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Four cases of coronavirus disease 2019 in the early stage of pandemic of South Korea: a single public hospital experience
- Source :
- The Korean Journal of Internal Medicine, Vol 35, Iss 4, Pp 788-792 (2020), The Korean Journal of Internal Medicine
- Publication Year :
- 2020
- Publisher :
- The Korean Association of Internal Medicine, 2020.
-
Abstract
- In view of this pandemic, as of February 2020, South Korea has the second high est number of confirmed cases in the world. Herein, we report four confirmed coronavirus disease 2019 (COVID-19) cases in the early stage of the pandemic in South Korea and describe the identification, diagnosis, clinical course, and management, including one patient’s initial mild symptoms at presentation and their progression to pneumonia on day 21 of illness. Within 48 hours of hospital ization, all four patients underwent evaluation for initial laboratory parameters, COVID-19 polymerase chain reaction (PCR), and chest computed tomography (CT) findings. All four mild COVID-19 patients were discharged, and they were re-examined 14 days after discharge. Despite all four of them being asymp tomatic, one patient was re-admitted after confirmation of COVID-19 through PCR viral nucleic acid detection. She could be discharged after 7 days with two subsequent negative COVID-19 PCR at 24-hour intervals. Patients with mild COVID-19 generally have normal follow-up chest CT scans after discharge, even if the early chest CT definitely indicates pneumonia. Re-hospitalized patients with COVID-19 PCR positive results after discharge were not related to her ini tial chest CT, lab, symptoms compared other three patients.
- Subjects :
- Viral nucleic acid
Adult
Male
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19)
Pneumonia, Viral
coronavirus
pandemics
medicine.disease_cause
Lopinavir
03 medical and health sciences
0302 clinical medicine
Internal medicine
Pandemic
Medicine
Humans
SPECIAL COVID-19
Stage (cooking)
Coronavirus
Ritonavir
business.industry
Clinical course
COVID-19
After discharge
medicine.disease
Pneumonia
Drug Combinations
030211 gastroenterology & hepatology
Female
Radiography, Thoracic
business
Coronavirus Infections
Rapid Communication
severe acute respiratory syndrome coronavirus 2
Subjects
Details
- Language :
- English
- ISSN :
- 20056648 and 12263303
- Volume :
- 35
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- The Korean Journal of Internal Medicine
- Accession number :
- edsair.doi.dedup.....ae72174808585336f24ae90eef21ccdb