz66z2p2 file: cache/cord-341919-8gnthufw.json key: cord-341919-8gnthufw authors: Basi, Saajan; Hamdan, Mohammad; Punekar, Shuja title: Clinical course of a 66-year-old man with an acute ischaemic stroke in the setting of a COVID-19 infection date: 2020-08-23 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-235920 sha: doc_id: 341919 cord_uid: 8gnthufw file: cache/cord-346345-jc9bq0zu.json key: cord-346345-jc9bq0zu authors: Smith, Colin M; Komisar, Jonathan R; Mourad, Ahmad; Kincaid, Brian R title: COVID-19-associated brief psychotic disorder date: 2020-08-11 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-236940 sha: doc_id: 346345 cord_uid: jc9bq0zu file: cache/cord-346246-2phtdgh4.json /data-disk/reader-compute/reader-cord/bin/json2txt-carrel.sh: fork: retry: No child processes key: cord-346246-2phtdgh4 authors: Mattar, Shaikh Abdul Matin; Koh, Samuel Ji Quan; Rama Chandran, Suresh; Cherng, Benjamin Pei Zhi title: Subacute thyroiditis associated with COVID-19 date: 2020-08-25 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-237336 sha: doc_id: 346246 cord_uid: 2phtdgh4 file: cache/cord-355146-6rat5j64.json /data-disk/reader-compute/reader-cord/bin/json2txt-carrel.sh: fork: retry: No child processes key: cord-355146-6rat5j64 authors: Whittemore, Paul; Macfarlane, Laura; Herbert, Anna; Farrant, John title: Use of awake proning to avoid invasive ventilation in a patient with severe COVID-19 pneumonitis date: 2020-08-03 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-236586 sha: doc_id: 355146 cord_uid: 6rat5j64 file: cache/cord-341948-9w8od50e.json /data-disk/reader-compute/reader-cord/bin/json2txt-carrel.sh: fork: retry: No child processes key: cord-341948-9w8od50e authors: Scott, Michael; Helmy, Ahmed Hazem title: Rare encounter: hydrocoele of canal of Nuck in a Scottish rural hospital during the COVID-19 pandemic date: 2020-08-11 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-237169 sha: doc_id: 341948 cord_uid: 9w8od50e file: cache/cord-338689-4u1ezk64.json /data-disk/reader-compute/reader-cord/bin/json2txt-carrel.sh: fork: retry: No child processes /data-disk/reader-compute/reader-cord/bin/json2txt-carrel.sh: fork: retry: No child processes /data-disk/reader-compute/reader-cord/bin/json2txt-carrel.sh: fork: retry: No child processes key: cord-338689-4u1ezk64 authors: Ata, Fateen; Almasri, Hussam; Sajid, Jamal; Yousaf, Zohaib title: COVID-19 presenting with diarrhoea and hyponatraemia date: 2020-06-07 journal: BMJ Case Rep DOI: 10.1136/bcr-2020-235456 sha: doc_id: 338689 cord_uid: 4u1ezk64 Reading metadata file and updating bibliogrpahics === updating bibliographic database Building study carrel named journal-bmjCaseRep-cord parallel: Warning: No more processes: Decreasing number of running jobs to 37. parallel: Warning: Raising ulimit -u or /etc/security/limits.conf may help. parallel: Warning: No more processes: Decreasing number of running jobs to 37. parallel: Warning: Raising ulimit -u or /etc/security/limits.conf may help. parallel: Warning: No more processes: Decreasing number of running jobs to 36. parallel: Warning: Raising ulimit -u or /etc/security/limits.conf may help. parallel: Warning: No more processes: Decreasing number of running jobs to 37. parallel: Warning: Raising ulimit -u or /etc/security/limits.conf may help. parallel: Warning: No more processes: Decreasing number of running jobs to 35. parallel: Warning: Raising ulimit -u or /etc/security/limits.conf may help. parallel: Warning: No more processes: Decreasing number of running jobs to 37. parallel: Warning: Raising ulimit -u or /etc/security/limits.conf may help. /data-disk/reader-compute/reader-cord/bin/txt2adr.sh: fork: retry: No child processes /data-disk/reader-compute/reader-cord/bin/txt2adr.sh: fork: retry: No child processes /data-disk/reader-compute/reader-cord/bin/txt2adr.sh: fork: retry: No child processes /data-disk/reader-compute/reader-cord/bin/cordpos2carrel.sh: fork: retry: No child processes === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 29045 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 27994 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 28253 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 28742 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 29750 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 30658 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === id: cord-259108-16lqa84n author: Gananandan, Kohilan title: Guttate psoriasis secondary to COVID-19 date: 2020-08-11 pages: extension: .txt txt: ./txt/cord-259108-16lqa84n.txt cache: ./cache/cord-259108-16lqa84n.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 3 resourceName b'cord-259108-16lqa84n.txt' === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 31573 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 31762 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 31633 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 31334 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === id: cord-275699-hdmeyomt author: Singh, Aminder title: Morphology of COVID-19–affected cells in peripheral blood film date: 2020-05-27 pages: extension: .txt txt: ./txt/cord-275699-hdmeyomt.txt cache: ./cache/cord-275699-hdmeyomt.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 3 resourceName b'cord-275699-hdmeyomt.txt' === file2bib.sh === id: cord-281121-pleula62 author: Ameer, Nasir title: Guillain-Barré syndrome presenting with COVID-19 infection date: 2020-09-14 pages: extension: .txt txt: ./txt/cord-281121-pleula62.txt cache: ./cache/cord-281121-pleula62.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 3 resourceName b'cord-281121-pleula62.txt' === file2bib.sh === id: cord-276938-hv2ttwr8 author: Artru, Florent title: Acute immune thrombocytopaenic purpura in a patient with COVID-19 and decompensated cirrhosis date: 2020-07-07 pages: extension: .txt txt: ./txt/cord-276938-hv2ttwr8.txt cache: ./cache/cord-276938-hv2ttwr8.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 3 resourceName b'cord-276938-hv2ttwr8.txt' === file2bib.sh === id: cord-257691-oka9d03h author: Bogaert, Kelly title: Contained aortic rupture in a term pregnant patient during the COVID-19 pandemic date: 2020-09-15 pages: extension: .txt txt: ./txt/cord-257691-oka9d03h.txt cache: ./cache/cord-257691-oka9d03h.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 3 resourceName b'cord-257691-oka9d03h.txt' === file2bib.sh === id: cord-259250-ybfyiykz author: Korem, Sindhuja title: Guillain-Barré syndrome associated with COVID-19 disease date: 2020-09-21 pages: extension: .txt txt: ./txt/cord-259250-ybfyiykz.txt cache: ./cache/cord-259250-ybfyiykz.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 3 resourceName b'cord-259250-ybfyiykz.txt' === file2bib.sh === id: cord-295527-d5laummv author: El-Baba, Firas title: Prolonged RNA shedding of the 2019 novel coronavirus in an asymptomatic patient with a VP shunt date: 2020-09-14 pages: extension: .txt txt: ./txt/cord-295527-d5laummv.txt cache: ./cache/cord-295527-d5laummv.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 4 resourceName b'cord-295527-d5laummv.txt' === file2bib.sh === id: cord-257884-5exwwxin author: Kumar, Rajesh title: Acute pericarditis as a primary presentation of COVID-19 date: 2020-08-18 pages: extension: .txt txt: ./txt/cord-257884-5exwwxin.txt cache: ./cache/cord-257884-5exwwxin.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 3 resourceName b'cord-257884-5exwwxin.txt' === file2bib.sh === id: cord-276984-npgalqoz author: Dahl Mathiasen, Victor title: Uneventful case of COVID-19 in a kidney transplant recipient date: 2020-07-20 pages: extension: .txt txt: ./txt/cord-276984-npgalqoz.txt cache: ./cache/cord-276984-npgalqoz.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 3 resourceName b'cord-276984-npgalqoz.txt' === file2bib.sh === id: cord-296950-9dldbs6o author: El-Zein, Rayan S title: COVID-19-associated meningoencephalitis treated with intravenous immunoglobulin date: 2020-09-06 pages: extension: .txt txt: ./txt/cord-296950-9dldbs6o.txt cache: ./cache/cord-296950-9dldbs6o.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 3 resourceName b'cord-296950-9dldbs6o.txt' === file2bib.sh === id: cord-257839-kfzc4pwq author: Ferguson, Katie title: COVID-19 associated with extensive pulmonary arterial, intracardiac and peripheral arterial thrombosis date: 2020-08-03 pages: extension: .txt txt: ./txt/cord-257839-kfzc4pwq.txt cache: ./cache/cord-257839-kfzc4pwq.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 3 resourceName b'cord-257839-kfzc4pwq.txt' === file2bib.sh === id: cord-281733-bsq0ewac author: Veyseh, Maedeh title: Left gonadal vein thrombosis in a patient with COVID-19-associated coagulopathy date: 2020-09-07 pages: extension: .txt txt: ./txt/cord-281733-bsq0ewac.txt cache: ./cache/cord-281733-bsq0ewac.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 4 resourceName b'cord-281733-bsq0ewac.txt' === file2bib.sh === id: cord-309236-p4c2d5y3 author: Khurram, Ruhaid title: Spontaneous tension pneumothorax and acute pulmonary emboli in a patient with COVID-19 infection date: 2020-08-11 pages: extension: .txt txt: ./txt/cord-309236-p4c2d5y3.txt cache: ./cache/cord-309236-p4c2d5y3.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 3 resourceName b'cord-309236-p4c2d5y3.txt' === file2bib.sh === id: cord-337809-bxvgr6qg author: Xiong, Yong title: Family cluster of three recovered cases of pneumonia due to severe acute respiratory syndrome coronavirus 2 infection date: 2020-05-04 pages: extension: .txt txt: ./txt/cord-337809-bxvgr6qg.txt cache: ./cache/cord-337809-bxvgr6qg.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 2 resourceName b'cord-337809-bxvgr6qg.txt' === file2bib.sh === id: cord-263530-t9ryky6f author: Kamal, Yasmine Mohamed title: Cerebrospinal fluid confirmed COVID-19-associated encephalitis treated successfully date: 2020-09-16 pages: extension: .txt txt: ./txt/cord-263530-t9ryky6f.txt cache: ./cache/cord-263530-t9ryky6f.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 3 resourceName b'cord-263530-t9ryky6f.txt' === file2bib.sh === id: cord-315288-fcx4q6mp author: Hussain, Mohammed Hassan title: Tracheal swab from front of neck airway for SARS-CoV-2; a bronchial foreign body date: 2020-08-27 pages: extension: .txt txt: ./txt/cord-315288-fcx4q6mp.txt cache: ./cache/cord-315288-fcx4q6mp.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 3 resourceName b'cord-315288-fcx4q6mp.txt' === file2bib.sh === id: cord-269703-d3yv9mcl author: Hori, Arinobu title: PTSD and bipolar II disorder in Fukushima disaster relief workers after the 2011 nuclear accident date: 2020-09-17 pages: extension: .txt txt: ./txt/cord-269703-d3yv9mcl.txt cache: ./cache/cord-269703-d3yv9mcl.txt Content-Encoding ISO-8859-1 Content-Type text/plain; charset=ISO-8859-1 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 3 resourceName b'cord-269703-d3yv9mcl.txt' === file2bib.sh === id: cord-296619-uhhndp0a author: Kondo, Yuki title: Coinfection with SARS-CoV-2 and influenza A virus date: 2020-07-01 pages: extension: .txt txt: ./txt/cord-296619-uhhndp0a.txt cache: ./cache/cord-296619-uhhndp0a.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 3 resourceName b'cord-296619-uhhndp0a.txt' === file2bib.sh === id: cord-297693-lqyc49t6 author: Samec, Matthew J title: 80-year-old man with dyspnoea and bilateral groundglass infiltrates: an elusive case of COVID-19 date: 2020-05-27 pages: extension: .txt txt: ./txt/cord-297693-lqyc49t6.txt cache: ./cache/cord-297693-lqyc49t6.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 3 resourceName b'cord-297693-lqyc49t6.txt' === file2bib.sh === id: cord-341246-fz66z2p2 author: Bhattacharyya, Pranab J title: Takotsubo cardiomyopathy in early term pregnancy: a rare cardiac complication of SARS-CoV-2 infection date: 2020-09-28 pages: extension: .txt txt: ./txt/cord-341246-fz66z2p2.txt cache: ./cache/cord-341246-fz66z2p2.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 2 resourceName b'cord-341246-fz66z2p2.txt' === file2bib.sh === id: cord-331517-o5ejfq86 author: Hirayama, Takehisa title: Guillain-Barré syndrome after COVID-19 in Japan date: 2020-10-29 pages: extension: .txt txt: ./txt/cord-331517-o5ejfq86.txt cache: ./cache/cord-331517-o5ejfq86.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 4 resourceName b'cord-331517-o5ejfq86.txt' === file2bib.sh === id: cord-331193-33cyvidx author: Mawhinney, Jamie A title: Neurotropism of SARS-CoV-2: COVID-19 presenting with an acute manic episode date: 2020-06-14 pages: extension: .txt txt: ./txt/cord-331193-33cyvidx.txt cache: ./cache/cord-331193-33cyvidx.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 3 resourceName b'cord-331193-33cyvidx.txt' === file2bib.sh === id: cord-327370-zo0n8wf6 author: Vadukul, Prakash title: Massive pulmonary embolism following recovery from COVID-19 infection: inflammation, thrombosis and the role of extended thromboprophylaxis date: 2020-09-13 pages: extension: .txt txt: ./txt/cord-327370-zo0n8wf6.txt cache: ./cache/cord-327370-zo0n8wf6.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 4 resourceName b'cord-327370-zo0n8wf6.txt' === file2bib.sh === id: cord-338689-4u1ezk64 author: Ata, Fateen title: COVID-19 presenting with diarrhoea and hyponatraemia date: 2020-06-07 pages: extension: .txt txt: ./txt/cord-338689-4u1ezk64.txt cache: ./cache/cord-338689-4u1ezk64.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 3 resourceName b'cord-338689-4u1ezk64.txt' === file2bib.sh === id: cord-337878-hiylqqie author: Namasivayam, Abirami title: Atypical case of COVID-19 in a critically unwell 5-week old infant date: 2020-09-14 pages: extension: .txt txt: ./txt/cord-337878-hiylqqie.txt cache: ./cache/cord-337878-hiylqqie.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 3 resourceName b'cord-337878-hiylqqie.txt' === file2bib.sh === id: cord-333227-849bm17h author: Grewal, Ekjot title: Angioedema, ACE inhibitor and COVID-19 date: 2020-09-09 pages: extension: .txt txt: ./txt/cord-333227-849bm17h.txt cache: ./cache/cord-333227-849bm17h.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 3 resourceName b'cord-333227-849bm17h.txt' === file2bib.sh === id: cord-300183-z3fwtwqb author: Ahmed, Taha title: Community and healthcare system-related factors feeding the phenomenon of evading medical attention for time-dependent emergencies during COVID-19 crisis date: 2020-08-25 pages: extension: .txt txt: ./txt/cord-300183-z3fwtwqb.txt cache: ./cache/cord-300183-z3fwtwqb.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 3 resourceName b'cord-300183-z3fwtwqb.txt' === file2bib.sh === id: cord-341948-9w8od50e author: Scott, Michael title: Rare encounter: hydrocoele of canal of Nuck in a Scottish rural hospital during the COVID-19 pandemic date: 2020-08-11 pages: extension: .txt txt: ./txt/cord-341948-9w8od50e.txt cache: ./cache/cord-341948-9w8od50e.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 4 resourceName b'cord-341948-9w8od50e.txt' Que is empty; done journal-bmjCaseRep-cord === reduce.pl bib === id = cord-257839-kfzc4pwq author = Ferguson, Katie title = COVID-19 associated with extensive pulmonary arterial, intracardiac and peripheral arterial thrombosis date = 2020-08-03 pages = extension = .txt mime = text/plain words = 2800 sentences = 176 flesch = 48 summary = We present this case to highlight the extensive COVID-19-associated thrombotic complications that can occur, even despite periods of high-dose prophylactic and therapeutic anticoagulation. In recent case series, elevated D-dimer levels were reported in 43% 6 of the patients and were associated with disease severity and increased mortality. 5 Findings that shed new light on the possible pathogenesis of a disease or an adverse effect Several case series exist which explore the incidence of venous and arterial thrombosis in patients with COVID-19. 10 The latter includes a study of 10 ICU patients with COVID-19 pneumonia in whom D-dimer levels and viscoelastic measures reduced in response to increased prophylactic dosing. [11] [12] [13] Twitter Nathaniel Quail @DrNatQuail and Kevin G Blyth @kevingblyth Acknowledgements Dr Joe Sarvesvaran's care and compassion were integral to this patient's journey to recovery and we would like to acknowledge his support with writing this case report, and for selecting the key images to include. cache = ./cache/cord-257839-kfzc4pwq.txt txt = ./txt/cord-257839-kfzc4pwq.txt === reduce.pl bib === id = cord-257884-5exwwxin author = Kumar, Rajesh title = Acute pericarditis as a primary presentation of COVID-19 date = 2020-08-18 pages = extension = .txt mime = text/plain words = 2109 sentences = 158 flesch = 55 summary = We report a case whose first manifestation of COVID-19 was pericarditis, in the absence of respiratory symptoms, without any serious complications. We present a case where pericarditis, in the absence of the classic COVID-19 signs or symptoms, is the only evident manifestation of the disease. 