Browsing by Author "Pérez, Inia"
Now showing 1 - 2 of 2
Results Per Page
Sort Options
Item Covid-19 in South America: clinical and epidemiological characteristics among 381 patients during the early phase of the pandemic in Santiago, Chile(2020) Vial, Macarena; Peters, Anne; Pérez, Inia; Spencer-Sandino, María; Barbé, Mario; Porte, Lorena; Weitzel, Thomas; Aylwin, Mabel; Vial, Pablo; Araos, Rafael; Munita, JoséBackground: Understanding the characteristics of the Covid-19 pandemic in different geographical regions, ethnic and socioeconomic settings are of emerging importance. This study presents the demographic and clinical features of SARS-CoV-2 infected patients in a large private healthcare center in Santiago, Chile, during the first month of the pandemic. Methods: We analyzed the demographics, laboratory and clinical characteristics including severity and outcome of all patients diagnosed with Covid-19 during the first month of the pandemic. SARS-2-CoV infection was confirmed by RT-PCR in nosopharyngeal samples. The primary outcome was a composite of ICU admission or all-cause, in-hospital mortality. Clinical and laboratory parameters of hospitalized patients were analyzed regarding their association with the primary outcome. Results: From March 3 to April 4, 2020, 3679 individuals were tested for SARS-CoV-2 in our hospital. Of those, 381 had Covid-19 and were included into this analysis. Most patients (99.2%) were Chileans, 12% returning from recent travel. The median age was 39 years (IQR 31–49) and 52% were female. A total of 88 patients (23.1%) were hospitalized; 18 (3.7%) required ICU and/or died. The overall mortality was 0.7%. Increased body mass index (BMI) and elevated C-reactive protein (CRP) were independently associated with ICU care or death. Conclusion: During the first weeks of the pandemic in Chile, most Covid-19 patients were young, with low rates of hospitalization, ICU requirement, and fatality. BMI and CRP on admission were predictors for severity. Our data provide important information on the clinical course and outcome of Covid-19 in a Latin American setting.Item Lyme borreliosis presenting as severe back pain after Shinrin-Yoku (forest bathing) in southern Germany(2021) Weitzel, Thomas; Pérez, Inia; Porte, LorenaTravel medicine traditionally intends to prevent and manage imported infections in inhabitants from developed nations visiting the global South. This unidirectional view creates a gap, which has recently been recognized as an emerging topic in travel medicine, since nowadays emerging economies contribute significantly to international travel.1 Our case illustrates the diagnostic challenges of a patient in Chile presenting acute low back pain after returning from a trip to Germany. A 58-year-old otherwise healthy German woman, living in Chile since 8 years, attended Clínica Alemana with a 1- week history of low back pain, radiating into the left thigh, accompanied by headache and fatigue.