[Clinical features of 2019 novel coronavirus pneumonia in the early stage from a fever clinic in Beijing].
Identifieur interne : 000108 ( Main/Merge ); précédent : 000107; suivant : 000109[Clinical features of 2019 novel coronavirus pneumonia in the early stage from a fever clinic in Beijing].
Auteurs : M Q Zhang [République populaire de Chine] ; X H Wang [République populaire de Chine] ; Y L Chen [République populaire de Chine] ; K L Zhao [République populaire de Chine] ; Y Q Cai [République populaire de Chine] ; C L An [République populaire de Chine] ; M G Lin [République populaire de Chine] ; X D Mu [République populaire de Chine]Source :
- Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases [ 1001-0939 ] ; 2020.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Fatigue (étiologie), Femelle, Fièvre (étiologie), Humains, Infections à coronavirus (), Infections à coronavirus (imagerie diagnostique), Infections à coronavirus (transmission), Infections à coronavirus (épidémiologie), Jeune adulte, Marqueurs biologiques, Mâle, Pneumopathie virale (), Pneumopathie virale (imagerie diagnostique), Pneumopathie virale (transmission), Pneumopathie virale (épidémiologie), Pneumopathie virale (étiologie), Poumon (imagerie diagnostique), Pékin (épidémiologie), Radiographie thoracique, Santé de la famille, Tomodensitométrie, Toux (étiologie), Voyage, Études rétrospectives.
- MESH :
- imagerie diagnostique : Infections à coronavirus, Pneumopathie virale, Poumon.
- épidémiologie : Infections à coronavirus, Pneumopathie virale, Pékin.
- étiologie : Fatigue, Fièvre, Pneumopathie virale, Toux.
- Adolescent, Adulte, Adulte d'âge moyen, Femelle, Humains, Infections à coronavirus, Jeune adulte, Marqueurs biologiques, Mâle, Pneumopathie virale, Radiographie thoracique, Santé de la famille, Tomodensitométrie, Voyage, Études rétrospectives.
English descriptors
- KwdEn :
- Adolescent, Adult, Beijing (epidemiology), Betacoronavirus (isolation & purification), Betacoronavirus (pathogenicity), Biomarkers, Coronavirus Infections (complications), Coronavirus Infections (diagnostic imaging), Coronavirus Infections (epidemiology), Coronavirus Infections (transmission), Cough (etiology), Family Health, Fatigue (etiology), Female, Fever (etiology), Humans, Lung (diagnostic imaging), Male, Middle Aged, Pneumonia, Viral (complications), Pneumonia, Viral (diagnostic imaging), Pneumonia, Viral (epidemiology), Pneumonia, Viral (etiology), Pneumonia, Viral (transmission), Radiography, Thoracic, Retrospective Studies, Tomography, X-Ray Computed, Travel, Young Adult.
- MESH :
- chemical : Biomarkers.
- geographic , epidemiology : Beijing.
- complications : Coronavirus Infections, Pneumonia, Viral.
- diagnostic imaging : Coronavirus Infections, Lung, Pneumonia, Viral.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- etiology : Cough, Fatigue, Fever, Pneumonia, Viral.
- isolation & purification : Betacoronavirus.
- pathogenicity : Betacoronavirus.
- transmission : Coronavirus Infections, Pneumonia, Viral.
- Adolescent, Adult, Family Health, Female, Humans, Male, Middle Aged, Radiography, Thoracic, Retrospective Studies, Tomography, X-Ray Computed, Travel, Young Adult.
Abstract
Objective: To summarize and analyze the clinical and imaging characteristics of patients with 2019 novel coronavirus pneumonia in the early stage in Beijing. Methods: A retrospective analysis of clinical and imaging data of 9 patients with 2019 novel coronavirus infection diagnosed in one fever clinicic in Beijing from January 18, 2020 to February 3, 2020. Results: 5 male and 4 female was included in those 9 patients, whose median age was 36 years, and the age range from 15 to 49 years. 8 of these patients had no underlying disease and one suffered from diabetes. 7 patients had a history of travel to Wuhan City or Hubei Province, and one patient was a medical staff. Two family clustered was found. The incubation period was 1 to 6 days. The clinical manifestations were fever in 8 cases (8/9) , dry cough in 5 cases (5/9) , pharyngalgia in 4 cases (4/9) , fatigue in 4 cases (4/9) , body soreness in 4 cases (4/9) , and blocked or watery nose in 1 case (1/9) . Six patients (6/9) had abnormal cell peripheral blood, of which 3 (3/9) had an increased monocyte count, 2 (2/9) had a reduced lymphocyte, and 1 (1/9) had an increased leukocyte count, while the 3 patients had normal cell blood routines. The median of CRP was 16.3 mg/L, including 5 patients with slightly elevated (5/9) , 4 patients with normal values (4/9) . the results of procalcitonin test were negative in5 patients. Three patients were examined by chest X-ray examination, one of which was normal, one case showed infiltrates of right upper lung, and another showed in right lower lung. All patients underwent chest HRCT. And 7 cases (7/9) showed multiple ground glass exudation, including 5 cases (5/7) involved bilateral lungs, 2 cases (2/7) involved unilateral lung, 3 cases (3/7) with patchy consolidation, and 2 cases (2/9) showed no abnormality. Conclusions: The patents with 2019 novel coronavirus pneumonia in this study generally have an epidemiological history. The clinical manifestations are fever and cough. Peripheral white blood cell counts were most normal And PCT were all negative. Chest HRCT manifested as multiple ground-glass opacities with partly consolidation. Some patients had normal chest radiographs but HRCT showed pneumonia. Some patients had no pneumonia on chest HRCT.
