Telehealth outpatient monitoring of a SARS-CoV-2 familial cluster infection in Peru: Adapting to a healthcare crisis
https://doi.org/10.47895/amp.vi0.1807
- Author:
José Arriola-Montenegro
1
;
Liliana Arriola-Montenegro
2
;
Renato Beas
2
;
Celeste Díaz-Pardavé
3
,
4
Author Information
1. Department of Medical Investigation, Sociedad Nacional de Capacitacion, Lima, Perú
2. School of Medicine, Universidad Peruana de Ciencias Aplicadas, Lima, Perú
3. School of Medicine, Universidad Cientí
4. fica del Sur, Lima, Perú
- Publication Type:Other Types
- Keywords:
Case report;
Telehealth monitoring
- MeSH:
SARS-CoV-2;
COVID-19;
Telemedicine;
Remote Consultation
- From:
Acta Medica Philippina
2022;56(5):151-156
- CountryPhilippines
- Language:English
-
Abstract:
The coronavirus disease 2019 (COVID-19) epidemic is evolving in Latin America despite implementation of government measures. We report a familial cluster in Lima, Peru, with confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Two young and two middle-aged adults with a wide range of COVID-19 manifestations experienced successful management under telehealth outpatient monitoring. Telehealth monitoring was scheduled as suggested by Peruvian Ministry of Health Guidelines and was performed by a designated physician who assessed the patients and prescribed treatment.
On May 14, 2020, a 25-year-old male, who worked treating COVID-19 patients, reported constitutional symptoms and tested positive for SARS-CoV-2. Clinical improvement was achieved with azithromycin and ivermectin therapy. He had been in contact with his parents (Cases 2 and 3) and his sister (Case 4). Cases 2 and 3 developed moderate pulmonary compromise requiring oxygen supplementation and pharmacological therapy, including corticosteroids and anticoagulation, under home medical assessment and telehealth monitoring. Case 4 developed mild symptoms and periorbital rash, an atypical dermatological finding.
To our knowledge this represents the first report of a familial cluster with COVID-19 that was successfully managed under scheduled telehealth outpatient monitoring in Latin America.
- Full text:1807-Article Text-25477-3-10-20220330.pdf