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Features of Covid-19 patients detected during community screening: A study from a rural hospital in Sri Lanka.

Authors:

Anuranga Prabuddhi Senanayake ,

COVID-19 Specialized Treatment Center, Welikanda, Polonnaruwa, LK
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Duminda Indrakantha,

COVID-19 Specialized Treatment Center, Welikanda, Polonnaruwa, LK
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Saranga Sumathipala,

Teaching Hospital, Anuradhapura, LK
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Kamani Wanigasuriya,

University of Sri Jayawardhanepura, LK
About Kamani
Department of Medicine
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Senanayake Kularathne,

University of Peradeniya, LK
About Senanayake
Department of Medicine
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Sarath Lekamwasam,

University of Ruhuna, LK
About Sarath
Department of Medicine
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Saroj Jayasinghe,

University of Colombo, LK
About Saroj
Department of Medicine
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Hithanadura Janaka De Silva,

University of Kelaniya, LK
About Hithanadura
Department of Medicine
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Sisira Siribaddana

University of Rajarata, LK
About Sisira
Department of Medicine
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Abstract

We studied the clinical course and virus shedding of all patients referred to Welikanda Hospital, in one month. There were 53 positives for Covid-19 by PCR. 24 (45%) were male, with an age range of 11-94 years.  Of these, 41 (77%) were asymptomatic, 9 had cough, 4 had sore throat and six had fever. Pulse, blood pressure, respiratory rate and capillary oxygen were normal in all. A proportion of them had poor prognostic factors: asthma (n=4), hypertension (n=11), age above 60 years (n=9), and diabetes (n=11). Lymphopenia was seen in 20 and elevated CRP in 14. Viral shedding continued beyond 14 days in several persons and continued in symptomatic patients for a significantly longer time than asymptomatic patients. Covid-19 was an asymptomatic or mild illness in this group of people. Several of them continued to be RT-PCR positive even after 14 days. Such cases are an important source of community spread.

DOI: https://doi.org/10.4038/cmj.v65i3.9188
How to Cite: Senanayake, A.P., Indrakantha, D., Sumathipala, S., Wanigasuriya, K., Kularathne, S., Lekamwasam, S., Jayasinghe, S., De Silva, H.J. and Siribaddana, S., 2020. Features of Covid-19 patients detected during community screening: A study from a rural hospital in Sri Lanka.. Ceylon Medical Journal, 65(3), pp.67–69. DOI: http://doi.org/10.4038/cmj.v65i3.9188
Published on 10 Nov 2020.
Peer Reviewed

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