Infection with the SARS- CoV -2 ( Severe
Acute Respiratory Syndrome ) is characterized by a wide
spectrum of clinical syndromes ranging from disease
asymptomatic, mild flu-like symptoms to severe
pneumonia and acute respiratory distress syndrome Our
goal is to study the risk factors in patients infected with
COVID 19 ( Coronavirus disease 2019).
Methods :
This is a retrospective descriptive study of 54
patients hospitalized in unit B- COVID-19 at the Ibn Sina
University Hospital Center in Rabat from 15 October
2020 to 1 November 2020.
Results:
Fifty-four cases of COVID-19 confirmed by PCR
(Polymerase chain reaction) were hospitalized including
30 women (55,56%) and 24 men (44,44%), divided into 27
cases with a non-severe form and 27 cases with a
moderate to severe form requiring oxygen therapy. The
overall median age was 55,13 years. Fever (18,52%),
dyspnea (38,89 %), cough (22,22%) and fatigue (11,11%)
were the most common clinical manifestations, while
diabetes (40,74%), arterial hypertension (27,78%) and
obesity (14,81%) were the most common comorbidities .
Chronic smokers (12.96%) patients with the
bronchopulmonary disease chronic obstructive
pulmonary disease (COPD, 1,54 %) and asthma (1,54%)
were rare. Bilateral frosted glass or uneven opacity
(66.71%) was the most common sign on the chest CT
scan. Lymphopenia (37,04 %) and eosinopenia (29,36 %)
were observed in our patients. Significantly higher values
of D-dimer, C-reactive protein (CRP) and LDH were
observed especially in patients with moderate to severe
form.
Conclusion:
Advanced age, diabetes and high blood pressure
remain the most frequent risk factors for developing
moderate to severe forms of viral infection with SARSCoV-2, hence the importance of taking in this category of
patients. Lymphopenia, eosinopenia and inflammatory
syndrome could be potential indicators of diagnosis and
severity
Keywords : SARS- CoV-2, Comorbidities, Risk Actors