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Year : 2021  |  Volume : 34  |  Issue : 2  |  Page : 756

Deaths among COVID-19-infected patients: Not all are owing to infection

1 Medical Academic Center, Bangkok, Thailand
2 Department of Community Medicine, Dr. DY Patil University, Pune, Maharashtra, India

Date of Submission21-Aug-2020
Date of Decision11-Oct-2020
Date of Acceptance20-Oct-2020
Date of Web Publication30-Jun-2021

Correspondence Address:
Beuy Joob
Medical Academic Center, Bangkok
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mmj.mmj_295_20

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How to cite this article:
Joob B, Wiwanitkit V. Deaths among COVID-19-infected patients: Not all are owing to infection. Menoufia Med J 2021;34:756

How to cite this URL:
Joob B, Wiwanitkit V. Deaths among COVID-19-infected patients: Not all are owing to infection. Menoufia Med J [serial online] 2021 [cited 2022 Nov 29];34:756. Available from: http://www.mmj.eg.net/text.asp?2021/34/2/756/319690

Dear Editor, COVID-19 is an important public health problem at present. It has already affected more than 10 million people world in more than 200 countries around the world. The pathogenic virus, SARSCoV-2, can cause respiratory illness, and death might be the result in the worst case. Internal organ failure is the main cause of death in COVID-19 fatal cases. However, it should be noted that not all deaths among COVID-19-infected patients are owing to infection. Here, the authors would like to give an example from the analysis on public available data from local CDC on COVID-19 infection (diagnosed by PCR test positive and according to WHO criteria) and death from an Indochina country, where the disease occurred secondly after its first appearance in China. Until present (June 23, 2020), of overall 3156 COVID-19 cases, overall 58 deaths have occurred in that setting. Of these cases, there was at least one case, a 25-year-old male, who did not die owing to infection but accidental injury [1], giving the incidence equal to 1.72%. The cause of death in the death case with accidental injury is brain herniation owing to traumatic brain and spinal cord injury. The diagnosis of COVID-19 is a coincidence in this case. The diagnosis was done because the patient had a history of visit to outbreak area. This patient had no clinical respiratory problem but injury at presentation and hospitalization. There was no other comorbidity. The diagnosis of COVID-19 was on day 6 of hospitalization. After the diagnosis of COVID-19, the patient had mild respiratory symptom. This patient died on the day 8 of hospitalization from accidental injury. This case is different from other death cases who died owing to respiratory failure because of severe pneumonia. This can confirm the observation that not all COVID-19-infected patients die owing to infection. Of interest, the autopsy of COVID-19 dead case is usually limited, and it might easily miss the hidden cause of death of the patient, which is not pneumonia [2],[3].

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There are no conflicts of interest.

  References Top

Saithong C. Motorcycle accident, vertebral fracture, COVID-19 and death. Case Study Case Rep 2020; 10:19–21.  Back to cited text no. 1
Salerno M, Sessa F, Piscopo A, Montana A, Torrisi M, Patanè F, et al. No autopsies on COVID-19 deaths: a missed opportunity and the lockdown of science. J Clin Med 2020; 9:1472.  Back to cited text no. 2
Pomara C, Li Volti G, Cappello F. COVID-19 deaths: are we sure it is pneumonia? Please, autopsy, autopsy, autopsy! J Clin Med 2020; 9:1259.  Back to cited text no. 3


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