{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,6,21]],"date-time":"2022-06-21T14:28:14Z","timestamp":1655821694810},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"23","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dtsch Med Wochenschr"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Anamnese\u2002Ein 49-j\u00e4hriger Mann stellte sich in der chirurgischen Notfallsprechstunde mit seit neun Tagen progredienten, thorakolumbalen R\u00fcckenschmerzen vor. Symptome eines respiratorischen Infektes zeigte er nicht, insbesondere lagen weder Fieber noch Husten vor.<\/jats:p><jats:p>\n          Untersuchungen\u2002Bei der Untersuchung fiel im Rahmen der Entkleidung eine Dyspnoe auf, die sich bei genauerem Nachfragen etwa im selben Zeitraum progredient zeigte, den Patienten subjektiv aber nicht sehr beeintr\u00e4chtigte. Zudem bestand ein deutlicher Gewichtsverlust. Ein daraufhin ambulant erfolgtes R\u00f6ntgen des Thorax zeigte bilaterale, ubiquit\u00e4r verteilte, feinfleckig konfluierende Verschattungen. Die im Anschluss durchgef\u00fchrte PCR des Nasopharynxabstriches war positiv f\u00fcr SARS-CoV-2.<\/jats:p><jats:p>\n          Therapie und Verlauf\u2002Bei progredienter Dyspnoe erfolgte noch am selben Tag eine station\u00e4re Einweisung. Hier wurden im Zuge einer zunehmenden hypox\u00e4mischen, respiratorischen Insuffizienz sowie kompromittierter Atemmechanik mit drohender muskul\u00e4rer Ersch\u00f6pfung die intermittierende nichtinvasive Beatmung sowie eine nasale High-Flow-Therapie notwendig. Probatorisch erfolgte eine virostatische Therapie mit Remdesivir. Zudem wurde aufgrund des Verdachts auf eine bakterielle Superinfektion eine antibiotische Therapie notwendig. Nach 13 Tagen station\u00e4rer Behandlung konnte der Patient entlassen werden. Die R\u00fcckenschmerzen sistierten im Verlaufe der station\u00e4ren Behandlung spontan und ohne spezifische Therapie.<\/jats:p><jats:p>\n          Schlussfolgerungen\u2002R\u00fcckenschmerzen k\u00f6nnen ein Symptom von COVID-19 sein, im vorliegenden Kasus waren sie sogar der einzige Grund f\u00fcr die \u00e4rztliche Vorstellung. Auch wenn R\u00fcckenschmerzen im \u00e4rztlichen Alltag sehr h\u00e4ufig vorkommen, sollten auch seltene bzw. ungew\u00f6hnliche Differenzialdiagnosen bedacht werden.<\/jats:p>","DOI":"10.1055\/a-1668-8539","type":"journal-article","created":{"date-parts":[[2021,11,27]],"date-time":"2021-11-27T00:14:51Z","timestamp":1637972091000},"page":"1571-1575","source":"Crossref","is-referenced-by-count":1,"title":["Thorakolumbaler R\u00fcckenschmerz als f\u00fchrendes Symptom einer\u00a0ausgepr\u00e4gten COVID-19-Pneumonie"],"prefix":"10.1055","volume":"146","author":[{"given":"Julia","family":"Jaeger","sequence":"additional","affiliation":[{"name":"Thonbergklinik MVZ-Notfallzentrum, Leipzig"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f6rg","family":"Hammer","sequence":"additional","affiliation":[{"name":"Thonbergklinik MVZ-Notfallzentrum, 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