Clinical and Hematological Characteristics of COVID- 19 at Presentation: Egyptian Multicenter Descriptive Study
Moussa, A., Zaky, S., Hosny, H., Elassal, G., Asem, N., Elbadry, M., El-Raey, F., Elshemy, E., Abdel Baki, A., Kamal, E., Maher, A., Tahoon, M., Baghdady, S., Abdelbary, A., Said, A., Ibrahim, H., Taema, K., Amin, W., Balah, E., Hodiehed, A., Mohamed, A., Roshdy, A., Abdallah, A., Elnady, M., Hassany, M., Hegazy, M. (2022). Clinical and Hematological Characteristics of COVID- 19 at Presentation: Egyptian Multicenter Descriptive Study. EKB Journal Management System, 4(1), 2001-2008. doi: 10.21608/ijma.2021.102062.1381
Abdelmajeed Moussa; Samy Zaky; Hossam Hosny; Gehan Elassal; Noha Asem; Mohamed Elbadry; Fathiya El-Raey; Eman Elshemy; Amin Abdel Baki; Ehab Kamal; Ahmed Maher; Marwa Tahoon; Shazly Baghdady; Akram Abdelbary; Ahmed Said; Hamdy Ibrahim; Khaled Taema; Wagdy Amin; Emad Balah; Amira Hodiehed; Ahmed Shawky Mohamed; Ahmed Roshdy; Ahmed Abdallah; Mohamed Elnady; Mohamed Hassany; Mohammad Hegazy. "Clinical and Hematological Characteristics of COVID- 19 at Presentation: Egyptian Multicenter Descriptive Study". EKB Journal Management System, 4, 1, 2022, 2001-2008. doi: 10.21608/ijma.2021.102062.1381
Moussa, A., Zaky, S., Hosny, H., Elassal, G., Asem, N., Elbadry, M., El-Raey, F., Elshemy, E., Abdel Baki, A., Kamal, E., Maher, A., Tahoon, M., Baghdady, S., Abdelbary, A., Said, A., Ibrahim, H., Taema, K., Amin, W., Balah, E., Hodiehed, A., Mohamed, A., Roshdy, A., Abdallah, A., Elnady, M., Hassany, M., Hegazy, M. (2022). 'Clinical and Hematological Characteristics of COVID- 19 at Presentation: Egyptian Multicenter Descriptive Study', EKB Journal Management System, 4(1), pp. 2001-2008. doi: 10.21608/ijma.2021.102062.1381
Moussa, A., Zaky, S., Hosny, H., Elassal, G., Asem, N., Elbadry, M., El-Raey, F., Elshemy, E., Abdel Baki, A., Kamal, E., Maher, A., Tahoon, M., Baghdady, S., Abdelbary, A., Said, A., Ibrahim, H., Taema, K., Amin, W., Balah, E., Hodiehed, A., Mohamed, A., Roshdy, A., Abdallah, A., Elnady, M., Hassany, M., Hegazy, M. Clinical and Hematological Characteristics of COVID- 19 at Presentation: Egyptian Multicenter Descriptive Study. EKB Journal Management System, 2022; 4(1): 2001-2008. doi: 10.21608/ijma.2021.102062.1381

Clinical and Hematological Characteristics of COVID- 19 at Presentation: Egyptian Multicenter Descriptive Study

International Journal of Medical Arts
Article 9, Volume 4, Issue 1, January 2022, Page 2001-2008  XML PDF (1.15 MB)
Document Type: Original Article
DOI: 10.21608/ijma.2021.102062.1381
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Authors
Abdelmajeed Moussa email orcid 1; Samy Zakyorcid 2; Hossam Hosny3; Gehan Elassal4; Noha Asem5; Mohamed Elbadryorcid 6; Fathiya El-Raey7; Eman Elshemy2; Amin Abdel Baki8; Ehab Kamal9; Ahmed Maher10; Marwa Tahoon11; Shazly Baghdady12; Akram Abdelbary13; Ahmed Said13; Hamdy Ibrahim9; Khaled Taema13; Wagdy Amin14; Emad Balah15; Amira Hodiehed16; Ahmed Shawky Mohamed17; Ahmed Roshdy18; Ahmed Abdallah18; Mohamed Elnady3; Mohamed Hassany8; Mohammad Hegazy7
1Department of Tropical Medicine and Gastroenterology, Aswan University, Aswan, Egypt.
2Department of Hepatogastroenetrology and Infectious diseases, Faculty of Medicine for Girls, Al-Azhar University, Egypt.
3Department of Pulmonary Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt.
4Department of Pulmonary Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
5Department of Public Health and Community Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt.
6Department of Endemic Medicine, Helwan University, Cairo, Egypt.
7Department of Hepatogastroenetrology and Infectious diseases, Damietta Faculty of Medicine, Al-Azhar University, Egypt.
8Department of Hepatogastroenetrology and Infectious Diseases, National Hepatology and Tropical Medicine Research Institute, Cairo, Egypt.
9Tropical Medicine Medical Research Division, National Research Centre, Giza, Egypt.
10Department of Zoonotic diseases, National Research Center, Giza, Egypt.
11Department Epidemiology and preventive medicine, National Liver Institute, Menoufia University, Egypt.
12Department of Chest Diseases, Faculty of Medicine, Aswan University, Aswan, Egypt.
13Department of Critical Care, Faculty of Medicine, Cairo University, Cairo, Egypt.
14Ministry of Health, Egypt
15Department of Infectious Diseases, Damietta Fever Hospital, Ministry of Health, Egypt.
16Department of Clinical Microbiology and Immunology department, Damietta Fever Hospital, Ministry of Health, Egypt.
17Department of Chest Diseases and Bronchoscopy, Faculty of Medicine, Tanta University, Tanta, Egypt.
18Department of Chest Diseases, Damietta Fevers Hospital, Ministry of Health, Egypt.
Abstract
Background: Since the Ministry of Health and Population [MOHP] in Egypt had declared the appearance of the first COVID- 19 confirmed case in Egypt on February 14, 2020. Strict measures were taken to control the virus spread, including the identification of some centers for triage and others for quarantine.
The aim of the work: The goal of our research was to determine the clinical and hematological results of COVID-19 confirmed patients at two specialized triage hospitals.
Patients and Methods: This was an observational prospective cohort in which we included all adult patients with laboratory-confirmed COVID-19 by RT-PCR of samples taken by nasopharyngeal swabs attended to two Egyptian hospitals that, assigned by MOHP as a triage center for COVID-19, in the period between 5th April to 27th August 2020. The clinical characteristics and hematological findings at presentation were studied.
Results: This study included 200 consecutive COVID-19 confirmed patients from both hospitals, fever [75%] was the main presenting symptom followed by cough [71%] then dyspnea [20%]. [41%] of the patients had lymphopenia, [5%] had lymphocytosis, [11.5%] had neutrophilia, [2%] had thrombocytopenia, and [30.5%] had anemia.
Conclusion: COVID-19 could be presented typically by pulmonary or atypically by various extrapulmonary manifestations in addition to different hematological laboratory findings.  
Keywords
COVID- 19; Triage; Clinical; Hematological; Egyptians
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