IDCases (Jan 2021)

Red face may be a specific sign of SARS-CoV-2 alpha variant

  • Aya Nakaya,
  • Eiji Ogura,
  • Yuki Katayama,
  • Masami Yoshii,
  • Eiko Yoshino,
  • Kazuya Hozumi,
  • Saori Tago,
  • Yuko Teranishi,
  • Yuki Minamibashi,
  • Makiko Harada,
  • Mami Yoshioka,
  • Yuri Kawano,
  • Yuka Arai,
  • Keno Yoshida,
  • Shozo Shimizu,
  • Kazuma Ogura,
  • Katsuaki Iwashita

Journal volume & issue
Vol. 25
p. e01214

Abstract

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Japan is currently suffering the fourth wave of the COVID-19 pandemic, with the dominant type being SARS-CoV-2 alpha variant. Patients with COVID-19 variant types show more aggressive symptoms. In the present study, three patients developed a red face during treatment. Two of them suddenly worsened shortly after. We assumed that the red face reflected a cytokine storm and conjectured that it may be a specific sign of variant type COVID-19, because we have never seen it in patients with non-variant type. Moreover, we believe that red face may be predictive of a sudden deterioration.

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