1 2 Chest pain in COVID-19 may have cardiac causes, including acute coronary syndrome, pericarditis and myocarditis. 3 We present the first described case of acute pericarditis in the absence of initial respiratory symptoms secondary to COVID-19. 7 To our knowledge this is the first case where COVID-19 presents as pericarditis, in the absence of evident respiratory or myocardial involvement. This case highlights the importance of recognising COVID-19 infection with atypical clinical presentations such as pericarditis and non-specific ECG changes, and coordination with healthcare team regarding prompt isolation to decrease the risk of transmission of the virus and if any need of early hospitalisation. cache = ./cache/cord-257884-5exwwxin.txt txt = ./txt/cord-257884-5exwwxin.txt === reduce.pl bib === id = cord-259250-ybfyiykz author = Korem, Sindhuja title = Guillain-Barré syndrome associated with COVID-19 disease date = 2020-09-21 pages = extension = .txt mime = text/plain words = 1969 sentences = 124 flesch = 50 summary = In this case report, we describe the symptoms of a patient infected with SARS-CoV-2 whose clinical course was complicated with Guillain-Barré syndrome (GBS). In this case report, we describe the symptoms of a patient infected with SARS-CoV-2 whose clinical course was complicated with Guillain-Barré syndrome (GBS). To date, there are only 12 published cases of COVID-19-related Guillain-Barré syndrome (GBS). 4 Increasing reports of neurologic manifestations of COVID-19 are emerging, but only a few cases of GBS associated with this virus have been established. The case series by Mao et al in Wuhan, China, was one of the first studies that showed neurologic manifestations in patients with COVID-19. 15 There Guillain-Barré syndrome (GBS) should be considered in patients with peripheral nervous system symptoms. Guillain-Barré syndrome following COVID-19: new infection, old complication? Guillain Barre syndrome associated with COVID-19 infection: a case report cache = ./cache/cord-259250-ybfyiykz.txt txt = ./txt/cord-259250-ybfyiykz.txt === reduce.pl bib === id = cord-257691-oka9d03h author = Bogaert, Kelly title = Contained aortic rupture in a term pregnant patient during the COVID-19 pandemic date = 2020-09-15 pages = extension = .txt mime = text/plain words = 2275 sentences = 121 flesch = 46 summary = This case discusses the presentation and diagnosis of a patient with an acute contained thoracic aortic aneurysm rupture at 38 weeks of gestation, after presenting with throat pain and syncope during the COVID-19 pandemic. This case discusses the presentation and diagnosis of a patient with an acute contained thoracic aortic aneurysm rupture at 38 weeks of gestation, after presenting with throat pain and syncope during the COVID-19 pandemic. 1 3 7 We present the case of a patient diagnosed with an acute aortic rupture at term during the COVID-19 pandemic. 17 The TTE findings seen in this case, along with the patient's history of syncope, were the predominant clinical clues for the cardiology team to determine the diagnosis of aortic aneurysm rupture. Aortic dissection and rupture are rare occurrences in pregnant patients, and require a high index of clinical suspicion given the similarity of symptoms with other pathologies during pregnancy, particularly during the COVID-19 pandemic. cache = ./cache/cord-257691-oka9d03h.txt txt = ./txt/cord-257691-oka9d03h.txt === reduce.pl bib === id = cord-275699-hdmeyomt author = Singh, Aminder title = Morphology of COVID-19–affected cells in peripheral blood film date = 2020-05-27 pages = extension = .txt mime = text/plain words = 1098 sentences = 83 flesch = 50 summary = Peripheral blood films showing various neutrophils with C-shaped, fetus-like COVID nuclei (black arrowheads) with aberrant nuclear projections (blue arrowhead). Peripheral blood films showing activated monocytes with prominent cytoplasmic vacuolisation and a few granules (small red arrow). Her complete blood count (CBC) showed leucocytosis with neutrophilia, relative lymphocytopaenia, and monocytopaenia initially with subsequent improvement in the number of monocytes on the fifth day onwards. Most of the lymphocytes were seen as large granular lymphocytes (LGL) with round to indented nuclei, condensed chromatin, prominent nucleoli in a few, along with abundant pale blue cytoplasm with distinct variably sized azurophilic granules (figure 2). ► COVID-19 viral effects on leucocytes are associated with characteristic changes that can be readily identified on PBF and can be easily and serially monitored, which could help in the diagnosis, prognostication and treatment protocols. cache = ./cache/cord-275699-hdmeyomt.txt txt = ./txt/cord-275699-hdmeyomt.txt === reduce.pl bib === id = cord-259108-16lqa84n author = Gananandan, Kohilan title = Guttate psoriasis secondary to COVID-19 date = 2020-08-11 pages = extension = .txt mime = text/plain words = 985 sentences = 79 flesch = 56 summary = Severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) RNA was detected from a nasopharyngeal swab confirming COVID-19 infection. When I looked up COVID-19 as a cause for guttate psoriasis, I realised this had not been previously reported, so I was keen to collaborate as a co-author to report this new association. 3 This is the first case reported of an acute guttate flare of chronic psoriasis secondary to confirmed COVID-19 infection. Respiratory virus infection triggers acute psoriasis flares across different clinical subtypes and genetic backgrounds org/ 0000-0002-7903-5243Learning points ► Guttate psoriasis manifests as multiple drop-like well circumscribed erythematous papules and is commonly associated with acute, particularly streptococcal, infection. ► Severe acute respiratory syndrome coronavirus 2 was identified as the infective precipitant in this case and further such cases may emerge as we learn more about the clinical manifestations of the COVID-19 illness. cache = ./cache/cord-259108-16lqa84n.txt txt = ./txt/cord-259108-16lqa84n.txt === reduce.pl bib === id = cord-269703-d3yv9mcl author = Hori, Arinobu title = PTSD and bipolar II disorder in Fukushima disaster relief workers after the 2011 nuclear accident date = 2020-09-17 pages = extension = .txt mime = text/plain words = 4777 sentences = 250 flesch = 59 summary = The complex and harsh experience provoked a hypomanic response such as elated feelings with increased energy, decreased need for sleep and an increase in goal-directed activity, which allowed him to continue working, even though he was adversely affected by the disaster. Thereafter, we considered the characteristics of mental health problems that emerge in disaster-relief workers, a long time after the disaster, and the conditions and treatments necessary for recovery. Thereafter, we considered the characteristics of mental health problems that emerge in disaster-relief workers, a long time after the disaster, and the conditions and treatments necessary for recovery. Post-traumatic stress disorder (PTSD) and depression significantly impair the social functioning of those affected and are often recognised as the most visible mental health effects on survivors, as was the case with the Great East Japan Earthquake (GEJE) of 2011. The GEJE, which was followed by the nuclear accidents, left the affected areas severely damaged and required the victims to contribute as disaster-relief workers for a long period. cache = ./cache/cord-269703-d3yv9mcl.txt txt = ./txt/cord-269703-d3yv9mcl.txt === reduce.pl bib === id = cord-276984-npgalqoz author = Dahl Mathiasen, Victor title = Uneventful case of COVID-19 in a kidney transplant recipient date = 2020-07-20 pages = extension = .txt mime = text/plain words = 1779 sentences = 114 flesch = 51 summary = Kidney transplant recipients have been reported at a particularly high risk of severe COVID-19 illness due to chronic immunosuppression and coexisting conditions. Kidney transplant recipients have been reported at a particularly high risk of severe COVID-19 illness due to chronic immunosuppression and coexisting conditions. Fourteen days after admission, the patient still had discrete coughing and intermittent fever, and was referred to a COVID-19 drive-in test unit for an oropharyngeal swab, which was positive for SARS-CoV-2 RNA using PCR. We present a case of mild COVID-19 in a patient in immunosuppressive therapy due to kidney transplantation. Tacrolimus and prednisolone were continued in our patient, although recently published data show that immunosuppressive therapy is often discontinued in kidney transplant recipients. 4 Immunosuppressive therapy was relatively modest in this case, while other risk factors favouring a severe course of COVID-19, such as hypertension, chronic kidney disease and obesity, were present. cache = ./cache/cord-276984-npgalqoz.txt txt = ./txt/cord-276984-npgalqoz.txt === reduce.pl bib === id = cord-281733-bsq0ewac author = Veyseh, Maedeh title = Left gonadal vein thrombosis in a patient with COVID-19-associated coagulopathy date = 2020-09-07 pages = extension = .txt mime = text/plain words = 2461 sentences = 169 flesch = 45 summary = We report an unusual case of ovarian vein thrombosis and pulmonary embolism associated with COVID-19 presenting with abdominal pain. We report an unusual case of ovarian vein thrombosis and pulmonary embolism associated with COVID-19 presenting with abdominal pain. To our knowledge, this is the first reported case of COVID-19 with absent respiratory symptoms and presentation with venous thrombosis in an unusual location. To our knowledge, this is the first reported case of COVID-19 with absent respiratory symptoms and presentation with venous thrombosis in an unusual location. 8 9 Our patient was distinctive in terms of presentation as she lacked the common respiratory symptoms, rather acute venous thrombosis in an unusual location prompted the diagnosis of COVID-19. 1 24 In summary, we present an interesting case with an unusual presentation of COVID-19 who presented with abdominal pain and no significant respiratory symptoms and was diagnosed with thrombosis of the left ovarian vein. cache = ./cache/cord-281733-bsq0ewac.txt txt = ./txt/cord-281733-bsq0ewac.txt === reduce.pl bib === id = cord-295527-d5laummv author = El-Baba, Firas title = Prolonged RNA shedding of the 2019 novel coronavirus in an asymptomatic patient with a VP shunt date = 2020-09-14 pages = extension = .txt mime = text/plain words = 1823 sentences = 120 flesch = 52 summary = title: Prolonged RNA shedding of the 2019 novel coronavirus in an asymptomatic patient with a VP shunt A 33-year-old man with paranoid schizophrenia and a ventriculoperitoneal (VP) shunt was sent to our institution from an inpatient psychiatric facility due to concerns for the 2019 novel coronavirus (COVID-19). A 33-year-old man with paranoid schizophrenia and a ventriculoperitoneal (VP) shunt was sent to our institution from an inpatient psychiatric facility due to concerns for the 2019 novel coronavirus . A 33-year-old man with paranoid schizophrenia and a ventriculoperitoneal (VP) shunt was sent to our institution from an inpatient psychiatric facility due to concerns for the COVID-19. ► A VP shunt may predispose individuals to prolonged viral shedding of the novel coronavirus. Factors associated with prolonged viral RNA shedding in patients with coronavirus disease 2019 (COVID-19) Persistent viral shedding lasting over 60 days in a mild COVID-19 patient with ongoing positive SARS-CoV-2 cache = ./cache/cord-295527-d5laummv.txt txt = ./txt/cord-295527-d5laummv.txt === reduce.pl bib === id = cord-281121-pleula62 author = Ameer, Nasir title = Guillain-Barré syndrome presenting with COVID-19 infection date = 2020-09-14 pages = extension = .txt mime = text/plain words = 2388 sentences = 141 flesch = 55 summary = At least four cases of Guillain-Barré syndrome have been reported in the literature with concurrent COVID-19 illness in whom respiratory signs appeared a few days after the onset of neurological signs. During the current pandemic, presence of concurrent COVID-19 infection needs to be considered in patients presenting with Guillain-Barré syndrome. Here, we report a case of a patient with COVID-19 who presented with Guillain-Barré syndrome. 7 There have been at least 12 cases reported in the literature as of 2 May 2020 linking Guillain-Barré syndrome with SARS-CoV-2 (COVID-19). 18 Our patient developed signs of Guillain-Barré syndrome before COVID-19 respiratory symptoms started on day 4 of weakness. ► If neurological manifestations of COVID-19 infection could appear before respiratory symptoms, it would be of utmost importance to use effective personal protective equipment, in particular for aerosol-generating procedures such as spirometry, in patients presenting with Guillain-Barré syndrome. cache = ./cache/cord-281121-pleula62.txt txt = ./txt/cord-281121-pleula62.txt === reduce.pl bib === id = cord-276938-hv2ttwr8 author = Artru, Florent title = Acute immune thrombocytopaenic purpura in a patient with COVID-19 and decompensated cirrhosis date = 2020-07-07 pages = extension = .txt mime = text/plain words = 1315 sentences = 88 flesch = 51 summary = We report on a patient with coronavirus disease 2019 (COVID-19) and decompensated cirrhosis who experienced a favourable outcome of severe immune thrombocytopaenic purpura (ITP) after administration of intravenous immunoglobulin and high-dose dexamethasone. We report on a patient with coronavirus disease 2019 (COVID-19) and decompensated cirrhosis who experienced a favourable outcome of severe immune thrombocytopaenic purpura (ITP) after administration of intravenous immunoglobulin and high-dose dexamethasone. Published data suggest that poor outcome of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is related to an excessive inflammatory reaction. Laboratory tests performed over the next days showed a rapid decrease of platelet count from baseline values around 70 g/L (chronic moderate thrombocytopaenia due to liver disease and hypersplenism) to a nadir of 1 x10 9 /L (figure 1). ► Treatment of ITP in the context of coronavirus disease 2019 (COVID-19) with high-dose dexamethasone and intravenous immunoglobulin (IVIG) appears to be effective. cache = ./cache/cord-276938-hv2ttwr8.txt txt = ./txt/cord-276938-hv2ttwr8.txt === reduce.pl bib === === reduce.pl bib === === reduce.pl bib === id = cord-263530-t9ryky6f author = Kamal, Yasmine Mohamed title = Cerebrospinal fluid confirmed COVID-19-associated encephalitis treated successfully date = 2020-09-16 pages = extension = .txt mime = text/plain words = 2480 sentences = 158 flesch = 45 summary = ► Abdominal CT was normal ► Brain MRI with contrast, performed after 2 weeks to comply with our hospital's protocol that only allows COVID-19-negative patient to get in contact with the MRI machine, revealed abnormal signal intensity in the temporal lobe cortex bilaterally in a rather symmetrical fashion. Seven hundred and fifty milligrams of intravenous acyclovir sodium, three times per day, was started empirically before the cerebrospinal fluid (CSF) results were obtained, addressing the possibility of herpes simplex virus (HSV) I and II encephalitis. The early suspicion of COVID-19 encephalitis and performing the appropriate CSF studies was the key to establishing the correct diagnosis and timely management. ► A red flag of the possibility of COVID-19 encephalitis should be raised whenever patients present with abnormal behaviour, acute psychosis, confusion state or drowsiness. cache = ./cache/cord-263530-t9ryky6f.txt txt = ./txt/cord-263530-t9ryky6f.txt === reduce.pl bib === === reduce.pl bib === id = cord-296950-9dldbs6o author = El-Zein, Rayan S title = COVID-19-associated meningoencephalitis treated with intravenous immunoglobulin date = 2020-09-06 pages = extension = .txt mime = text/plain words = 1832 sentences = 122 flesch = 43 summary = Neurologic manifestations in patients infected with SARS-CoV-2 have been reported such as anosmia, ageusia, ataxia, seizures, haemorrhagic necrotising encephalopathy, and Guillain-Barré syndrome. The SARS-CoV-2 CSF PCR was negative; however, a high index of suspicion remained due to the temporal relationship of his current symptoms and the recent COVID-19 pneumonia. Our report describes a case of encephalitis associated with SARS-CoV-2 which showed clinical improvement with IVIg therapy. Moriguchi