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Scholars Journal of Medical Case Reports | Volume-9 | Issue-09
COVID-19 Pandemic in the Maghreb Region: Epidemiological, Clinical, Biological, Radiological and Evolutionary Profile of Patients Hospitalized at Arrazi Hospital, Marrakech University Hospital
M. Bougadoum, P. Koumeka, S. Aibatahar, L. Amro
Published: Sept. 14, 2021 | 194 150
DOI: 10.36347/sjmcr.2021.v09i09.007
Pages: 851-859
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Abstract
Introduction: SARS-CoV-2 infection triggers heterogeneous clinical, biological and radiological manifestations, responsible for a global public health crisis and would probably have a different impact on African countries given the demographic structure and the constraints of the health system. Aim of the work: Analyze the epidemiological, clinical, biological, tomodensitometric and evolutionary characteristics of patients with COVID-19 infection, in order to better understand the Moroccan profile of the patient with Covid-19 and to adapt its care to local contexts. Materials and methods: This is a descriptive and analytical cross-sectional study carried out among patients hospitalized for a SARS-CoV-2 infection confirmed during the period from March 19 to June 30, 2020 at Arrazi hospital, Marrakech CHU. Descriptive statistics were used to summarize demographic, clinical, biological, radiological, therapy, and evolutionary features. Continuous variables were presented as the mean and the standard deviation or the median as appropriate. Categorical variables were presented as a number and a percentage. Results: 102 patients were included, 95.8% of patients were Moroccans, 47 cases had contact with a confirmed case and 48 were indigenous cases. 53.9% were men, with a sex ratio of 1.17, the median age was 43.7 years, the majority of patients were between 33 and 45 years old. The majority of patients were non-smokers in 86.2% of cases, the most observed co-morbidities were arterial hypertension in 10.7%, diabetes in 6.8% and pleuropulmonary tuberculosis in 2.9%. 74.5% of the patients were symptomatic, with an average diagnostic delay of 6 days, the clinical signs were dominated by the triad "asthenia-myalgia-cough" in more than 55% of cases, dyspnea in 35.2%. 17 (16.6%) patients had SaO2 less than 94%, 41% of patients were febrile, 5 patients had hypovolemic shock and 8 were hypertensive, pulmonary auscultation was normal in 88.2% of cases, crackling rales in ..........