Case 247

 We present a thirty nine-year-old male with high fever (38.7℃), throat pain, arthralgia, headache and muscle pain, but not respiratory symptoms. It passed five days after the initial onset of high fever of 40.0℃ and the contact with a person with suspicious COVID-19. His PCR test for COVID-19 virus was positive. He had diabetes mellitus (DM) for long and stopped taking medicine for the past five months by his own judgement. Laboratory test revealed blood sugar 298 mg/dL, CRP 7.81mg/dL, procalcitonin 0.04 ng/mL, white blood cells 5210/mm3, neutrophils 65.2%, lymphocytes 26.4%, D dimer 0.1 μg/mL, urine sugar 4+, urine ketone 4+, and urine protein 2+. Her body length 165 cm, body weight 88 kg.

What are characteristics of delta strain of COVID19 ?

A.　Fever B.　Throat pain C.　Running nose D.　Cough E.　Short latent time

1.　A,B,C

2.　B,C,D

3.　C,D,E

4.　A,D,E

5.　all

answer

2021.10.21