et al 5 described what appears to be the first case of COVID-19-associated meningoencephalitis presenting with convulsions and confirmed with a positive SARS-CoV-2 CSF PCR; their patient had abnormal MRI findings of the medial temporal lobe and was treated with favipiravir. Paniz-Mondolfi et al 6 reported a case of COVID-19-associated pneumonia in a 74 years old with Parkinson's who succumbed to his illness on day 11; however, SARS-CoV-2 was found in the brain capillary endothelium and neuronal cell bodies on postmortem examination. cache = ./cache/cord-296950-9dldbs6o.txt txt = ./txt/cord-296950-9dldbs6o.txt === reduce.pl bib === id = cord-309236-p4c2d5y3 author = Khurram, Ruhaid title = Spontaneous tension pneumothorax and acute pulmonary emboli in a patient with COVID-19 infection date = 2020-08-11 pages = extension = .txt mime = text/plain words = 2399 sentences = 126 flesch = 41 summary = We exhibit a case of a 64-year-old man with suspected COVID-19 pneumonia who presented acutely to the emergency department with tension pneumothorax and acute pulmonary emboli. Routine blood test results on admission were as follows: haemoglobin: 129 g/L; white cell count: 11.2×10 9 /L; platelets: 538×10 9 /L; neutrophils: Following initial management for the tension pneumothorax, a repeat chest radiograph demonstrated lung re-expansion with a small residual pneumothorax, but with no mediastinal shift; peripheral ground glass airspace opacities were accentuated, in keeping with COVID-19 infection (figure 2). The chest drain was removed on day 3 of admission following the CTPA findings of iatrogenic pneumatocoele, and a repeat chest radiograph showed significant reinflation of the right lung with no residual pneumothorax. To our knowledge, we have reported the first documented case of a patient with COVID-19 pneumonia presenting with both spontaneous tension pneumothorax and acute pulmonary emboli. ► Spontaneous pneumothorax and acute pulmonary emboli are important coexisting respiratory pathologies to consider on a background of COVID-19 infection. cache = ./cache/cord-309236-p4c2d5y3.txt txt = ./txt/cord-309236-p4c2d5y3.txt === reduce.pl bib === === reduce.pl bib === id = cord-297693-lqyc49t6 author = Samec, Matthew J title = 80-year-old man with dyspnoea and bilateral groundglass infiltrates: an elusive case of COVID-19 date = 2020-05-27 pages = extension = .txt mime = text/plain words = 2821 sentences = 177 flesch = 48 summary = COVID-19 is a novel viral infection caused by severe acute respiratory syndrome-coronavirus-2 virus, first identified in Wuhan, China in December 2019. COVID-19 is a novel viral infection caused by severe acute respiratory syndrome-coronavirus-2 virus, first identified in Wuhan, China in December 2019. We present a case of a patient with minimal respiratory symptoms but prominent bilateral groundglass opacities in a 'crazy paving' pattern on chest CT imaging and a negative initial infectious workup. We present a case of a patient with minimal respiratory symptoms but prominent bilateral groundglass opacities in a 'crazy paving' pattern on chest CT imaging and a negative initial infectious workup. The case was reviewed with the institutional infection prevention and control team who recommended repeating SARS-CoV-2 PCR 48 hours from the initial test. 14 There have been three published case reports of initially negative COVID-19 PCR tests in patients subsequently new disease determined to have COVID-19 infection. cache = ./cache/cord-297693-lqyc49t6.txt txt = ./txt/cord-297693-lqyc49t6.txt === reduce.pl bib === === reduce.pl bib === id = cord-296619-uhhndp0a author = Kondo, Yuki title = Coinfection with SARS-CoV-2 and influenza A virus date = 2020-07-01 pages = extension = .txt mime = text/plain words = 1689 sentences = 118 flesch = 53 summary = We reported a case of severe acute respiratory syndrome coronavirus 2 and influenza A virus coinfection. We reported a case of severe acute respiratory syndrome coronavirus 2 and influenza A virus coinfection. We report a case of coinfection with SARS-CoV-2 and influenza A virus in a patient with pneumonia in Japan. The patient with both COVID-19 and influenza virus infection presented similar clinical characteristics with COVID-19 only. Initial considerations for this patient who presented acutely with fever and cough include infection with a common virus (rhinoviruses, non-SARS-CoV-2 coronaviruses and influenza virus) and communityacquired pneumonia. 3 The clinical characteristics of patients with both COVID-19 and influenza virus infection were similar to those of COVID-19 cases. ► There was no significant difference in rates of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in patients with and without other pathogens. The clinical characteristics of pneumonia patients coinfected with 2019 novel coronavirus and influenza virus in Wuhan cache = ./cache/cord-296619-uhhndp0a.txt txt = ./txt/cord-296619-uhhndp0a.txt === reduce.pl bib === id = cord-315288-fcx4q6mp author = Hussain, Mohammed Hassan title = Tracheal swab from front of neck airway for SARS-CoV-2; a bronchial foreign body date = 2020-08-27 pages = extension = .txt mime = text/plain words = 1566 sentences = 105 flesch = 62 summary = We report the case of a bronchial foreign body, following a tracheostomy site swab for SARS-CoV-2, aiming to raise awareness and vigilance. We report the case of a bronchial foreign body, following a tracheostomy site swab for SARS-CoV-2, aiming to raise awareness and vigilance. This case highlights the need for clear guidance on how samples for SARS-CoV-2 are taken from patients with front of neck airways (laryngectomy/tracheοstomy) and the potential pitfalls involved. This case highlights the need for clear guidance on how samples for SARS-CoV-2 are taken from patients with front of neck airways (laryngectomy/tracheοstomy) and the potential pitfalls involved. Patients with front of neck airways, either in the form of a laryngectomy or tracheostomy stoma site, present a challenge in terms of testing for SARS-CoV-2. There is a need for clear guidance on how to test patients with front of neck airways for SARS-CoV-2. cache = ./cache/cord-315288-fcx4q6mp.txt txt = ./txt/cord-315288-fcx4q6mp.txt === reduce.pl bib === id = cord-327370-zo0n8wf6 author = Vadukul, Prakash title = Massive pulmonary embolism following recovery from COVID-19 infection: inflammation, thrombosis and the role of extended thromboprophylaxis date = 2020-09-13 pages = extension = .txt mime = text/plain words = 3116 sentences = 189 flesch = 39 summary = We present the case of a patient with an initial presentation of COVID-19 pneumonitis requiring mechanical ventilation for nearly 2 weeks and total admission time of 3 weeks. 1 This case examines aspects of COVID-19 emphasising the increased thrombogenicity seen during infection and the potential need for extended anticoagulation following recovery particularly in those patients with severe illness and pre-existing risk factors. 18 Initial data suggest that patients with complicated COVID-19 infection have nearly three times the concentration of IL-6 compared with those exhibiting less severe disease. 24 The International Society for Thrombosis and Haemostasis suggests that prophylactic treatment with LMWH is prudent in all patients with COVID-19, particularly with severe disease or Findings that shed new light on the possible pathogenesis of a disease or an adverse effect extreme derangements in clotting parameters. 2 Compared with other populations, patients with COVID-19 appear to have higher incidences of VTE particularly with deranged clotting markers, critical care admission or reduced mobility. cache = ./cache/cord-327370-zo0n8wf6.txt txt = ./txt/cord-327370-zo0n8wf6.txt === reduce.pl bib === id = cord-300183-z3fwtwqb author = Ahmed, Taha title = Community and healthcare system-related factors feeding the phenomenon of evading medical attention for time-dependent emergencies during COVID-19 crisis date = 2020-08-25 pages = extension = .txt mime = text/plain words = 3444 sentences = 214 flesch = 50 summary = Moreover, a comprehensive review of literature is performed to illustrate the potential factors delaying and decreasing timely presentations and interventions for time-dependent medical emergencies like ST-segment elevation myocardial infarction (STEMI). Moreover, a comprehensive review of literature is performed to illustrate the potential factors delaying and decreasing timely presentations and interventions for time-dependent medical emergencies like ST-segment elevation myocardial infarction (STEMI). There is a delay and decrease in presentations and timely interventions for medical emergencies like STEMI during the current era of COVID-19 crisis. ► Several community and healthcare-system-related factors delay and decrease the presentation and intervention for time-dependent non-communicable diseases such as STsegment elevation myocardial infarction (STEMI) in the era of COVID-19 crisis. Delayed Presentation of Acute ST Segment Elevation Myocardial Infarction Complicated with Heart Failure in the Period of COVID-19 Pandemic -Case Report Complication of late presenting STEMI due to avoidance of medical care during the COVID-19 pandemic cache = ./cache/cord-300183-z3fwtwqb.txt txt = ./txt/cord-300183-z3fwtwqb.txt === reduce.pl bib === id = cord-337809-bxvgr6qg author = Xiong, Yong title = Family cluster of three recovered cases of pneumonia due to severe acute respiratory syndrome coronavirus 2 infection date = 2020-05-04 pages = extension = .txt mime = text/plain words = 1738 sentences = 122 flesch = 53 summary = Our observations suggest the importance of preventing family transmission and the efficacy of current integrated treatment for mild/ moderate pneumonia in COVID-19 cases. Our observations suggest the importance of preventing family transmission and the efficacy of current integrated treatment for mild/ moderate pneumonia in COVID-19 cases. [2] [3] [4] [5] [6] [7] [8] This report describes the epidemiological and clinical features of coronavirus disease (COVID-19) among three members of a family following SARS-CoV-2 infection. On 10 and 11 January 2020, a family of three, comprising the father (65 years), the mother (61 years) and the son (38 years), were admitted to the Department of Infectious Disease at the Zhongnan Hospital of Wuhan University with symptoms of cough and fever. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China cache = ./cache/cord-337809-bxvgr6qg.txt txt = ./txt/cord-337809-bxvgr6qg.txt === reduce.pl bib === id = cord-337878-hiylqqie author = Namasivayam, Abirami title = Atypical case of COVID-19 in a critically unwell 5-week old infant date = 2020-09-14 pages = extension = .txt mime = text/plain words = 2519 sentences = 153 flesch = 49 summary = To our knowledge, he is the youngest reported case in the UK to require mechanical ventilation and intensive care treatment as a direct result of COVID-19 following horizontal transmission. 4 A larger nationwide study investigating 134 paediatric cases across China reported that 76% cases had fever, 64.9% cases presented as acute upper respiratory tract infection, 26.9% as mild pneumonia and 1.5% cases were critical; unfortunately, the specific age groups and comorbidities were not reported. At present there are few reports of paediatric patients requiring intensive care support with confirmed COVID-19. This case demonstrates the need for vigilance in considering COVID-19 infection in infants presenting with less discriminatory symptoms such as lethargy or reduced feeding. Dong et al report a case series of 2135 paediatric patients with confirmed and suspected coronavirus; infants (<1 year) were noted to be particularly vulnerable. cache = ./cache/cord-337878-hiylqqie.txt txt = ./txt/cord-337878-hiylqqie.txt === reduce.pl bib === === reduce.pl bib === id = cord-333227-849bm17h author = Grewal, Ekjot title = Angioedema, ACE inhibitor and COVID-19 date = 2020-09-09 pages = extension = .txt mime = text/plain words = 2564 sentences = 160 flesch = 46 summary = Here, we report a case of a 57-year-old man, unknowingly with COVID-19, who presented to the emergency department with tongue swelling, shortness of breath and difficulty in speaking following 4 months taking benazepril, an ACE inhibitor. 23 The presentation of this case report is similar to our own: nonpitting oedema of the lower face in the absence of pruritus, leucocytosis with relative lymphopenia, elevated inflammatory markers and resolution of symptoms within 48 hours, although the marked difference is the chronic use of ACE inhibitor, whereas our patient began his medication 4 months prior to admission. An impairment of cytokine degradation, evident by an increase in the level of C-reactive protein, has been implicated as being the primary mechanism of angioedema under the use of ACE inhibitor drugs, 28 which greatly resembles the dramatic release of proinflammatory cytokines caused Findings that shed new light on the possible pathogenesis of a disease or an adverse effect by SARS-CoV-2 infection. cache = ./cache/cord-333227-849bm17h.txt txt = ./txt/cord-333227-849bm17h.txt === reduce.pl bib === id = cord-331517-o5ejfq86 author = Hirayama, Takehisa title = Guillain-Barré syndrome after COVID-19 in Japan date = 2020-10-29 pages = extension = .txt mime = text/plain words = 2135 sentences = 148 flesch = 47 summary = We report the first case of Guillain-Barré syndrome (GBS) associated with SARS-CoV-2 infection in Japan. In previous reports, most patients with SARS-CoV-2-infection-related GBS had lower limb predominant symptoms, and antiganglioside antibody tests were negative. Our findings support the notion that non-immune abnormalities such as hyperinflammation following cytokine storms and microvascular disorders due to vascular endothelial damage may lead to neurological symptoms in patients with SARS-CoV-2 infection. 4 In the present report, we discuss a case of axonal-type GBS associated with SARS-CoV-2 infection, where the patient was tested for various antiganglioside antibodies. Furthermore, we review the cases of SARS-CoV-2-infection-related GBS reported to date, in order to provide insight into the clinical characteristics and pathological mechanisms underlying the disease. In conclusion, our report supports the notion that patients with GBS associated with SARS-CoV-2 infection tend to test negative for antiganglioside antibodies. ► Patients with Guillain-Barré syndrome (GBS) associated with SARS-CoV-2 infection may test negative for many known antiganglioside antibodies. cache = ./cache/cord-331517-o5ejfq86.txt txt = ./txt/cord-331517-o5ejfq86.txt === reduce.pl bib === id = cord-341246-fz66z2p2 author = Bhattacharyya, Pranab J title = Takotsubo cardiomyopathy in early term pregnancy: a rare cardiac complication of SARS-CoV-2 infection date = 2020-09-28 pages = extension = .txt mime = text/plain words = 1298 sentences = 84 flesch = 48 summary = title: Takotsubo cardiomyopathy in early term pregnancy: a rare cardiac complication of SARS-CoV-2 infection A 32-year-old primigravida at a 38-week gestation was initially admitted in cardiology isolation ward on referral by her local obstetrician for inferolateral ST-segment elevation on ECG (figure 1A) which was obtained for complaints of New York Heart Association functional class II symptoms with palpitations of a 3-day duration. As typified by this index case, TTC can mimic acute ST-segment elevation myocardial infarction and is considered to be a reversible form of cardiomyopathy characterised by a complete recovery of RWMA and LV function within weeks of presentation. 