DOI: 10.36347/sjmcr.2021.v09i05.029

Pages: 564-567

Introduction: Covid 19 symptoms are not specifics. They may be encountered in other diseases and this may lead to diagnosis confusions. Observation: A 24 years old young male without medical background was admitted to emergency department for shortness of breath. Physical examination found a laborious rapid breathing to 30 breaths/ min and peripheral pulsed saturation was 85 % under room air, blood pressure was about 130 / 70 mmHg, heart rate about 112 beats per minute, and there was no fever. Chest computed tomography was realized and covid19 was suspected. Patient was admitted to isolation room and treated in this way without improvement. rt- PCR was negative to SARS-CoV2 and patient was transferred to non covid intensive care unit . Echocardiography has completely changed the outcome. Conclusion: Being a major public health emergency these days, respiratory symptoms make suspect covid19 first. Focusing on covid19 doesn’t exempt searching other diagnosis. Echocardiography has a beneficial impact on patient with suspected or confirmed covid19. It must figure in the initial assessment of patients.