Clinical features of the first cases and a cluster of Coronavirus Disease 2019 (COVID-19) in Bolivia imported from Italy and Spain

Travel Med Infect Dis. 2020 May-Jun:35:101653. doi: 10.1016/j.tmaid.2020.101653. Epub 2020 Apr 2.

Abstract

Introduction: In March 2020, Coronavirus Disease 2019 (COVID-19) arrived in Bolivia. Here, we report the main clinical findings, and epidemiological features of the first series of cases, and a cluster, confirmed in Bolivia.

Methods: For this observational, retrospective and cross-sectional study, information was obtained from the Hospitals and the Ministry of Health for the cases that were laboratory-diagnosed and related, during March 2020. rRT-PCR was used for the detection of the RNA of SARS-CoV-2 following the protocol Charité, Berlin, Germany, from nasopharyngeal swabs.

Results: Among 152 suspected cases investigated, 12 (7.9%) were confirmed with SARS-CoV-2 infected by rRT-PCR. The median age was 39 years (IQR 25-43), six of them male. Two cases proceed from Italy and three from Spain. Nine patients presented fever, and cough, five sore throat, and myalgia, among other symptoms. Only a 60 y-old woman with hypertension was hospitalized. None of the patients required ICU nor fatalities occurred in this group.

Conclusions: This is the first report of surveillance of COVID-19 in Bolivia, with patients managed mainly with home isolation. Preparedness for a significant epidemic, as is going on in other countries, and the deployment of response plans for it, in the country is now taking place to mitigate the impact of the COVID-19 pandemic in the population.

Keywords: Bolivia; Coronavirus disease 2019 (COVID-19); Epidemiology; Latin America; Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

Publication types

  • Observational Study

MeSH terms

  • Adolescent
  • Adult
  • Betacoronavirus / genetics*
  • Bolivia / epidemiology
  • COVID-19
  • Cluster Analysis
  • Communicable Diseases, Imported / epidemiology*
  • Communicable Diseases, Imported / virology
  • Coronavirus Infections / epidemiology*
  • Coronavirus Infections / physiopathology*
  • Coronavirus Infections / virology
  • Cough
  • Cross-Sectional Studies
  • Epidemiological Monitoring*
  • Female
  • Fever
  • Humans
  • Italy
  • Male
  • Middle Aged
  • Pandemics
  • Patient Isolation / methods
  • Pneumonia, Viral / epidemiology*
  • Pneumonia, Viral / physiopathology*
  • Pneumonia, Viral / virology
  • RNA, Viral / genetics
  • Retrospective Studies
  • Reverse Transcriptase Polymerase Chain Reaction
  • SARS-CoV-2
  • Spain
  • Young Adult

Substances

  • RNA, Viral