2 This is the first reported case of TTC in pregnancy as a manifestation of SARS-CoV-2 infection during this ongoing pandemic. ► The presentation of takotsubo cardiomyopathy can mimic STsegment elevation myocardial infarction but in the absence of angiographic evidence of significant obstructive coronary artery disease. cache = ./cache/cord-341246-fz66z2p2.txt txt = ./txt/cord-341246-fz66z2p2.txt === reduce.pl bib === id = cord-331193-33cyvidx author = Mawhinney, Jamie A title = Neurotropism of SARS-CoV-2: COVID-19 presenting with an acute manic episode date = 2020-06-14 pages = extension = .txt mime = text/plain words = 2512 sentences = 161 flesch = 50 summary = Psychiatric assessment found features consistent with acute mania, and he was detained under the Mental Health Act. This case indicates the need to consider COVID-19 in a wider series of clinical presentations and to develop a validated assay for SARS-CoV-2 in the cerebrospinal fluid. Psychiatric assessment found features consistent with acute mania, and he was detained under the Mental Health Act. This case indicates the need to consider COVID-19 in a wider series of clinical presentations and to develop a validated assay for SARS-CoV-2 in the cerebrospinal fluid. [9] [10] [11] [12] This article outlines a case of COVID-19 presenting with an acute manic episode necessitating emergency intubation and discusses potential mechanisms for the development of neuropsychiatric disease. ► The neuroinvasive potential of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (neurotropism) has been reported, but the pathophysiology remains unclear with uncertainty over its long-term consequences. cache = ./cache/cord-331193-33cyvidx.txt txt = ./txt/cord-331193-33cyvidx.txt === reduce.pl bib === === reduce.pl bib === === reduce.pl bib === === reduce.pl bib === id = cord-341948-9w8od50e author = Scott, Michael title = Rare encounter: hydrocoele of canal of Nuck in a Scottish rural hospital during the COVID-19 pandemic date = 2020-08-11 pages = extension = .txt mime = text/plain words = 2743 sentences = 176 flesch = 44 summary = title: Rare encounter: hydrocoele of canal of Nuck in a Scottish rural hospital during the COVID-19 pandemic We report the case of a 32-year-old woman who presented with reducible indirect inguinal hernia and a challenging constellation of symptoms, signs and radiographic findings. We report the case of a 32-year-old woman who presented with reducible indirect inguinal hernia and a challenging constellation of symptoms, signs and radiographic findings. We aim to provide insights into surgical patient management for a rare entity during the COVID-19 outbreak, from the unique perspective of a small rural hospital in Scotland. We aim to provide insights into surgical patient management for a rare entity during the COVID-19 outbreak, from the unique perspective of a small rural hospital in Scotland. Surgery simultaneously forms the definitive management of hydrocoele of canal of Nuck as well as providing an intraoperative, revised diagnosis. ► Radiology and ultrasonography findings distinguish hydrocoele of canal of Nuck from inguinal hernias. cache = ./cache/cord-341948-9w8od50e.txt txt = ./txt/cord-341948-9w8od50e.txt === reduce.pl bib === === reduce.pl bib === id = cord-338689-4u1ezk64 author = Ata, Fateen title = COVID-19 presenting with diarrhoea and hyponatraemia date = 2020-06-07 pages = extension = .txt mime = text/plain words = 1405 sentences = 124 flesch = 52 summary = We present a young man with diarrhoea, abdominal pain and hyponatraemia who turned out to be positive for COVID-19. We present a young man with diarrhoea, abdominal pain and hyponatraemia who turned out to be positive for COVID-19. COVID-19 is caused by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). ► We recommend studies to evaluate the effectiveness of stool PCR for severe acute respiratory syndrome coronavirus 2 if initial nasopharyngeal PCR is negative and suspicion remains high. 4 Gastrointestinal symptoms such as diarrhoea, abdominal pain and vomiting have been previously seen with acute viral respiratory infections and reported recently as rare manifestations of COVID-19. 15 Our patient had acute hyponatraemia, abdominal pain and diarrhoea with minimal Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China Clinical and virological factors associated with gastrointestinal symptoms in patients with acute respiratory infection: a two-year prospective study in general practice medicine cache = ./cache/cord-338689-4u1ezk64.txt txt = ./txt/cord-338689-4u1ezk64.txt ===== Reducing email addresses cord-275699-hdmeyomt cord-257839-kfzc4pwq cord-259108-16lqa84n cord-281733-bsq0ewac cord-276938-hv2ttwr8 cord-285579-gvgt55o4 cord-288608-2y5626qf cord-279989-swsxez0a cord-297693-lqyc49t6 cord-296619-uhhndp0a cord-337809-bxvgr6qg cord-315288-fcx4q6mp cord-337878-hiylqqie cord-331517-o5ejfq86 cord-331193-33cyvidx cord-341246-fz66z2p2 cord-346345-jc9bq0zu Creating transaction Updating adr table ===== Reducing keywords cord-257839-kfzc4pwq cord-259250-ybfyiykz cord-257884-5exwwxin cord-275699-hdmeyomt cord-259108-16lqa84n cord-257691-oka9d03h cord-276984-npgalqoz cord-269703-d3yv9mcl cord-281733-bsq0ewac cord-295527-d5laummv cord-281121-pleula62 cord-276938-hv2ttwr8 cord-285579-gvgt55o4 cord-288608-2y5626qf cord-263530-t9ryky6f cord-309236-p4c2d5y3 cord-279989-swsxez0a cord-296950-9dldbs6o cord-291642-xfkdxnfb cord-297693-lqyc49t6 cord-296619-uhhndp0a cord-311232-hhfdqhx1 cord-315288-fcx4q6mp cord-327370-zo0n8wf6 cord-337809-bxvgr6qg cord-300183-z3fwtwqb cord-337878-hiylqqie cord-333227-849bm17h cord-331517-o5ejfq86 cord-341246-fz66z2p2 cord-333998-z2zahfv9 cord-331193-33cyvidx cord-346345-jc9bq0zu cord-346246-2phtdgh4 cord-341919-8gnthufw cord-341948-9w8od50e cord-338689-4u1ezk64 cord-355146-6rat5j64 Creating transaction Updating wrd table ===== Reducing urls cord-257839-kfzc4pwq cord-275699-hdmeyomt cord-281733-bsq0ewac cord-259108-16lqa84n cord-276938-hv2ttwr8 cord-285579-gvgt55o4 cord-288608-2y5626qf cord-279989-swsxez0a cord-296619-uhhndp0a cord-315288-fcx4q6mp cord-337809-bxvgr6qg cord-341246-fz66z2p2 cord-331517-o5ejfq86 cord-346345-jc9bq0zu cord-337878-hiylqqie Creating transaction Updating url table ===== Reducing named entities cord-257839-kfzc4pwq cord-257884-5exwwxin cord-259250-ybfyiykz cord-276984-npgalqoz cord-257691-oka9d03h cord-276938-hv2ttwr8 cord-295527-d5laummv cord-275699-hdmeyomt cord-288608-2y5626qf cord-281733-bsq0ewac cord-269703-d3yv9mcl cord-285579-gvgt55o4 cord-263530-t9ryky6f cord-279989-swsxez0a cord-309236-p4c2d5y3 cord-296950-9dldbs6o cord-281121-pleula62 cord-291642-xfkdxnfb cord-297693-lqyc49t6 cord-311232-hhfdqhx1 cord-296619-uhhndp0a cord-327370-zo0n8wf6 cord-300183-z3fwtwqb cord-315288-fcx4q6mp cord-337878-hiylqqie cord-333998-z2zahfv9 cord-333227-849bm17h cord-331517-o5ejfq86 cord-331193-33cyvidx cord-346345-jc9bq0zu cord-341919-8gnthufw cord-341948-9w8od50e cord-259108-16lqa84n cord-346246-2phtdgh4 cord-355146-6rat5j64 cord-337809-bxvgr6qg cord-341246-fz66z2p2 cord-338689-4u1ezk64 Creating transaction Updating ent table ===== Reducing parts of speech cord-257884-5exwwxin cord-257691-oka9d03h cord-275699-hdmeyomt cord-259250-ybfyiykz cord-257839-kfzc4pwq cord-259108-16lqa84n cord-276984-npgalqoz cord-281733-bsq0ewac cord-269703-d3yv9mcl cord-295527-d5laummv cord-281121-pleula62 cord-276938-hv2ttwr8 cord-285579-gvgt55o4 cord-288608-2y5626qf cord-263530-t9ryky6f cord-279989-swsxez0a cord-291642-xfkdxnfb cord-309236-p4c2d5y3 cord-296950-9dldbs6o cord-297693-lqyc49t6 cord-311232-hhfdqhx1 cord-296619-uhhndp0a cord-300183-z3fwtwqb cord-315288-fcx4q6mp cord-327370-zo0n8wf6 cord-333998-z2zahfv9 cord-337878-hiylqqie cord-333227-849bm17h cord-331517-o5ejfq86 cord-331193-33cyvidx cord-341246-fz66z2p2 cord-355146-6rat5j64 cord-346246-2phtdgh4 cord-346345-jc9bq0zu cord-341919-8gnthufw cord-337809-bxvgr6qg cord-338689-4u1ezk64 cord-341948-9w8od50e Creating transaction Updating pos table Building ./etc/reader.txt cord-300183-z3fwtwqb cord-327370-zo0n8wf6 cord-309236-p4c2d5y3 cord-338689-4u1ezk64 cord-337809-bxvgr6qg cord-331193-33cyvidx number of items: 38 sum of words: 62,040 average size in words: 2,215 average readability score: 49 nouns: patient; patients; case; infection; symptoms; disease; syndrome; coronavirus; day; care; cases; treatment; pandemic; days; risk; diagnosis; admission; history; pneumonia; presentation; hospital; virus; time; chest; blood; use; review; authors; study; thrombosis; article; oxygen; pain; management; peer; evidence; rate; findings; illness; examination; stroke; fever; factors; weeks; swab; data; report; health; emergency; disaster verbs: report; include; present; associated; followed; use; showed; considered; revealed; increased; remained; made; requires; providing; confirmed; described; developed; caused; given; performed; suggested; become; demonstrated; affecting; reviewed; declared; improved; involved; seen; treating; related; discharged; published; known; continued; took; identified; reduced; lead; covid-19; admitted; highlights; diagnosed; contributed; tested; found; determined; based; need; resulting adjectives: respiratory; acute; covid-19; clinical; severe; normal; viral; pulmonary; non; high; negative; positive; old; initial; medical; new; neurological; first; aortic; possible; lower; significant; intensive; novel; bilateral; right; inflammatory; commercial; left; personal; common; recent; potential; ischaemic; specific; early; available; rapid; intravenous; mental; upper; mild; small; many; vertical; secondary; nuclear; global; rare; present adverbs: also; however; well; otherwise; initially; subsequently; later; therefore; prior; externally; still; previously; even; freely; home; daily; first; rapidly; now; worldwide; successfully; currently; particularly; especially; gradually; approximately; commonly; potentially; furthermore; critically; usually; significantly; clinically; relatively; mildly; less; encephalitis; back; recently; often; frequently; bilaterally; yet; respectively; rather; primarily; globally; severely; likely; just pronouns: he; his; we; our; it; she; i; her; you; its; their; my; they; me; your; him; them; us; itself; one; himself; themselves; myself; herself proper nouns: COVID-19; SARS; CoV-2; BMJ; CT; China; Case; Guillain; Barré; L; Wuhan; mg; PCR; GBS; CSF; STEMI; Rep; RNA; org/; ICU; sha; Nuck; MRI; ACE2; PTSD; Lemierre; Coronavirus; None; EEG; December; April; hydrocoele; VTE; Japan; Clozapine; CNS; C; Report; Fukushima; ECG; ST; Fellows; mL; http://; TTE; March; Health; casereports.bmj.com; Publishing; Group keywords: covid-19; sars; patient; cov-2; barré; wuhan; vte; vessel; vertical; vasculitis; ttc; transplant; thyroiditis; thrombosis; syndrome; stemi; ptsd; psoriasis; pericarditis; pbf; pandemic; palsy; oc43; nuck; lemierre; itp; infant; guillain; gbs; gaze; fukushima; eeg; dissection; disaster; cvst; csf; clozapine; case; canal; aortic; aki one topic; one dimension: covid file(s): https://www.ncbi.nlm.nih.gov/pubmed/32747597/ titles(s): COVID-19 associated with extensive pulmonary arterial, intracardiac and peripheral arterial thrombosis three topics; one dimension: covid; covid; covid file(s): https://doi.org/10.1136/bcr-2020-236725, https://www.ncbi.nlm.nih.gov/pubmed/32843381/, https://www.ncbi.nlm.nih.gov/pubmed/32843473/ titles(s): PTSD and bipolar II disorder in Fukushima disaster relief workers after the 2011 nuclear accident | Clinical course of a 66-year-old man with an acute ischaemic stroke in the setting of a COVID-19 infection | Community and healthcare system-related factors feeding the phenomenon of evading medical attention for time-dependent emergencies during COVID-19 crisis five topics; three dimensions: covid patient sars; covid case disaster; covid patient patients; covid pandemic stemi; covid patients syndrome file(s): https://doi.org/10.1136/bcr-2020-238168, https://doi.org/10.1136/bcr-2020-236725, https://www.ncbi.nlm.nih.gov/pubmed/32843381/, https://www.ncbi.nlm.nih.gov/pubmed/32843473/, https://doi.org/10.1136/bcr-2020-236069 titles(s): Massive pulmonary embolism following recovery from COVID-19 infection: inflammation, thrombosis and the role of extended thromboprophylaxis | PTSD and bipolar II disorder in Fukushima disaster relief workers after the 2011 nuclear accident | Clinical course of a 66-year-old man with an acute ischaemic stroke in the setting of a COVID-19 infection | Community and healthcare system-related factors feeding the phenomenon of evading medical attention for time-dependent emergencies during COVID-19 crisis | 80-year-old man with dyspnoea and bilateral groundglass infiltrates: an elusive case of COVID-19 Type: cord title: journal-bmjCaseRep-cord date: 2021-05-30 time: 15:05 username: emorgan patron: Eric Morgan email: emorgan@nd.edu input: facet_journal:"BMJ Case Rep" ==== make-pages.sh htm files ==== make-pages.sh complex files ==== make-pages.sh named enities ==== making bibliographics id: cord-300183-z3fwtwqb author: Ahmed, Taha title: Community and healthcare system-related factors feeding the phenomenon of evading medical attention for time-dependent emergencies during COVID-19 crisis date: 2020-08-25 words: 3444.0 sentences: 214.0 pages: flesch: 50.0 cache: ./cache/cord-300183-z3fwtwqb.txt txt: ./txt/cord-300183-z3fwtwqb.txt summary: Moreover, a comprehensive review of literature is performed to illustrate the potential factors delaying and decreasing timely presentations and interventions for time-dependent medical emergencies like ST-segment elevation myocardial infarction (STEMI). Moreover, a comprehensive review of literature is performed to illustrate the potential factors delaying and decreasing timely presentations and interventions for time-dependent medical emergencies like ST-segment elevation myocardial infarction (STEMI). There is a delay and decrease in presentations and timely interventions for medical emergencies like STEMI during the current era of COVID-19 crisis. ► Several community and healthcare-system-related factors delay and decrease the presentation and intervention for time-dependent non-communicable diseases such as STsegment elevation myocardial infarction (STEMI) in the era of COVID-19 crisis. Delayed Presentation of Acute ST Segment Elevation Myocardial Infarction Complicated with Heart Failure in the Period of COVID-19 Pandemic -Case Report Complication of late presenting STEMI due to avoidance of medical care during the COVID-19 pandemic abstract: The current COVID-19 crisis has significantly impacted healthcare systems worldwide. There has been a palpable increase in public avoidance of hospitals, which has interfered in timely care of critical cardiovascular conditions. Complications from late presentation of myocardial infarction, which had become a rarity, resurfaced during the pandemic. We present two such encounters that occurred due to delay in seeking medical care following myocardial infarction due to the fear of contracting COVID-19 in the hospital. Moreover, a comprehensive review of literature is performed to illustrate the potential factors delaying and decreasing timely presentations and interventions for time-dependent medical emergencies like ST-segment elevation myocardial infarction (STEMI). We emphasise that clinicians should remain vigilant of encountering rare and catastrophic complications of STEMI during this current era of COVID-19 pandemic. url: https://www.ncbi.nlm.nih.gov/pubmed/32843473/ doi: 10.1136/bcr-2020-237817 id: cord-281121-pleula62 author: Ameer, Nasir title: Guillain-Barré syndrome presenting with COVID-19 infection date: 2020-09-14 words: 2388.0 sentences: 141.0 pages: flesch: 55.0 cache: ./cache/cord-281121-pleula62.txt txt: ./txt/cord-281121-pleula62.txt summary: At least four cases of Guillain-Barré syndrome have been reported in the literature with concurrent COVID-19 illness in whom respiratory signs appeared a few days after the onset of neurological signs. During the current pandemic, presence of concurrent COVID-19 infection needs to be considered in patients presenting with Guillain-Barré syndrome. Here, we report a case of a patient with COVID-19 who presented with Guillain-Barré syndrome. 7 There have been at least 12 cases reported in the literature as of 2 May 2020 linking Guillain-Barré syndrome with SARS-CoV-2 (COVID-19). 