id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-309737-u960ftdm	Lolachi, Sanaz	Macrophage activation syndrome as an unusual presentation of paucisymptomatic severe acute respiratory syndrome coronavirus 2 infection: A case report	2020-08-07		.txt	text/plain	1553	108	42	PATIENT CONCERNS: We describe the unique case of young man who developed MAS as the sole manifestation of an otherwise paucisymptomatic severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. DIAGNOSES: Clinical and biological criteria led to the diagnosis of MAS; cytokine profile was highly suggestive reverse transcription polymerase chain reaction for SARS-CoV-2 in nasopharyngeal swabs was negative, but serum anti-SARS-CoV-2 immunoglobulin A and immunoglobulin G resulted positive leading to the diagnosis of SARS-CoV-2 infection. [2] Aims and scope of the report: to describe the unique case of a patient who developed MAS as the sole manifestation of a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, and to highlight that even paucisymptomatic COVID-19 patients can develop life-threatening complications. Rapid clinical deterioration with high, sustained fever, cytopenias, rising transaminases and ferritin, and evolving coagulopathy prompted us to suspect a MAS (or secondary hemophagocytic lymphohistiocytosis, HLH) in the context of SARS-CoV-2 infection.	./cache/cord-309737-u960ftdm.txt	./txt/cord-309737-u960ftdm.txt