DOI: 10.3760/cma.j.issn.1001-0939.2020.03.015
PubMed: 32164091
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<author><name sortKey="Zhang, M Q" sort="Zhang, M Q" uniqKey="Zhang M" first="M Q" last="Zhang">M Q Zhang</name>
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<country xml:lang="fr">République populaire de Chine</country>
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<author><name sortKey="Wang, X H" sort="Wang, X H" uniqKey="Wang X" first="X H" last="Wang">X H Wang</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Beijing (epidemiology)</term>
<term>Betacoronavirus (isolation & purification)</term>
<term>Betacoronavirus (pathogenicity)</term>
<term>Biomarkers</term>
<term>Coronavirus Infections (complications)</term>
<term>Coronavirus Infections (diagnostic imaging)</term>
<term>Coronavirus Infections (epidemiology)</term>
<term>Coronavirus Infections (transmission)</term>
<term>Cough (etiology)</term>
<term>Family Health</term>
<term>Fatigue (etiology)</term>
<term>Female</term>
<term>Fever (etiology)</term>
<term>Humans</term>
<term>Lung (diagnostic imaging)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pneumonia, Viral (complications)</term>
<term>Pneumonia, Viral (diagnostic imaging)</term>
<term>Pneumonia, Viral (epidemiology)</term>
<term>Pneumonia, Viral (etiology)</term>
<term>Pneumonia, Viral (transmission)</term>
<term>Radiography, Thoracic</term>
<term>Retrospective Studies</term>
<term>Tomography, X-Ray Computed</term>
<term>Travel</term>
<term>Young Adult</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Fatigue (étiologie)</term>
<term>Femelle</term>
<term>Fièvre (étiologie)</term>
<term>Humains</term>
<term>Infections à coronavirus ()</term>
<term>Infections à coronavirus (imagerie diagnostique)</term>
<term>Infections à coronavirus (transmission)</term>
<term>Infections à coronavirus (épidémiologie)</term>
<term>Jeune adulte</term>
<term>Marqueurs biologiques</term>
<term>Mâle</term>
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<term>Pneumopathie virale (imagerie diagnostique)</term>
<term>Pneumopathie virale (transmission)</term>
<term>Pneumopathie virale (épidémiologie)</term>
<term>Pneumopathie virale (étiologie)</term>
<term>Poumon (imagerie diagnostique)</term>
<term>Pékin (épidémiologie)</term>
<term>Radiographie thoracique</term>
<term>Santé de la famille</term>
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<term>Toux (étiologie)</term>
<term>Voyage</term>
<term>Études rétrospectives</term>
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</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
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<term>Pneumonia, Viral</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Cough</term>
<term>Fatigue</term>
<term>Fever</term>
<term>Pneumonia, Viral</term>
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<keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
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<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
<term>Pékin</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Fatigue</term>
<term>Fièvre</term>
<term>Pneumopathie virale</term>
<term>Toux</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Family Health</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Radiography, Thoracic</term>
<term>Retrospective Studies</term>
<term>Tomography, X-Ray Computed</term>
<term>Travel</term>
<term>Young Adult</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Infections à coronavirus</term>
<term>Jeune adulte</term>
<term>Marqueurs biologiques</term>
<term>Mâle</term>
<term>Pneumopathie virale</term>
<term>Radiographie thoracique</term>
<term>Santé de la famille</term>
<term>Tomodensitométrie</term>
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<front><div type="abstract" xml:lang="en"><b>Objective:</b>
To summarize and analyze the clinical and imaging characteristics of patients with 2019 novel coronavirus pneumonia in the early stage in Beijing. <b>Methods:</b>
A retrospective analysis of clinical and imaging data of 9 patients with 2019 novel coronavirus infection diagnosed in one fever clinicic in Beijing from January 18, 2020 to February 3, 2020. <b>Results:</b>
5 male and 4 female was included in those 9 patients, whose median age was 36 years, and the age range from 15 to 49 years. 8 of these patients had no underlying disease and one suffered from diabetes. 7 patients had a history of travel to Wuhan City or Hubei Province, and one patient was a medical staff. Two family clustered was found. The incubation period was 1 to 6 days. The clinical manifestations were fever in 8 cases (8/9) , dry cough in 5 cases (5/9) , pharyngalgia in 4 cases (4/9) , fatigue in 4 cases (4/9) , body soreness in 4 cases (4/9) , and blocked or watery nose in 1 case (1/9) . Six patients (6/9) had abnormal cell peripheral blood, of which 3 (3/9) had an increased monocyte count, 2 (2/9) had a reduced lymphocyte, and 1 (1/9) had an increased leukocyte count, while the 3 patients had normal cell blood routines. The median of CRP was 16.3 mg/L, including 5 patients with slightly elevated (5/9) , 4 patients with normal values (4/9) . the results of procalcitonin test were negative in5 patients. Three patients were examined by chest X-ray examination, one of which was normal, one case showed infiltrates of right upper lung, and another showed in right lower lung. All patients underwent chest HRCT. And 7 cases (7/9) showed multiple ground glass exudation, including 5 cases (5/7) involved bilateral lungs, 2 cases (2/7) involved unilateral lung, 3 cases (3/7) with patchy consolidation, and 2 cases (2/9) showed no abnormality. <b>Conclusions:</b>
The patents with 2019 novel coronavirus pneumonia in this study generally have an epidemiological history. The clinical manifestations are fever and cough. Peripheral white blood cell counts were most normal And PCT were all negative. Chest HRCT manifested as multiple ground-glass opacities with partly consolidation. Some patients had normal chest radiographs but HRCT showed pneumonia. Some patients had no pneumonia on chest HRCT.</div>
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