18 Our patient developed signs of Guillain-Barré syndrome before COVID-19 respiratory symptoms started on day 4 of weakness. ► If neurological manifestations of COVID-19 infection could appear before respiratory symptoms, it would be of utmost importance to use effective personal protective equipment, in particular for aerosol-generating procedures such as spirometry, in patients presenting with Guillain-Barré syndrome. abstract: A construction worker in his 30s presented three times in 4 days with progressive upper and then lower limb weakness. On the first two occasions he had no systemic symptoms, but on the third presentation he had fever and cough, starting from day 4 of weakness. Examination identified weakness in all four limbs and areflexia, suggesting a peripheral neuromuscular disorder. Investigations were consistent with Guillain-Barré syndrome and additional COVID-19 (SARS-CoV-2) infection. The patient improved after immunoglobulin treatment. At least four cases of Guillain-Barré syndrome have been reported in the literature with concurrent COVID-19 illness in whom respiratory signs appeared a few days after the onset of neurological signs. With the incubation period for COVID-19 respiratory symptoms believed to be up to 14 days, it is possible that neurological symptoms could develop before respiratory and other symptoms. During the current pandemic, presence of concurrent COVID-19 infection needs to be considered in patients presenting with Guillain-Barré syndrome. url: https://www.ncbi.nlm.nih.gov/pubmed/32928835/ doi: 10.1136/bcr-2020-236978 id: cord-276938-hv2ttwr8 author: Artru, Florent title: Acute immune thrombocytopaenic purpura in a patient with COVID-19 and decompensated cirrhosis date: 2020-07-07 words: 1315.0 sentences: 88.0 pages: flesch: 51.0 cache: ./cache/cord-276938-hv2ttwr8.txt txt: ./txt/cord-276938-hv2ttwr8.txt summary: We report on a patient with coronavirus disease 2019 (COVID-19) and decompensated cirrhosis who experienced a favourable outcome of severe immune thrombocytopaenic purpura (ITP) after administration of intravenous immunoglobulin and high-dose dexamethasone. We report on a patient with coronavirus disease 2019 (COVID-19) and decompensated cirrhosis who experienced a favourable outcome of severe immune thrombocytopaenic purpura (ITP) after administration of intravenous immunoglobulin and high-dose dexamethasone. Published data suggest that poor outcome of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is related to an excessive inflammatory reaction. Laboratory tests performed over the next days showed a rapid decrease of platelet count from baseline values around 70 g/L (chronic moderate thrombocytopaenia due to liver disease and hypersplenism) to a nadir of 1 x10 9 /L (figure 1). ► Treatment of ITP in the context of coronavirus disease 2019 (COVID-19) with high-dose dexamethasone and intravenous immunoglobulin (IVIG) appears to be effective. abstract: We report on a patient with coronavirus disease 2019 (COVID-19) and decompensated cirrhosis who experienced a favourable outcome of severe immune thrombocytopaenic purpura (ITP) after administration of intravenous immunoglobulin and high-dose dexamethasone. The present case suggests that it is reasonable to evoke ITP in case of profound thrombocytopaenia in a patient with COVID-19. url: https://www.ncbi.nlm.nih.gov/pubmed/32641442/ doi: 10.1136/bcr-2020-236815 id: cord-285579-gvgt55o4 author: Asif, Rehan title: Rare complication of COVID-19 presenting as isolated headache date: 2020-10-29 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: An 18-year-old man presented with persistent isolated headache 2 weeks after recovering from acute COVID-19 illness. Extensive cerebral venous sinus thrombosis (CVST) was detected on CT venogram despite him having no other thrombotic risk factors. CVST can complicate COVID-19. A high index of clinical suspicion is warranted as it can often have a subtle presentation with paucity of neurological symptoms. url: https://www.ncbi.nlm.nih.gov/pubmed/33122242/ doi: 10.1136/bcr-2020-239275 id: cord-338689-4u1ezk64 author: Ata, Fateen title: COVID-19 presenting with diarrhoea and hyponatraemia date: 2020-06-07 words: 1405.0 sentences: 124.0 pages: flesch: 52.0 cache: ./cache/cord-338689-4u1ezk64.txt txt: ./txt/cord-338689-4u1ezk64.txt summary: We present a young man with diarrhoea, abdominal pain and hyponatraemia who turned out to be positive for COVID-19. We present a young man with diarrhoea, abdominal pain and hyponatraemia who turned out to be positive for COVID-19. COVID-19 is caused by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). ► We recommend studies to evaluate the effectiveness of stool PCR for severe acute respiratory syndrome coronavirus 2 if initial nasopharyngeal PCR is negative and suspicion remains high. 4 Gastrointestinal symptoms such as diarrhoea, abdominal pain and vomiting have been previously seen with acute viral respiratory infections and reported recently as rare manifestations of COVID-19. 15 Our patient had acute hyponatraemia, abdominal pain and diarrhoea with minimal Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China Clinical and virological factors associated with gastrointestinal symptoms in patients with acute respiratory infection: a two-year prospective study in general practice medicine abstract: COVID-19 is a viral disease with a high infectivity rate. The full spectrum of the disease is not yet understood. This understanding may help in limiting potential exposure. We present a young man with diarrhoea, abdominal pain and hyponatraemia who turned out to be positive for COVID-19. url: https://www.ncbi.nlm.nih.gov/pubmed/32513768/ doi: 10.1136/bcr-2020-235456 id: cord-341919-8gnthufw author: Basi, Saajan title: Clinical course of a 66-year-old man with an acute ischaemic stroke in the setting of a COVID-19 infection date: 2020-08-23 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: A 66-year-old man was admitted to hospital with a right frontal cerebral infarct producing left-sided weakness and a deterioration in his speech pattern. The cerebral infarct was confirmed with CT imaging. The only evidence of respiratory symptoms on admission was a 2 L oxygen requirement, maintaining oxygen saturations between 88% and 92%. In a matter of hours this patient developed a greater oxygen requirement, alongside reduced levels of consciousness. A positive COVID-19 throat swab, in addition to bilateral pneumonia on chest X-ray and lymphopaenia in his blood tests, confirmed a diagnosis of COVID-19 pneumonia. A proactive decision was made involving the patients’ family, ward and intensive care healthcare staff, to not escalate care above a ward-based ceiling of care. The patient died 5 days following admission under the palliative care provided by the medical team. url: https://www.ncbi.nlm.nih.gov/pubmed/32843381/ doi: 10.1136/bcr-2020-235920 id: cord-341246-fz66z2p2 author: Bhattacharyya, Pranab J title: Takotsubo cardiomyopathy in early term pregnancy: a rare cardiac complication of SARS-CoV-2 infection date: 2020-09-28 words: 1298.0 sentences: 84.0 pages: flesch: 48.0 cache: ./cache/cord-341246-fz66z2p2.txt txt: ./txt/cord-341246-fz66z2p2.txt summary: title: Takotsubo cardiomyopathy in early term pregnancy: a rare cardiac complication of SARS-CoV-2 infection A 32-year-old primigravida at a 38-week gestation was initially admitted in cardiology isolation ward on referral by her local obstetrician for inferolateral ST-segment elevation on ECG (figure 1A) which was obtained for complaints of New York Heart Association functional class II symptoms with palpitations of a 3-day duration. As typified by this index case, TTC can mimic acute ST-segment elevation myocardial infarction and is considered to be a reversible form of cardiomyopathy characterised by a complete recovery of RWMA and LV function within weeks of presentation. 2 This is the first reported case of TTC in pregnancy as a manifestation of SARS-CoV-2 infection during this ongoing pandemic. ► The presentation of takotsubo cardiomyopathy can mimic STsegment elevation myocardial infarction but in the absence of angiographic evidence of significant obstructive coronary artery disease. abstract: nan url: https://www.ncbi.nlm.nih.gov/pubmed/32988978/ doi: 10.1136/bcr-2020-239104 id: cord-257691-oka9d03h author: Bogaert, Kelly title: Contained aortic rupture in a term pregnant patient during the COVID-19 pandemic date: 2020-09-15 words: 2275.0 sentences: 121.0 pages: flesch: 46.0 cache: ./cache/cord-257691-oka9d03h.txt txt: ./txt/cord-257691-oka9d03h.txt summary: This case discusses the presentation and diagnosis of a patient with an acute contained thoracic aortic aneurysm rupture at 38 weeks of gestation, after presenting with throat pain and syncope during the COVID-19 pandemic. This case discusses the presentation and diagnosis of a patient with an acute contained thoracic aortic aneurysm rupture at 38 weeks of gestation, after presenting with throat pain and syncope during the COVID-19 pandemic. 1 3 7 We present the case of a patient diagnosed with an acute aortic rupture at term during the COVID-19 pandemic. 17 The TTE findings seen in this case, along with the patient''s history of syncope, were the predominant clinical clues for the cardiology team to determine the diagnosis of aortic aneurysm rupture. Aortic dissection and rupture are rare occurrences in pregnant patients, and require a high index of clinical suspicion given the similarity of symptoms with other pathologies during pregnancy, particularly during the COVID-19 pandemic. abstract: Aortic dissection and rupture is a rare occurrence in pregnant and postpartum patients. This case discusses the presentation and diagnosis of a patient with an acute contained thoracic aortic aneurysm rupture at 38 weeks of gestation, after presenting with throat pain and syncope during the COVID-19 pandemic. The patient underwent emergent caesarean delivery for non-reassuring fetal heart tracing, following which continued syncope workup revealed an aortic aneurysm and pericardial effusion. Diagnosis in this case was finalised with multimodality imaging, including transthoracic echocardiogram, and the patient underwent surgical aortic repair. url: https://doi.org/10.1136/bcr-2020-238370 doi: 10.1136/bcr-2020-238370 id: cord-276984-npgalqoz author: Dahl Mathiasen, Victor title: Uneventful case of COVID-19 in a kidney transplant recipient date: 2020-07-20 words: 1779.0 sentences: 114.0 pages: flesch: 51.0 cache: ./cache/cord-276984-npgalqoz.txt txt: ./txt/cord-276984-npgalqoz.txt summary: Kidney transplant recipients have been reported at a particularly high risk of severe COVID-19 illness due to chronic immunosuppression and coexisting conditions. Kidney transplant recipients have been reported at a particularly high risk of severe COVID-19 illness due to chronic immunosuppression and coexisting conditions. Fourteen days after admission, the patient still had discrete coughing and intermittent fever, and was referred to a COVID-19 drive-in test unit for an oropharyngeal swab, which was positive for SARS-CoV-2 RNA using PCR. We present a case of mild COVID-19 in a patient in immunosuppressive therapy due to kidney transplantation. Tacrolimus and prednisolone were continued in our patient, although recently published data show that immunosuppressive therapy is often discontinued in kidney transplant recipients. 4 Immunosuppressive therapy was relatively modest in this case, while other risk factors favouring a severe course of COVID-19, such as hypertension, chronic kidney disease and obesity, were present. abstract: Kidney transplant recipients have been reported at a particularly high risk of severe COVID-19 illness due to chronic immunosuppression and coexisting conditions. Yet, here we describe a remarkably mild case of COVID-19 in a 62-year-old female who had a kidney transplantation 10 years earlier due to autosomal dominant polycystic kidney disease. The patient was admitted for 1 day; immunosuppressive therapy with tacrolimus and low-dose prednisolone was continued; and the patient recovered successfully without the use of antiviral agents or oxygen therapy. The case demonstrates that kidney transplant recipients are not necessarily severely affected by COVID-19. Withdrawal of immunosuppressive therapy could be associated with poorer outcomes and should not be implemented thoughtlessly. url: https://doi.org/10.1136/bcr-2020-237427 doi: 10.1136/bcr-2020-237427 id: cord-295527-d5laummv author: El-Baba, Firas title: Prolonged RNA shedding of the 2019 novel coronavirus in an asymptomatic patient with a VP shunt date: 2020-09-14 words: 1823.0 sentences: 120.0 pages: flesch: 52.0 cache: ./cache/cord-295527-d5laummv.txt txt: ./txt/cord-295527-d5laummv.txt summary: title: Prolonged RNA shedding of the 2019 novel coronavirus in an asymptomatic patient with a VP shunt A 33-year-old man with paranoid schizophrenia and a ventriculoperitoneal (VP) shunt was sent to our institution from an inpatient psychiatric facility due to concerns for the 2019 novel coronavirus (COVID-19). A 33-year-old man with paranoid schizophrenia and a ventriculoperitoneal (VP) shunt was sent to our institution from an inpatient psychiatric facility due to concerns for the 2019 novel coronavirus . A 33-year-old man with paranoid schizophrenia and a ventriculoperitoneal (VP) shunt was sent to our institution from an inpatient psychiatric facility due to concerns for the COVID-19. ► A VP shunt may predispose individuals to prolonged viral shedding of the novel coronavirus. Factors associated with prolonged viral RNA shedding in patients with coronavirus disease 2019 (COVID-19) Persistent viral shedding lasting over 60 days in a mild COVID-19 patient with ongoing positive SARS-CoV-2 abstract: A 33-year-old man with paranoid schizophrenia and a ventriculoperitoneal (VP) shunt was sent to our institution from an inpatient psychiatric facility due to concerns for the 2019 novel coronavirus (COVID-19). Per the facility, the patient had a fever and non-productive cough. On admission, the patient was afebrile and lacked subjective symptoms. A RNA reverse transcriptase PCR (RNA RT-PCR) test for COVID-19 was positive. A chest X-ray contained a small patchy opacity in the right middle lobe and another in the retrocardiac region concerning for pneumonia. Inflammatory markers were mildly elevated. He remained COVID-19 positive and asymptomatic for 36 days. This case details one asymptomatic carrier’s course with persistently positive COVID-19 nasopharyngeal swabs. It demonstrates that a VP shunt could be a possible predisposition for prolonged viral shedding. url: https://doi.org/10.1136/bcr-2020-237720 doi: 10.1136/bcr-2020-237720 id: cord-296950-9dldbs6o author: El-Zein, Rayan S title: COVID-19-associated meningoencephalitis treated with intravenous immunoglobulin date: 2020-09-06 words: 1832.0 sentences: 122.0 pages: flesch: 43.0 cache: ./cache/cord-296950-9dldbs6o.txt txt: ./txt/cord-296950-9dldbs6o.txt summary: Neurologic manifestations in patients infected with SARS-CoV-2 have been reported such as anosmia, ageusia, ataxia, seizures, haemorrhagic necrotising encephalopathy, and Guillain-Barré syndrome. The SARS-CoV-2 CSF PCR was negative; however, a high index of suspicion remained due to the temporal relationship of his current symptoms and the recent COVID-19 pneumonia. Our report describes a case of encephalitis associated with SARS-CoV-2 which showed clinical improvement with IVIg therapy. Moriguchi et al 5 described what appears to be the first case of COVID-19-associated meningoencephalitis presenting with convulsions and confirmed with a positive SARS-CoV-2 CSF PCR; their patient had abnormal MRI findings of the medial temporal lobe and was treated with favipiravir. Paniz-Mondolfi et al 6 reported a case of COVID-19-associated pneumonia in a 74 years old with Parkinson''s who succumbed to his illness on day 11; however, SARS-CoV-2 was found in the brain capillary endothelium and neuronal cell bodies on postmortem examination. abstract: A 40-year-old man presented with altered mental status after a recenthospitalisation for COVID-19 pneumonia. Cerebrospinal fluid (CSF) analysis showed lymphocytosis concerning for viral infection. The CSF PCR for SARS-CoV-2 was negative, yet this could not exclude COVID-19 meningoencephalitis. During hospitalisation, the patient’s mentation deteriorated further requiring admission to the intensive care unit (ICU). Brain imaging and electroencephalogram (EEG) were unremarkable. He was, thus, treated with intravenous immunoglobulin (IVIg) for 5 days with clinical improvement back to baseline. This case illustrates the importance of considering COVID-19’s impact on the central nervous system (CNS). Haematogenous, retrograde axonal transport, and the effects of cytokine storm are the main implicated mechanisms of CNS entry of SARS-CoV-2. While guidelines remain unclear, IVIg may be of potential benefit in the treatment of COVID-19-associated meningoencephalitis. url: https://doi.org/10.1136/bcr-2020-237364 doi: 10.1136/bcr-2020-237364 id: cord-257839-kfzc4pwq author: Ferguson, Katie title: COVID-19 associated with extensive pulmonary arterial, intracardiac and peripheral arterial thrombosis date: 2020-08-03 words: 2800.0 sentences: 176.0 pages: flesch: 48.0 cache: ./cache/cord-257839-kfzc4pwq.txt txt: ./txt/cord-257839-kfzc4pwq.txt summary: We present this case to highlight the extensive COVID-19-associated thrombotic complications that can occur, even despite periods of high-dose prophylactic and therapeutic anticoagulation. In recent case series, elevated D-dimer levels were reported in 43% 6 of the patients and were associated with disease severity and increased mortality. 5 Findings that shed new light on the possible pathogenesis of a disease or an adverse effect Several case series exist which explore the incidence of venous and arterial thrombosis in patients with COVID-19. 