Clinical features and laboratory characteristics of patients hospitalized with COVID-19: single centre report from Egypt

Mohamed El Kassas; Noha Asem; Amr Abdelazeem; Ahmad Madkour; Hamdy Sayed; Ahmed Tawheed; Ahmed Al Shafie; Mahmoud Gamal; Hassan Elsayed; Mohamed Badr; Mohamed Hassany; Dalia Omran; Amr El Fouly

doi:10.3855/jidc.13156

Clinical features and laboratory characteristics of patients hospitalized with COVID-19: single centre report from Egypt

Authors

Mohamed El Kassas Endemic Medicine Department, Faculty of Medicine, Helwan University, Cairo, Egypt
Noha Asem Community Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt
Amr Abdelazeem Endemic Medicine Department, Faculty of Medicine, Helwan University, Cairo, Egypt
Ahmad Madkour Endemic Medicine Department, Faculty of Medicine, Helwan University, Cairo, Egypt
Hamdy Sayed Endemic Medicine Department, Faculty of Medicine, Helwan University, Cairo, Egypt
Ahmed Tawheed Endemic Medicine Department, Faculty of Medicine, Helwan University, Cairo, Egypt
Ahmed Al Shafie Endemic Medicine Department, Faculty of Medicine, Helwan University, Cairo, Egypt
Mahmoud Gamal Endemic Medicine Department, Faculty of Medicine, Helwan University, Cairo, Egypt
Hassan Elsayed Microbial Biotechnology Department, National Research Centre, Cairo, Egypt
Mohamed Badr Critical Care Medicine Department, Faculty of Medicine, Helwan University, Cairo, Egypt
Mohamed Hassany Hepatology and Tropical Medicine Department, National Hepatology and Tropical Medicine Research Institute, Cairo, Egypt
Dalia Omran Endemic Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt
Amr El Fouly Endemic Medicine Department, Faculty of Medicine, Helwan University, Cairo, Egypt

DOI:

https://doi.org/10.3855/jidc.13156

Keywords:

Egypt, COVID-19, SARS-CoV-2, coronavirus, age group, clinical presentation

Abstract

Introduction: The recently discovered novel coronavirus disease (COVID-19) has emerged in Wuhan, China, since January 2020. Egypt reported a low incidence of infection when compared with other countries. The aim of the study was to assess the characterization of COVID-19 infection among the Egyptian population.

Methodology: Data were collected from a single COVID-19 quarantine hospital in Cairo. A total number of 195 cases were included with their clinical, laboratory, and radiological data.

Results: Three different age groups behaved differently for COVD-19 infection. The pediatric age group was asymptomatic entirely, the middle age group (18-50 years) were asymptomatic in 53.3% of cases, while 77.9% of those above 50 years were symptomatic (p ≤ 0.001). The latter group had a high incidence of COVID-pneumonia in (83.1%), and moderate to critical presentations were encountered in 66.3% of them. Neutrophil to lymphocyte (N/L) ratio correlated directly with the age and case severity. C-reactive protein (CRP) and computed tomography scan chest (CT-chest) had added value on COVID-19 diagnosis in suspected cases.

Conclusions: In Egypt, patients above 50 years are at a higher risk for symptomatic COVID-19 infection and leaner for moderate to critical COVID-19 presentation. The triad of CT-chest, CRP, and N/L ratio could be an integrated panel for assessing disease severity.

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Published

2020-12-31

How to Cite

El Kassas M, Asem N, Abdelazeem A, Madkour A, Sayed H, Tawheed A, Al Shafie A, Gamal M, Elsayed H, Badr M, Hassany M, Omran D, El Fouly A (2020) Clinical features and laboratory characteristics of patients hospitalized with COVID-19: single centre report from Egypt. J Infect Dev Ctries 14:1352–1360. doi: 10.3855/jidc.13156

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Issue

Vol. 14 No. 12: December 2020

Section

Coronavirus Pandemic

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