Clinical features and laboratory findings first case of B. 1.617.2 (delta) variant concern (VOC) in Iraq

Rawand A Essa; Sirwan K Ahmed; Dunya H Bapir; Shero A Rasul; Awat A Khdir; Chawan P Abubakr

doi:10.1016/j.amsu.2021.102814

Clinical features and laboratory findings first case of B. 1.617.2 (delta) variant concern (VOC) in Iraq

Ann Med Surg (Lond). 2021 Sep:69:102814. doi: 10.1016/j.amsu.2021.102814. Epub 2021 Sep 4.

Authors

Rawand A Essa^{1

2

3

4

5}, Sirwan K Ahmed^{3

4

5

6}, Dunya H Bapir⁷, Shero A Rasul^{3

4}, Awat A Khdir^{3

4

6}, Chawan P Abubakr⁸

Affiliations

¹ Ph.D. in Cardiothoracic and Vascular Surgery, Lecturer in the University of Raparin, College of Nursing, Department of Adult Nursing, Rania, Sulaimani, Kurdistan-region, Iraq.
² European Society for Thoracic Surgery (ESTS) Active Member, Iraq.
³ Department of Adult Nursing, College of Nursing, University of Raparin, Rania, Sulaimani, Kurdistan-region, Iraq.
⁴ Rania Teaching Hospital, Rania, Sulaimani, Kurdistan-region, Iraq.
⁵ Rania Medical City Private Hospital, Rania, Sulaimani, kurdistan-region, Iraq.
⁶ Rania Pediatric & Maternity Teaching Hospital, Rania, Sulaimani, Kurdistan-region, Iraq.
⁷ Department of Medical Laboratory, College of Science, University of Raparin, Kurdistan-region, Iraq.
⁸ Department of Critical Care Nursing, College of Nursing, Urmia University of Medical Science, Iran.

Abstract

Since the initial report of the severe acute respiratory syndrome (SARS CoV-2) in Wuhan, China, in 2019, the virus has constantly mutated, resulting in the appearance of novel variants. In December 2020, the B.1.617.2 (delta) variant concern (VOC) was first reported in India, and rapidly spread around the globe, is now the main brand in the United Kingdom, and it has grown dramatically. Here we present the clinical features and laboratory findings of the first case of B. 1.617.2 (delta) variant concern (VOC) in Iraq. A 6-year-old female child presented with severe abdominal pain, headache, severe vomiting, and diarrhea, runny nose, alerted mental status, loss of appetite, and fever. The patient was diagnosed with COVID-19 delta variant B.1.617.2 by RT-PCR. The patient was treated by administration of glucose saline 4% for 3 days, ceftriaxone vial 1 mg every 12 h for 6 days, and an acetaminophen bottle on a need to prevent fever followed by a Flagyl bottle every 24 h for 3 days. Vaccination and prevention the spread of the virus and against it are important preventive approaches for delta variant. Sore throat, runny nose, headache, and vomiting, diarrhea are the major clinical features of the delta variant. This was followed by an elevation of the leukocyte WBC, and blood platelets. To reduce the impact of new delta variant B.1.617.2 infection; handwashing, wearing a double mask, avoiding crowded and closed settings, social distancing, lockdown, and ensuring good ventilation are major significant options against this variant.

Keywords: B.1.617.2; COVID-19; Clinical features delta variant (VOC); Coronavirus; Delta variant; Effectiveness COVID-19 vaccines; SARS-CoV-2; Variant concern (VOC).

Publication types

Case Reports