10 The latter includes a study of 10 ICU patients with COVID-19 pneumonia in whom D-dimer levels and viscoelastic measures reduced in response to increased prophylactic dosing. [11] [12] [13] Twitter Nathaniel Quail @DrNatQuail and Kevin G Blyth @kevingblyth Acknowledgements Dr Joe Sarvesvaran''s care and compassion were integral to this patient''s journey to recovery and we would like to acknowledge his support with writing this case report, and for selecting the key images to include. abstract: We describe a patient with COVID-19 who developed simultaneous pulmonary, intracardiac and peripheral arterial thrombosis. A 58-year-old man, without major comorbidity, was admitted with a 14-day history of breathlessness. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection was confirmed by laboratory testing. Initial imaging revealed COVID-19 pneumonia but no pulmonary thromboembolism (PTE) on CT pulmonary angiography (CTPA). The patient subsequently developed respiratory failure and left foot ischaemia associated with a rising D-dimer. Repeat CTPA and lower limb CT angiography revealed simultaneous bilateral PTE, biventricular cardiac thrombi and bilateral lower limb arterial occlusions. This case highlights a broad range of vascular sequalae associated with COVID-19 and the fact that these can occur despite a combination of prophylactic and treatment dose anticoagulation. url: https://www.ncbi.nlm.nih.gov/pubmed/32747597/ doi: 10.1136/bcr-2020-237460 id: cord-259108-16lqa84n author: Gananandan, Kohilan title: Guttate psoriasis secondary to COVID-19 date: 2020-08-11 words: 985.0 sentences: 79.0 pages: flesch: 56.0 cache: ./cache/cord-259108-16lqa84n.txt txt: ./txt/cord-259108-16lqa84n.txt summary: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) RNA was detected from a nasopharyngeal swab confirming COVID-19 infection. When I looked up COVID-19 as a cause for guttate psoriasis, I realised this had not been previously reported, so I was keen to collaborate as a co-author to report this new association. 3 This is the first case reported of an acute guttate flare of chronic psoriasis secondary to confirmed COVID-19 infection. Respiratory virus infection triggers acute psoriasis flares across different clinical subtypes and genetic backgrounds org/ 0000-0002-7903-5243Learning points ► Guttate psoriasis manifests as multiple drop-like well circumscribed erythematous papules and is commonly associated with acute, particularly streptococcal, infection. ► Severe acute respiratory syndrome coronavirus 2 was identified as the infective precipitant in this case and further such cases may emerge as we learn more about the clinical manifestations of the COVID-19 illness. abstract: nan url: https://www.ncbi.nlm.nih.gov/pubmed/32784237/ doi: 10.1136/bcr-2020-237367 id: cord-333227-849bm17h author: Grewal, Ekjot title: Angioedema, ACE inhibitor and COVID-19 date: 2020-09-09 words: 2564.0 sentences: 160.0 pages: flesch: 46.0 cache: ./cache/cord-333227-849bm17h.txt txt: ./txt/cord-333227-849bm17h.txt summary: Here, we report a case of a 57-year-old man, unknowingly with COVID-19, who presented to the emergency department with tongue swelling, shortness of breath and difficulty in speaking following 4 months taking benazepril, an ACE inhibitor. 23 The presentation of this case report is similar to our own: nonpitting oedema of the lower face in the absence of pruritus, leucocytosis with relative lymphopenia, elevated inflammatory markers and resolution of symptoms within 48 hours, although the marked difference is the chronic use of ACE inhibitor, whereas our patient began his medication 4 months prior to admission. An impairment of cytokine degradation, evident by an increase in the level of C-reactive protein, has been implicated as being the primary mechanism of angioedema under the use of ACE inhibitor drugs, 28 which greatly resembles the dramatic release of proinflammatory cytokines caused Findings that shed new light on the possible pathogenesis of a disease or an adverse effect by SARS-CoV-2 infection. abstract: SARS-CoV-2, the virus responsible for COVID-19, binds to the ACE2 receptors. ACE2 is thought to counterbalance ACE in the renin-angiotensin system. While presently it is advised that patients should continue to use ACE inhibitors or angiotensin receptor blockers, questions still remain as to whether adverse effects are potentiated by the virus. Here, we report a case of a 57-year-old man, unknowingly with COVID-19, who presented to the emergency department with tongue swelling, shortness of breath and difficulty in speaking following 4 months taking benazepril, an ACE inhibitor. Finally, we also describe possible pathways that exist for SARS-CoV-2 to interact with the mechanism behind angioedema. url: https://www.ncbi.nlm.nih.gov/pubmed/32912894/ doi: 10.1136/bcr-2020-237888 id: cord-331517-o5ejfq86 author: Hirayama, Takehisa title: Guillain-Barré syndrome after COVID-19 in Japan date: 2020-10-29 words: 2135.0 sentences: 148.0 pages: flesch: 47.0 cache: ./cache/cord-331517-o5ejfq86.txt txt: ./txt/cord-331517-o5ejfq86.txt summary: We report the first case of Guillain-Barré syndrome (GBS) associated with SARS-CoV-2 infection in Japan. In previous reports, most patients with SARS-CoV-2-infection-related GBS had lower limb predominant symptoms, and antiganglioside antibody tests were negative. Our findings support the notion that non-immune abnormalities such as hyperinflammation following cytokine storms and microvascular disorders due to vascular endothelial damage may lead to neurological symptoms in patients with SARS-CoV-2 infection. 4 In the present report, we discuss a case of axonal-type GBS associated with SARS-CoV-2 infection, where the patient was tested for various antiganglioside antibodies. Furthermore, we review the cases of SARS-CoV-2-infection-related GBS reported to date, in order to provide insight into the clinical characteristics and pathological mechanisms underlying the disease. In conclusion, our report supports the notion that patients with GBS associated with SARS-CoV-2 infection tend to test negative for antiganglioside antibodies. ► Patients with Guillain-Barré syndrome (GBS) associated with SARS-CoV-2 infection may test negative for many known antiganglioside antibodies. abstract: We report the first case of Guillain-Barré syndrome (GBS) associated with SARS-CoV-2 infection in Japan. A 54-year-old woman developed neurological symptoms after SARS-CoV-2 infection. We tested for various antiganglioside antibodies, that had not been investigated in previous cases. The patient was diagnosed with GBS based on neurological and electrophysiological findings; no antiganglioside antibodies were detected. In previous reports, most patients with SARS-CoV-2-infection-related GBS had lower limb predominant symptoms, and antiganglioside antibody tests were negative. Our findings support the notion that non-immune abnormalities such as hyperinflammation following cytokine storms and microvascular disorders due to vascular endothelial damage may lead to neurological symptoms in patients with SARS-CoV-2 infection. Our case further highlights the need for careful diagnosis in suspected cases of GBS associated with SARS-CoV-2 infection. url: https://www.ncbi.nlm.nih.gov/pubmed/33122241/ doi: 10.1136/bcr-2020-239218 id: cord-269703-d3yv9mcl author: Hori, Arinobu title: PTSD and bipolar II disorder in Fukushima disaster relief workers after the 2011 nuclear accident date: 2020-09-17 words: 4777.0 sentences: 250.0 pages: flesch: 59.0 cache: ./cache/cord-269703-d3yv9mcl.txt txt: ./txt/cord-269703-d3yv9mcl.txt summary: The complex and harsh experience provoked a hypomanic response such as elated feelings with increased energy, decreased need for sleep and an increase in goal-directed activity, which allowed him to continue working, even though he was adversely affected by the disaster. Thereafter, we considered the characteristics of mental health problems that emerge in disaster-relief workers, a long time after the disaster, and the conditions and treatments necessary for recovery. Thereafter, we considered the characteristics of mental health problems that emerge in disaster-relief workers, a long time after the disaster, and the conditions and treatments necessary for recovery. Post-traumatic stress disorder (PTSD) and depression significantly impair the social functioning of those affected and are often recognised as the most visible mental health effects on survivors, as was the case with the Great East Japan Earthquake (GEJE) of 2011. The GEJE, which was followed by the nuclear accidents, left the affected areas severely damaged and required the victims to contribute as disaster-relief workers for a long period. abstract: The global threat posed by the COVID-19 pandemic has highlighted the need to accurately identify the immediate and long-term postdisaster impacts on disaster-relief workers. We examined the case of a local government employee suffering from post-traumatic stress disorder (PTSD) and bipolar II disorder following the Great East Japan Earthquake. The complex and harsh experience provoked a hypomanic response such as elated feelings with increased energy, decreased need for sleep and an increase in goal-directed activity, which allowed him to continue working, even though he was adversely affected by the disaster. However, 3.5 years later, when he suffered further psychological damage, his PTSD symptoms became evident. In addition to treating mood disorders, trauma-focused psychotherapy was required for his recovery. Thereafter, we considered the characteristics of mental health problems that emerge in disaster-relief workers, a long time after the disaster, and the conditions and treatments necessary for recovery. url: https://doi.org/10.1136/bcr-2020-236725 doi: 10.1136/bcr-2020-236725 id: cord-291642-xfkdxnfb author: Howley, Fergal title: Late presentation of ‘Lemierre’s syndrome’: how a delay in seeking healthcare and reduced access to routine services resulted in widely disseminated Fusobacterium necrophorum infection during the global COVID-19 pandemic date: 2020-10-10 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: The SARS-CoV-2 outbreak has disrupted the delivery of routine healthcare services on a global scale. With many regions suspending the provision of non-essential healthcare services, there is a risk that patients with common treatable illnesses do not receive prompt treatment, leading to more serious and complex presentations at a later date. Lemierre’s syndrome is a potentially life-threatening and under-recognised sequela of an oropharyngeal or dental infection. It is characterised by septic embolisation of the gram-negative bacillus Fusobacterium necrophorum to a variety of different organs, most commonly to the lungs. Thrombophlebitis of the internal jugular vein is frequently identified. We describe an atypical case of Lemierre’s syndrome involving the brain, liver and lungs following a dental infection in a young male who delayed seeking dental or medical attention due to a lack of routine services and concerns about the SARS-CoV-2 outbreak. url: https://www.ncbi.nlm.nih.gov/pubmed/33040042/ doi: 10.1136/bcr-2020-239269 id: cord-315288-fcx4q6mp author: Hussain, Mohammed Hassan title: Tracheal swab from front of neck airway for SARS-CoV-2; a bronchial foreign body date: 2020-08-27 words: 1566.0 sentences: 105.0 pages: flesch: 62.0 cache: ./cache/cord-315288-fcx4q6mp.txt txt: ./txt/cord-315288-fcx4q6mp.txt summary: We report the case of a bronchial foreign body, following a tracheostomy site swab for SARS-CoV-2, aiming to raise awareness and vigilance. We report the case of a bronchial foreign body, following a tracheostomy site swab for SARS-CoV-2, aiming to raise awareness and vigilance. This case highlights the need for clear guidance on how samples for SARS-CoV-2 are taken from patients with front of neck airways (laryngectomy/tracheοstomy) and the potential pitfalls involved. This case highlights the need for clear guidance on how samples for SARS-CoV-2 are taken from patients with front of neck airways (laryngectomy/tracheοstomy) and the potential pitfalls involved. Patients with front of neck airways, either in the form of a laryngectomy or tracheostomy stoma site, present a challenge in terms of testing for SARS-CoV-2. There is a need for clear guidance on how to test patients with front of neck airways for SARS-CoV-2. abstract: We report the case of a bronchial foreign body, following a tracheostomy site swab for SARS-CoV-2, aiming to raise awareness and vigilance. A qualified nurse was performing a routine SARS-CoV-2 swab on a 51-year-old woman, fitted with a tracheostomy in the recent past following a craniotomy. This was part of the discharging protocol to a nursing home. During the sampling, part of the swab stylet snapped and was inadvertently dropped through the tracheostomy site. Initial CT imaging was reported as showing no signs of a foreign body but some inflammatory changes. Bedside flexible endoscopy through the tracheostomy site revealed the swab in a right lobar bronchus. This was subsequently removed by flexible bronchoscopy. This case highlights the need for clear guidance on how samples for SARS-CoV-2 are taken from patients with front of neck airways (laryngectomy/tracheοstomy) and the potential pitfalls involved. url: https://doi.org/10.1136/bcr-2020-237787 doi: 10.1136/bcr-2020-237787 id: cord-263530-t9ryky6f author: Kamal, Yasmine Mohamed title: Cerebrospinal fluid confirmed COVID-19-associated encephalitis treated successfully date: 2020-09-16 words: 2480.0 sentences: 158.0 pages: flesch: 45.0 cache: ./cache/cord-263530-t9ryky6f.txt txt: ./txt/cord-263530-t9ryky6f.txt summary: ► Abdominal CT was normal ► Brain MRI with contrast, performed after 2 weeks to comply with our hospital''s protocol that only allows COVID-19-negative patient to get in contact with the MRI machine, revealed abnormal signal intensity in the temporal lobe cortex bilaterally in a rather symmetrical fashion. Seven hundred and fifty milligrams of intravenous acyclovir sodium, three times per day, was started empirically before the cerebrospinal fluid (CSF) results were obtained, addressing the possibility of herpes simplex virus (HSV) I and II encephalitis. The early suspicion of COVID-19 encephalitis and performing the appropriate CSF studies was the key to establishing the correct diagnosis and timely management. ► A red flag of the possibility of COVID-19 encephalitis should be raised whenever patients present with abnormal behaviour, acute psychosis, confusion state or drowsiness. abstract: The COVID-19 pandemic that attracted global attention in December 2019 is well known for its clinical picture that is consistent with respiratory symptoms. Currently, the available medical literature describing the neurological complications of COVID-19 is gradually emerging. We hereby describe a case of a 31-year-old COVID-19-positive patient who was admitted on emergency basis. His clinical presentation was primarily neurological, rather than the COVID-19’s classical respiratory manifestations. He presented with acute behavioural changes, severe confusion and drowsiness. The cerebrospinal fluid analysis was consistent with COVID-19 encephalitis, as well as the brain imaging. This experience confirms that neurological manifestations might be expected in COVID-19 infections, despite the absence of significant respiratory symptoms. Whenever certain red flags are raised, physicians who are involved in the management of COVID-19 should promptly consider the possibility of encephalitis. Early recognition of COVID-19 encephalitis and timely management may lead to a better outcome. url: https://www.ncbi.nlm.nih.gov/pubmed/32938656/ doi: 10.1136/bcr-2020-237378 id: cord-309236-p4c2d5y3 author: Khurram, Ruhaid title: Spontaneous tension pneumothorax and acute pulmonary emboli in a patient with COVID-19 infection date: 2020-08-11 words: 2399.0 sentences: 126.0 pages: flesch: 41.0 cache: ./cache/cord-309236-p4c2d5y3.txt txt: ./txt/cord-309236-p4c2d5y3.txt summary: We exhibit a case of a 64-year-old man with suspected COVID-19 pneumonia who presented acutely to the emergency department with tension pneumothorax and acute pulmonary emboli. Routine blood test results on admission were as follows: haemoglobin: 129 g/L; white cell count: 11.2×10 9 /L; platelets: 538×10 9 /L; neutrophils: Following initial management for the tension pneumothorax, a repeat chest radiograph demonstrated lung re-expansion with a small residual pneumothorax, but with no mediastinal shift; peripheral ground glass airspace opacities were accentuated, in