engleski

Young, healthy and clinically dead: a case of lethal outpatient COVID-19 in an unvaccinated patient

Introduction: Being young and healthy is often used as an argument against receiving vaccinations against COVID-19 nowadays, with clinical data supporting the notion that the groups most at risk are elderly patients, and those with preexisting chronic conditions. This case report demonstrates that there are exceptions to the rules. Case presentation: A 38 year old patient was brought to the ER by the EMS without a name or any data in the process of cardiopulmonary reanimation. He was found unconscious in the street, the EMS started CPR, placed a supraglottic airway device (I-gel), the patient was defibrillated and a pulse was established. In the ER, the patient was admitted in an uncontactable, pulseless state, with stiff musculature, unreactive pupils, cold skin, hypothermic (34 degrees celsius), ventilated through the I-gel. Despite being placed on mechanic ventilation, there was no clinical response and he was pronounced dead. Later, the physicians were informed that the patient was COVID positive 10 days ago and that he had trouble breathing for the last 2 days. He was unvaccinated, without any significant or chronic disease. Conclusion: While being young and healthy reduces one’s chances of suffering a lethal COVID-19 outcome, the chance is still present and, when provided with the tools and methods to protect oneself against a potentially lethal viral infection, even the typical young and healthy patient should make an effort to minimize the probability of infection or an undesirable clinical outcome if the infection does happen.

COVID-19 ; Vaccination ; Vaccination Hesitancy

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