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Case of the Index Patient Who Caused Tertiary Transmission of COVID-19 Infection in Korea: the Application of Lopinavir/Ritonavir for the Treatment of COVID-19 Infected Pneumonia Monitored by Quantitative RT-PCR.

Identifieur interne : 000480 ( PubMed/Checkpoint ); précédent : 000479; suivant : 000481

Case of the Index Patient Who Caused Tertiary Transmission of COVID-19 Infection in Korea: the Application of Lopinavir/Ritonavir for the Treatment of COVID-19 Infected Pneumonia Monitored by Quantitative RT-PCR.

Auteurs : Jaegyun Lim [Corée du Sud] ; Seunghyun Jeon [Corée du Sud] ; Hyun Young Shin [Corée du Sud] ; Moon Jung Kim [Corée du Sud] ; Yu Min Seong [Corée du Sud] ; Wang Jun Lee [Corée du Sud] ; Kang Won Choe [Corée du Sud] ; Yu Min Kang [Corée du Sud] ; Baeckseung Lee [Corée du Sud] ; Sang Joon Park [Corée du Sud]

Source :

RBID : pubmed:32056407

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English descriptors

Abstract

Since mid-December of 2019, coronavirus disease 2019 (COVID-19) infection has been spreading from Wuhan, China. The confirmed COVID-19 patients in South Korea are those who came from or visited China. As secondary transmissions have occurred and the speed of transmission is accelerating, there are rising concerns about community infections. The 54-year old male is the third patient diagnosed with COVID-19 infection in Korea. He is a worker for a clothing business and had mild respiratory symptoms and intermittent fever in the beginning of hospitalization, and pneumonia symptoms on chest computerized tomography scan on day 6 of admission. This patient caused one case of secondary transmission and three cases of tertiary transmission. Hereby, we report the clinical findings of the index patient who was the first to cause tertiary transmission outside China. Interestingly, after lopinavir/ritonavir (Kaletra, AbbVie) was administered, β-coronavirus viral loads significantly decreased and no or little coronavirus titers were observed.

DOI: 10.3346/jkms.2020.35.e79
PubMed: 32056407


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pubmed:32056407

Le document en format XML

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<div type="abstract" xml:lang="en">Since mid-December of 2019, coronavirus disease 2019 (COVID-19) infection has been spreading from Wuhan, China. The confirmed COVID-19 patients in South Korea are those who came from or visited China. As secondary transmissions have occurred and the speed of transmission is accelerating, there are rising concerns about community infections. The 54-year old male is the third patient diagnosed with COVID-19 infection in Korea. He is a worker for a clothing business and had mild respiratory symptoms and intermittent fever in the beginning of hospitalization, and pneumonia symptoms on chest computerized tomography scan on day 6 of admission. This patient caused one case of secondary transmission and three cases of tertiary transmission. Hereby, we report the clinical findings of the index patient who was the first to cause tertiary transmission outside China. Interestingly, after lopinavir/ritonavir (Kaletra, AbbVie) was administered, β-coronavirus viral loads significantly decreased and no or little coronavirus titers were observed.</div>
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<AffiliationInfo>
<Affiliation>Department of Infectious Diseases, Myongji Hospital, Goyang, Korea.</Affiliation>
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<LastName>Lee</LastName>
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<Affiliation>CancerROP, Seoul, Korea. baeckseung@gmail.com.</Affiliation>
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<AffiliationInfo>
<Affiliation>Department of Pulmonary and Critical Care Medicine, Myongji Hospital, Goyang, Korea. drjoseph@mjh.or.kr.</Affiliation>
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<Month>02</Month>
<Day>17</Day>
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<Country>Korea (South)</Country>
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<RefSource>J Korean Med Sci. 2020 Feb 24;35(7):e88</RefSource>
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<RefSource>J Korean Med Sci. 2020 Feb 24;35(7):e89</RefSource>
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<MeshHeading>
<DescriptorName UI="D011014" MajorTopicYN="Y">Pneumonia</DescriptorName>
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<DescriptorName UI="D019438" MajorTopicYN="Y">Ritonavir</DescriptorName>
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<Keyword MajorTopicYN="N">Coronavirus</Keyword>
<Keyword MajorTopicYN="N">Pneumonia</Keyword>
<Keyword MajorTopicYN="N">Real-Time Reverse-Transcriptase Polymerase Chain Reaction</Keyword>
<Keyword MajorTopicYN="N">Tertiary Infection</Keyword>
<Keyword MajorTopicYN="N">Viral Load</Keyword>
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<CoiStatement>The authors have no potential conflicts of interest to disclose.</CoiStatement>
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<ArticleId IdType="pmc">PMC7025910</ArticleId>
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<Reference>
<Citation>J Korean Med Sci. 2020 Feb 10;35(5):e61</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">32030925</ArticleId>
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</Reference>
</ReferenceList>
<ReferenceList>
<Reference>
<Citation>Brain Behav Immun. 2019 Feb;76:280-283</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">30579940</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList>
<Reference>
<Citation>N Engl J Med. 2020 Jan 29;:</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">31995857</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList>
<Reference>
<Citation>N Engl J Med. 2020 Jan 30;:</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">32003551</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList>
<Reference>
<Citation>JAMA. 2020 Feb 7;:</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">32031568</ArticleId>
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</Reference>
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<li>Corée du Sud</li>
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<region>
<li>Région capitale de Séoul</li>
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<li>Séoul</li>
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<country name="Corée du Sud">
<noRegion>
<name sortKey="Lim, Jaegyun" sort="Lim, Jaegyun" uniqKey="Lim J" first="Jaegyun" last="Lim">Jaegyun Lim</name>
</noRegion>
<name sortKey="Choe, Kang Won" sort="Choe, Kang Won" uniqKey="Choe K" first="Kang Won" last="Choe">Kang Won Choe</name>
<name sortKey="Jeon, Seunghyun" sort="Jeon, Seunghyun" uniqKey="Jeon S" first="Seunghyun" last="Jeon">Seunghyun Jeon</name>
<name sortKey="Kang, Yu Min" sort="Kang, Yu Min" uniqKey="Kang Y" first="Yu Min" last="Kang">Yu Min Kang</name>
<name sortKey="Kim, Moon Jung" sort="Kim, Moon Jung" uniqKey="Kim M" first="Moon Jung" last="Kim">Moon Jung Kim</name>
<name sortKey="Lee, Baeckseung" sort="Lee, Baeckseung" uniqKey="Lee B" first="Baeckseung" last="Lee">Baeckseung Lee</name>
<name sortKey="Lee, Wang Jun" sort="Lee, Wang Jun" uniqKey="Lee W" first="Wang Jun" last="Lee">Wang Jun Lee</name>
<name sortKey="Park, Sang Joon" sort="Park, Sang Joon" uniqKey="Park S" first="Sang Joon" last="Park">Sang Joon Park</name>
<name sortKey="Seong, Yu Min" sort="Seong, Yu Min" uniqKey="Seong Y" first="Yu Min" last="Seong">Yu Min Seong</name>
<name sortKey="Shin, Hyun Young" sort="Shin, Hyun Young" uniqKey="Shin H" first="Hyun Young" last="Shin">Hyun Young Shin</name>
</country>
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