keeping with COVID-19 infection (figure 2). The chest drain was removed on day 3 of admission following the CTPA findings of iatrogenic pneumatocoele, and a repeat chest radiograph showed significant reinflation of the right lung with no residual pneumothorax. To our knowledge, we have reported the first documented case of a patient with COVID-19 pneumonia presenting with both spontaneous tension pneumothorax and acute pulmonary emboli. ► Spontaneous pneumothorax and acute pulmonary emboli are important coexisting respiratory pathologies to consider on a background of COVID-19 infection. abstract: The COVID-19 pandemic has had a significant impact on the structure and operation of healthcare services worldwide. We highlight a case of a 64-year-old man who presented to the emergency department with acute dyspnoea on a background of a 2-week history of fever, dry cough and shortness of breath. On initial assessment the patient was hypoxic (arterial oxygen saturation (SaO(2)) of 86% on room air), requiring 10 L/min of oxygen to maintain 98% SaO(2). Examination demonstrated left-sided tracheal deviation and absent breath sounds in the right lung field on auscultation. A chest radiograph revealed a large right-sided tension pneumothorax which was treated with needle thoracocentesis and a definitive chest drain. A CT pulmonary angiogram demonstrated segmental left lower lobe acute pulmonary emboli, significant generalised COVID-19 parenchymal features, surgical emphysema and an iatrogenic pneumatocoele. This case emphasises the importance of considering coexisting alternative diagnoses in patients who present with suspected COVID-19. url: https://www.ncbi.nlm.nih.gov/pubmed/32784238/ doi: 10.1136/bcr-2020-237475 id: cord-296619-uhhndp0a author: Kondo, Yuki title: Coinfection with SARS-CoV-2 and influenza A virus date: 2020-07-01 words: 1689.0 sentences: 118.0 pages: flesch: 53.0 cache: ./cache/cord-296619-uhhndp0a.txt txt: ./txt/cord-296619-uhhndp0a.txt summary: We reported a case of severe acute respiratory syndrome coronavirus 2 and influenza A virus coinfection. We reported a case of severe acute respiratory syndrome coronavirus 2 and influenza A virus coinfection. We report a case of coinfection with SARS-CoV-2 and influenza A virus in a patient with pneumonia in Japan. The patient with both COVID-19 and influenza virus infection presented similar clinical characteristics with COVID-19 only. Initial considerations for this patient who presented acutely with fever and cough include infection with a common virus (rhinoviruses, non-SARS-CoV-2 coronaviruses and influenza virus) and communityacquired pneumonia. 3 The clinical characteristics of patients with both COVID-19 and influenza virus infection were similar to those of COVID-19 cases. ► There was no significant difference in rates of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in patients with and without other pathogens. The clinical characteristics of pneumonia patients coinfected with 2019 novel coronavirus and influenza virus in Wuhan abstract: Since December 2019, coronavirus disease 2019 (COVID-19) has been an international public health emergency. The possibility of COVID-19 should be considered primarily in patients with new-onset fever or respiratory tract symptoms. However, these symptoms can occur with other viral respiratory illnesses. We reported a case of severe acute respiratory syndrome coronavirus 2 and influenza A virus coinfection. During the epidemic, the possibility of COVID-19 should be considered regardless of positive findings for other pathogens. url: https://www.ncbi.nlm.nih.gov/pubmed/32611659/ doi: 10.1136/bcr-2020-236812 id: cord-259250-ybfyiykz author: Korem, Sindhuja title: Guillain-Barré syndrome associated with COVID-19 disease date: 2020-09-21 words: 1969.0 sentences: 124.0 pages: flesch: 50.0 cache: ./cache/cord-259250-ybfyiykz.txt txt: ./txt/cord-259250-ybfyiykz.txt summary: In this case report, we describe the symptoms of a patient infected with SARS-CoV-2 whose clinical course was complicated with Guillain-Barré syndrome (GBS). In this case report, we describe the symptoms of a patient infected with SARS-CoV-2 whose clinical course was complicated with Guillain-Barré syndrome (GBS). To date, there are only 12 published cases of COVID-19-related Guillain-Barré syndrome (GBS). 4 Increasing reports of neurologic manifestations of COVID-19 are emerging, but only a few cases of GBS associated with this virus have been established. The case series by Mao et al in Wuhan, China, was one of the first studies that showed neurologic manifestations in patients with COVID-19. 15 There Guillain-Barré syndrome (GBS) should be considered in patients with peripheral nervous system symptoms. Guillain-Barré syndrome following COVID-19: new infection, old complication? Guillain Barre syndrome associated with COVID-19 infection: a case report abstract: Clinical manifestations of COVID-19 are known to be variable with growing evidence of nervous system involvement. In this case report, we describe the symptoms of a patient infected with SARS-CoV-2 whose clinical course was complicated with Guillain-Barré syndrome (GBS). We present a case of a 58-year-old woman who was initially diagnosed with COVID-19 pneumonia due to symptoms of fever and cough. Two weeks later, after the resolution of upper respiratory tract symptoms, she developed symmetric ascending quadriparesis and paresthesias. The diagnosis of GBS was made through cerebrospinal fluid analysis and she was successfully treated with intravenous immunoglobulin administration. url: https://www.ncbi.nlm.nih.gov/pubmed/32958554/ doi: 10.1136/bcr-2020-237215 id: cord-257884-5exwwxin author: Kumar, Rajesh title: Acute pericarditis as a primary presentation of COVID-19 date: 2020-08-18 words: 2109.0 sentences: 158.0 pages: flesch: 55.0 cache: ./cache/cord-257884-5exwwxin.txt txt: ./txt/cord-257884-5exwwxin.txt summary: We report a case whose first manifestation of COVID-19 was pericarditis, in the absence of respiratory symptoms, without any serious complications. We present a case where pericarditis, in the absence of the classic COVID-19 signs or symptoms, is the only evident manifestation of the disease. 1 2 Chest pain in COVID-19 may have cardiac causes, including acute coronary syndrome, pericarditis and myocarditis. 3 We present the first described case of acute pericarditis in the absence of initial respiratory symptoms secondary to COVID-19. 7 To our knowledge this is the first case where COVID-19 presents as pericarditis, in the absence of evident respiratory or myocardial involvement. This case highlights the importance of recognising COVID-19 infection with atypical clinical presentations such as pericarditis and non-specific ECG changes, and coordination with healthcare team regarding prompt isolation to decrease the risk of transmission of the virus and if any need of early hospitalisation. abstract: The COVID-19 pandemic is a highly contagious viral illness which conventionally manifests primarily with respiratory symptoms. We report a case whose first manifestation of COVID-19 was pericarditis, in the absence of respiratory symptoms, without any serious complications. Cardiac involvement in various forms is possible in COVID-19. We present a case where pericarditis, in the absence of the classic COVID-19 signs or symptoms, is the only evident manifestation of the disease. This case highlights an atypical presentation of COVID-19 and the need for a high index of suspicion to allow early diagnosis and limit spread by isolation. url: https://www.ncbi.nlm.nih.gov/pubmed/32816925/ doi: 10.1136/bcr-2020-237617 id: cord-346246-2phtdgh4 author: Mattar, Shaikh Abdul Matin title: Subacute thyroiditis associated with COVID-19 date: 2020-08-25 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: We report a case of a hospitalised patient with COVID-19 who developed subacute thyroiditis in association with SARS-COV-2 infection. The patient presented with tachycardia, anterior neck pain and thyroid function tests revealing hyperthyroidism together with consistent ultrasonographic evidence suggesting subacute thyroiditis. Treatment with corticosteroids resulted in rapid clinical resolution. This case illustrates that subacute thyroiditis associated with viruses such as SARS-CoV-2 should be recognised as a complication of COVID-19 and considered as a differential diagnosis when infected patients present with tachycardia without evidence of progression of COVID-19 illness. url: https://doi.org/10.1136/bcr-2020-237336 doi: 10.1136/bcr-2020-237336 id: cord-331193-33cyvidx author: Mawhinney, Jamie A title: Neurotropism of SARS-CoV-2: COVID-19 presenting with an acute manic episode date: 2020-06-14 words: 2512.0 sentences: 161.0 pages: flesch: 50.0 cache: ./cache/cord-331193-33cyvidx.txt txt: ./txt/cord-331193-33cyvidx.txt summary: Psychiatric assessment found features consistent with acute mania, and he was detained under the Mental Health Act. This case indicates the need to consider COVID-19 in a wider series of clinical presentations and to develop a validated assay for SARS-CoV-2 in the cerebrospinal fluid. Psychiatric assessment found features consistent with acute mania, and he was detained under the Mental Health Act. This case indicates the need to consider COVID-19 in a wider series of clinical presentations and to develop a validated assay for SARS-CoV-2 in the cerebrospinal fluid. [9] [10] [11] [12] This article outlines a case of COVID-19 presenting with an acute manic episode necessitating emergency intubation and discusses potential mechanisms for the development of neuropsychiatric disease. ► The neuroinvasive potential of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (neurotropism) has been reported, but the pathophysiology remains unclear with uncertainty over its long-term consequences. abstract: A 41-year-old man with no significant medical history presented with acute behavioural disruption on the background of a 1-day history of severe headache and a 10-day history of dry cough and fever. He was sexually disinhibited with pressured speech and grandiose ideas. His behaviour worsened, necessitating heavy sedation and transfer to intensive care for mechanical ventilation despite no respiratory indication. Investigations confirmed that he was positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Neuroimaging and a lumbar puncture were normal. Initial screening for SARS-CoV-2 in the cerebrospinal fluid was negative although no validated assay was available. The patient’s mental state remained abnormal following stepdown from intensive care. Psychiatric assessment found features consistent with acute mania, and he was detained under the Mental Health Act. This case indicates the need to consider COVID-19 in a wider series of clinical presentations and to develop a validated assay for SARS-CoV-2 in the cerebrospinal fluid. url: https://doi.org/10.1136/bcr-2020-236123 doi: 10.1136/bcr-2020-236123 id: cord-337878-hiylqqie author: Namasivayam, Abirami title: Atypical case of COVID-19 in a critically unwell 5-week old infant date: 2020-09-14 words: 2519.0 sentences: 153.0 pages: flesch: 49.0 cache: ./cache/cord-337878-hiylqqie.txt txt: ./txt/cord-337878-hiylqqie.txt summary: To our knowledge, he is the youngest reported case in the UK to require mechanical ventilation and intensive care treatment as a direct result of COVID-19 following horizontal transmission. 4 A larger nationwide study investigating 134 paediatric cases across China reported that 76% cases had fever, 64.9% cases presented as acute upper respiratory tract infection, 26.9% as mild pneumonia and 1.5% cases were critical; unfortunately, the specific age groups and comorbidities were not reported. At present there are few reports of paediatric patients requiring intensive care support with confirmed COVID-19. This case demonstrates the need for vigilance in considering COVID-19 infection in infants presenting with less discriminatory symptoms such as lethargy or reduced feeding. Dong et al report a case series of 2135 paediatric patients with confirmed and suspected coronavirus; infants (<1 year) were noted to be particularly vulnerable. abstract: The effect of COVID-19 by SARS-CoV-2 on the paediatric population remains an evolving mystery. Early reports from China stated that children seem to be unharmed by its dangerous effects, yet more recently there has been evidence of a systemic inflammatory response in a small number of children who are affected. We discuss a 5-week-old male infant who presented atypically with severe COVID-19 infection. To our knowledge, he is the youngest reported case in the UK to require mechanical ventilation and intensive care treatment as a direct result of COVID-19 following horizontal transmission. This case has generated several learning points with regard to atypical presentations of COVID-19 and identifying a potential cohort of ‘at risk’ infants. We also highlight a number of new challenges that have arisen for paediatricians and anaesthetists providing airway management for infants with SARS-CoV-2. url: https://www.ncbi.nlm.nih.gov/pubmed/32928837/ doi: 10.1136/bcr-2020-237142 id: cord-288608-2y5626qf author: Ramadan, Shadi M title: An interesting case of small vessel pathology following coronavirus infection date: 2020-09-07 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: Vasculitis is a descriptive term for a wide variety of conditions characterised by inflammation of the blood vessels that may occur as a primary process or secondary to an underlying disease. Occlusive vasculopathy is a different clinical entity characterised by skin changes and ulceration of the lower extremities because of thrombosis of the small vessels of the dermis and is usually associated with pre-thrombotic conditions. Both conditions can be confirmed or excluded by skin biopsy. We report the case of a 63-year-old woman presenting with upper and lower respiratory tract symptoms followed by a vasculitic rash on both legs. The patient underwent extensive radiological and laboratory investigations that were negative apart from positive coronavirus OC43. A biopsy of the skin was performed. Considering the clinical presentation and the investigations performed, the diagnosis of small vessel vasculopathy following coronavirus OC43 has been suggested by the authors. url: https://doi.org/10.1136/bcr-2020-237407 doi: 10.1136/bcr-2020-237407 id: cord-297693-lqyc49t6 author: Samec, Matthew J title: 80-year-old man with dyspnoea and bilateral groundglass infiltrates: an elusive case of COVID-19 date: 2020-05-27 words: 2821.0 sentences: 177.0 pages: flesch: 48.0 cache: ./cache/cord-297693-lqyc49t6.txt txt: ./txt/cord-297693-lqyc49t6.txt summary: COVID-19 is a novel viral infection caused by severe acute respiratory syndrome-coronavirus-2 virus, first identified in Wuhan, China in December 2019. COVID-19 is a novel viral infection caused by severe acute respiratory syndrome-coronavirus-2 virus, first identified in Wuhan, China in December 2019. We present a case of a patient with minimal respiratory symptoms but prominent bilateral groundglass opacities in a ''crazy paving'' pattern on chest CT imaging and a negative initial infectious workup. We present a case of a patient with minimal respiratory symptoms but prominent bilateral groundglass opacities in a ''crazy paving'' pattern on chest CT imaging and a negative initial infectious workup. The case was reviewed with the institutional infection prevention and control team who recommended repeating SARS-CoV-2 PCR 48 hours from the initial test. 14 There have been three published case reports of initially negative COVID-19 PCR tests in patients subsequently new disease determined to have COVID-19 infection. abstract: COVID-19 is a novel viral infection caused by severe acute respiratory syndrome-coronavirus-2 virus, first identified in Wuhan, China in December 2019. COVID-19 has spread rapidly and is now considered a global pandemic. We present a case of a patient with minimal respiratory symptoms but prominent bilateral groundglass opacities in a ‘crazy paving’ pattern on chest CT imaging and a negative initial infectious workup. However, given persistent dyspnoea and labs suggestive of COVID-19 infection, the patient remained hospitalised for further monitoring. Forty-eight hours after initial testing, the PCR test was repeated and returned positive for COVID-19. This case illustrates the importance of clinical vigilance to retest patients for COVID-19, particularly in the absence of another compelling aetiology. As COVID-19 testing improves to rapidly generate