A A COVID-19 Mild Case on Healthworker: Evaluation on Clinical Findings and Transmission Risk

  • Mahrani Content Writer, kasuscovid.id, Jakarta, Indonesia
  • Hana Khairina Putri Faisal Senior Resident, Department of Pulmonology and Respiratory Medicine, Universitas Indonesia, Jakarta, Indonesia
  • Paramita Khairan Internal Medicine Department, Universitas Muhammadiyah Jakarta, Jakarta, Indonesia
  • Iffa Mutmainah General Practitioner, Bogor, Indonesia
  • Fitriana Nur Rahmawati PhD Candidate, Department of Signal Transduction, Research Institute for Microbial Diseases, Osaka University, Osaka, Japan
  • Sarah Shafa Marwadhani General Practitioner, Jakarta, Indonesia
  • Gadistya Novitri Adinda General Practitioner, Regional Public Hospital of H. Marsidi Judono, Bangka Belitung, Indonesia
  • Uti Sari Project Director, PT Teknologi Informasi Medimedi, Jakarta, Indonesia
  • Pukovisa Prawirohardjo Neurology Department, Universitas Indonesia, Jakarta, Indonesia
Keywords: COVID-19, Thrombocytopenia, Health worker

Abstract

Objective: Since December 2019, COVID-19 has become a global concern causing more than thousands of deaths worldwide. The major challenge in fighting against this new emerging disease is the limited data regarding the heterogeneity of its clinical and epidemiological features. We aim to fill this knowledge gap by evaluating a mild case of COVID-19 infecting a health worker in Indonesia.
Method: We report a 31-year-old male doctor who was hospitalized for mild pneumonia with positive SARS-CoV-2 swab test
Result: This case presents an estimated incubation period of 2 days. The patient showed mild upper respiratory symptoms without significant pneumonia symptoms, however mild pneumonia was confirmed by the presence of fever and pulmonary infiltrates on imaging. Despite the seemingly mild symptoms, there was a complex systemic reaction as thrombocytopenia and elevated aminotransferase enzyme occurred. The patient is a health worker susceptible to SARS-CoV-2 transmission with a close contact history with a suspected COVID-19 patient, without wearing an adequate personal protective equipment (PPE).
Conclusion: Patients with mild presentation of COVID-19 could exhibit a complex systemic reaction and organ injury. The use of an appropriate PPE among health workers is crucial to prevent patient-to-doctor transmission.

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Published
2020-05-19
How to Cite
Mahrani, Hana Khairina Putri Faisal, Paramita Khairan, Iffa Mutmainah, Fitriana Nur Rahmawati, Sarah Shafa Marwadhani, Gadistya Novitri Adinda, Sari, U., & Pukovisa Prawirohardjo. (2020). A A COVID-19 Mild Case on Healthworker: Evaluation on Clinical Findings and Transmission Risk. Journal Of The Indonesian Medical Association, 70(4), 78-86. https://doi.org/10.47830/jinma-vol.70.4-2020-223