results, selective retesting of patients may uncover additional COVID-19 cases and strengthen measures to minimise the spread of COVID-19. url: https://doi.org/10.1136/bcr-2020-236069 doi: 10.1136/bcr-2020-236069 id: cord-341948-9w8od50e author: Scott, Michael title: Rare encounter: hydrocoele of canal of Nuck in a Scottish rural hospital during the COVID-19 pandemic date: 2020-08-11 words: 2743.0 sentences: 176.0 pages: flesch: 44.0 cache: ./cache/cord-341948-9w8od50e.txt txt: ./txt/cord-341948-9w8od50e.txt summary: title: Rare encounter: hydrocoele of canal of Nuck in a Scottish rural hospital during the COVID-19 pandemic We report the case of a 32-year-old woman who presented with reducible indirect inguinal hernia and a challenging constellation of symptoms, signs and radiographic findings. We report the case of a 32-year-old woman who presented with reducible indirect inguinal hernia and a challenging constellation of symptoms, signs and radiographic findings. We aim to provide insights into surgical patient management for a rare entity during the COVID-19 outbreak, from the unique perspective of a small rural hospital in Scotland. We aim to provide insights into surgical patient management for a rare entity during the COVID-19 outbreak, from the unique perspective of a small rural hospital in Scotland. Surgery simultaneously forms the definitive management of hydrocoele of canal of Nuck as well as providing an intraoperative, revised diagnosis. ► Radiology and ultrasonography findings distinguish hydrocoele of canal of Nuck from inguinal hernias. abstract: We report the case of a 32-year-old woman who presented with reducible indirect inguinal hernia and a challenging constellation of symptoms, signs and radiographic findings. Surgical approach superseded conservative management when the patient’s abdomen became acute, with a rising lactate and haemodynamic instability. Specifically, the presence of a fluid collection was concerning for sinister acute pathology. Our patient was rediagnosed intraoperatively with hydrocoele of canal of Nuck. This so-called ‘female hydrocoele’ is an eponymous anatomical rarity in general surgery, presenting as an inguinolabial swelling with variable clinical profile. Hydrocoele of canal of Nuck takes origin from failure of transitory reproductive anlagen to regress and is thus analogous to patent processus vaginalis. Its true incidence is speculative, with just several hundred cases globally. We aim to provide insights into surgical patient management for a rare entity during the COVID-19 outbreak, from the unique perspective of a small rural hospital in Scotland. url: https://doi.org/10.1136/bcr-2020-237169 doi: 10.1136/bcr-2020-237169 id: cord-275699-hdmeyomt author: Singh, Aminder title: Morphology of COVID-19–affected cells in peripheral blood film date: 2020-05-27 words: 1098.0 sentences: 83.0 pages: flesch: 50.0 cache: ./cache/cord-275699-hdmeyomt.txt txt: ./txt/cord-275699-hdmeyomt.txt summary: Peripheral blood films showing various neutrophils with C-shaped, fetus-like COVID nuclei (black arrowheads) with aberrant nuclear projections (blue arrowhead). Peripheral blood films showing activated monocytes with prominent cytoplasmic vacuolisation and a few granules (small red arrow). Her complete blood count (CBC) showed leucocytosis with neutrophilia, relative lymphocytopaenia, and monocytopaenia initially with subsequent improvement in the number of monocytes on the fifth day onwards. Most of the lymphocytes were seen as large granular lymphocytes (LGL) with round to indented nuclei, condensed chromatin, prominent nucleoli in a few, along with abundant pale blue cytoplasm with distinct variably sized azurophilic granules (figure 2). ► COVID-19 viral effects on leucocytes are associated with characteristic changes that can be readily identified on PBF and can be easily and serially monitored, which could help in the diagnosis, prognostication and treatment protocols. abstract: nan url: https://www.ncbi.nlm.nih.gov/pubmed/32467125/ doi: 10.1136/bcr-2020-236117 id: cord-346345-jc9bq0zu author: Smith, Colin M title: COVID-19-associated brief psychotic disorder date: 2020-08-11 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: A 36-year-old previously healthy woman with no personal or family history of mental illness presented with new-onset psychosis after a diagnosis of symptomatic COVID-19. Her psychotic symptoms initially improved with antipsychotics and benzodiazepines and further improved with resolution of COVID-19 symptoms. This is the first case of COVID-19-associated psychosis in a patient with no personal or family history of a severe mood or psychotic disorder presenting with symptomatic COVID-19, highlighting the need for vigilant monitoring of neuropsychiatric symptoms in these individuals. url: https://www.ncbi.nlm.nih.gov/pubmed/32784244/ doi: 10.1136/bcr-2020-236940 id: cord-279989-swsxez0a author: Sokolov, Elisaveta title: Non-convulsive status epilepticus: COVID-19 or clozapine induced? date: 2020-10-04 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: We present a case of non-convulsive status epilepticus in a 57-year-old woman with a schizoaffective disorder, without an antecedent seizure history, with two possible aetiologies including SARS-CoV-2 infection and clozapine uptitration. We discuss the presentation, investigations, differential diagnosis and management. In particular, we focus on the electroencephalogram (EEG) findings seen in this case and the electroclinical response to antiepileptic medication. We review the literature and discuss the relevance of this case to the SARS-CoV-2 global pandemic. We emphasise the importance of considering possible neurological manifestations of SARS-CoV-2 infection and highlight seizure disorder as one of the possible presentations. In addition, we discuss the possible effects of clozapine on the electroclinical presentation by way of possible seizure induction as well as discuss the possible EEG changes and we highlight that this needs to be kept in mind especially during rapid titration. url: https://doi.org/10.1136/bcr-2020-239015 doi: 10.1136/bcr-2020-239015 id: cord-333998-z2zahfv9 author: Taxbro, Knut title: Rhabdomyolysis and acute kidney injury in severe COVID-19 infection date: 2020-09-02 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: We report the case of a 38-year-old man who presented to the emergency department with fever, myalgia, nausea, vomiting, dry cough, breathlessness and abdominal pain. He was admitted due to hypoxaemia and was diagnosed with SARS-CoV-2 and was subsequently referred to the intensive care unit for intubation and mechanical ventilation. Severe rhabdomyolysis and acute kidney injury developed 4 days later and were suspected after noticing discolouration of the urine and a marked increase in plasma myoglobin levels. Treatment included hydration, forced diuresis and continuous renal replacement therapy. In addition to the coronavirus disease acute respiratory distress syndrome, he was diagnosed with possible SARS-CoV-2-induced myositis with severe rhabdomyolysis and kidney failure. The patient survived and was discharged from intensive care after 12 days, returning home 23 days after hospitalisation, fully mobilised with a partially restored kidney function. url: https://doi.org/10.1136/bcr-2020-237616 doi: 10.1136/bcr-2020-237616 id: cord-327370-zo0n8wf6 author: Vadukul, Prakash title: Massive pulmonary embolism following recovery from COVID-19 infection: inflammation, thrombosis and the role of extended thromboprophylaxis date: 2020-09-13 words: 3116.0 sentences: 189.0 pages: flesch: 39.0 cache: ./cache/cord-327370-zo0n8wf6.txt txt: ./txt/cord-327370-zo0n8wf6.txt summary: We present the case of a patient with an initial presentation of COVID-19 pneumonitis requiring mechanical ventilation for nearly 2 weeks and total admission time of 3 weeks. 1 This case examines aspects of COVID-19 emphasising the increased thrombogenicity seen during infection and the potential need for extended anticoagulation following recovery particularly in those patients with severe illness and pre-existing risk factors. 18 Initial data suggest that patients with complicated COVID-19 infection have nearly three times the concentration of IL-6 compared with those exhibiting less severe disease. 24 The International Society for Thrombosis and Haemostasis suggests that prophylactic treatment with LMWH is prudent in all patients with COVID-19, particularly with severe disease or Findings that shed new light on the possible pathogenesis of a disease or an adverse effect extreme derangements in clotting parameters. 2 Compared with other populations, patients with COVID-19 appear to have higher incidences of VTE particularly with deranged clotting markers, critical care admission or reduced mobility. abstract: COVID-19 is the infectious disease caused by a recently discovered SARS-CoV-2. Following an initial outbreak in December 2019 in Wuhan, China, the virus has spread globally culminating in the WHO declaring a pandemic on 11 March 2020. We present the case of a patient with an initial presentation of COVID-19 pneumonitis requiring mechanical ventilation for nearly 2 weeks and total admission time of 3 weeks. She was given prophylactic dose anticoagulation according to hospital protocol during this time. Following a week at home, she was readmitted with acute massive pulmonary embolism with severe respiratory and cardiac failure, representing the first such case in the literature. url: https://doi.org/10.1136/bcr-2020-238168 doi: 10.1136/bcr-2020-238168 id: cord-281733-bsq0ewac author: Veyseh, Maedeh title: Left gonadal vein thrombosis in a patient with COVID-19-associated coagulopathy date: 2020-09-07 words: 2461.0 sentences: 169.0 pages: flesch: 45.0 cache: ./cache/cord-281733-bsq0ewac.txt txt: ./txt/cord-281733-bsq0ewac.txt summary: We report an unusual case of ovarian vein thrombosis and pulmonary embolism associated with COVID-19 presenting with abdominal pain. We report an unusual case of ovarian vein thrombosis and pulmonary embolism associated with COVID-19 presenting with abdominal pain. To our knowledge, this is the first reported case of COVID-19 with absent respiratory symptoms and presentation with venous thrombosis in an unusual location. To our knowledge, this is the first reported case of COVID-19 with absent respiratory symptoms and presentation with venous thrombosis in an unusual location. 8 9 Our patient was distinctive in terms of presentation as she lacked the common respiratory symptoms, rather acute venous thrombosis in an unusual location prompted the diagnosis of COVID-19. 1 24 In summary, we present an interesting case with an unusual presentation of COVID-19 who presented with abdominal pain and no significant respiratory symptoms and was diagnosed with thrombosis of the left ovarian vein. abstract: COVID-19 disease is a viral illness that predominantly causes pneumonia and severe acute respiratory distress syndrome. The endothelial injury and hypercoagulability secondary to the inflammatory response predisposes severely ill patients to venous thromboembolism. The exact mechanism of hypercoagulability is still under investigation, but it is known to be associated with poor prognosis. The most common thrombotic complication reported among these patients is pulmonary embolism. To our knowledge, gonadal vein thrombosis is an uncommon phenomenon that has not been reported in the setting of COVID-19-associated coagulopathy. We report an unusual case of ovarian vein thrombosis and pulmonary embolism associated with COVID-19 presenting with abdominal pain. To our knowledge, this is the first reported case of COVID-19 with absent respiratory symptoms and presentation with venous thrombosis in an unusual location. url: https://doi.org/10.1136/bcr-2020-236786 doi: 10.1136/bcr-2020-236786 id: cord-355146-6rat5j64 author: Whittemore, Paul title: Use of awake proning to avoid invasive ventilation in a patient with severe COVID-19 pneumonitis date: 2020-08-03 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: A 60-year-old man with swab-positive COVID-19 and extensive ground-glass change seen on CT imaging was successfully managed on our COVID-19 high-dependency unit with only low-flow oxygen and strict awake proning instructions. He was successfully weaned off oxygen entirely without any requirement for non-invasive or invasive ventilation and made a recovery to be discharged home after an 18-day hospital stay. url: https://www.ncbi.nlm.nih.gov/pubmed/32747596/ doi: 10.1136/bcr-2020-236586 id: cord-337809-bxvgr6qg author: Xiong, Yong title: Family cluster of three recovered cases of pneumonia due to severe acute respiratory syndrome coronavirus 2 infection date: 2020-05-04 words: 1738.0 sentences: 122.0 pages: flesch: 53.0 cache: ./cache/cord-337809-bxvgr6qg.txt txt: ./txt/cord-337809-bxvgr6qg.txt summary: Our observations suggest the importance of preventing family transmission and the efficacy of current integrated treatment for mild/ moderate pneumonia in COVID-19 cases. Our observations suggest the importance of preventing family transmission and the efficacy of current integrated treatment for mild/ moderate pneumonia in COVID-19 cases. [2] [3] [4] [5] [6] [7] [8] This report describes the epidemiological and clinical features of coronavirus disease (COVID-19) among three members of a family following SARS-CoV-2 infection. On 10 and 11 January 2020, a family of three, comprising the father (65 years), the mother (61 years) and the son (38 years), were admitted to the Department of Infectious Disease at the Zhongnan Hospital of Wuhan University with symptoms of cough and fever. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China abstract: The coronavirus disease (COVID-19) outbreak caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was first reported in Wuhan, China, in late 2019 and has affected more than 1 270 000 people worldwide. The numbers of reported cases continue to rise and threaten global health. Transmissions among family members are frequently observed, although the route of transmission is partially known. Here we report three cases of SARS-CoV-2 infection within one family. Sequencing of the S gene of the viral genome showed 100% identity among samples, suggesting that the same strain caused the infection. Following treatment with oseltamivir and short-term methylprednisolone combined with symptomatic management, all three patients recovered within 3 weeks, as evidenced by the disappearance of their symptoms, clearance of pulmonary infiltrates and consecutive negative molecular diagnostic test findings. Our observations suggest the importance of preventing family transmission and the efficacy of current integrated treatment for mild/moderate pneumonia in COVID-19 cases. url: https://www.ncbi.nlm.nih.gov/pubmed/32371416/ doi: 10.1136/bcr-2020-235302 id: cord-311232-hhfdqhx1 author: Yang, Yunfei title: Bilateral, vertical supranuclear gaze palsy following unilateral midbrain infarct date: 2020-11-04 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: A 60-year-old man recently admitted for bipedal oedema, endocarditis and a persistently positive COVID-19 swab with a history of anticoagulation on rivaroxaban for atrial fibrillation, transitional cell carcinoma, cerebral amyloid angiopathy, diabetes and hypertension presented with sudden onset diplopia and vertical gaze palsy. Vestibulo-ocular reflex was preserved. Simultaneously, he developed a scotoma and sudden visual loss, and was found to have a right branch retinal artery occlusion. MRI head demonstrated a unilateral midbrain infarct. This case demonstrates a rare unilateral cause of bilateral supranuclear palsy which spares the posterior commisure. The case also raises a question about the contribution of COVID-19 to the procoagulant status of the patient which already includes atrial fibrillation and endocarditis, and presents a complex treatment dilemma regarding anticoagulation. url: https://www.ncbi.nlm.nih.gov/pubmed/33148560/ doi: 10.1136/bcr-2020-238422 ==== make-pages.sh questions [ERIC WAS HERE] ==== make-pages.sh search /data-disk/reader-compute/reader-cord/bin/make-pages.sh: line 77: /data-disk/reader-compute/reader-cord/tmp/search.htm: No such file or directory Traceback (most recent call last): File "/data-disk/reader-compute/reader-cord/bin/tsv2htm-search.py", line 51, in with open( TEMPLATE, 'r' ) as handle : htm = handle.read() FileNotFoundError: [Errno 2] No such file or directory: '/data-disk/reader-compute/reader-cord/tmp/search.htm' ==== make-pages.sh topic modeling corpus Zipping study carrel