Comparative study of patients with and without SARS WHO fulfilled the WHO SARS case definition
Identifieur interne : 004890 ( Main/Exploration ); précédent : 004889; suivant : 004891Comparative study of patients with and without SARS WHO fulfilled the WHO SARS case definition
Auteurs : Shang-Miao Chang [Taïwan] ; Ching-Lung Liu [Taïwan] ; Hsu-Tah Kuo [Taïwan] ; Pei-Jan Chen [Taïwan] ; Chun Ming Lee [Taïwan] ; Fung-J. Lin [Taïwan] ; Ching-Chi Lin [Taïwan] ; Chao-Hsien Lee [Taïwan] ; Yen-Ta Lu [Taïwan]Source :
- The Journal of Emergency Medicine [ 0736-4679 ] ; 2005.
Abstract
To differentiate severe acute respiratory syndrome (SARS) from non-SARS illness, we retrospectively compared 53 patients with probable SARS and 31 patients with non-SARS who were admitted to Mackay Memorial Hospital from April 27 to June 16, 2003. Fever (> 38°C) was the earliest symptom (50/53 SARS vs. 5/31 non-SARS,
Url:
DOI: 10.1016/j.jemermed.2004.11.022
PubMed: 15837019
PubMed Central: 7135563
Affiliations:
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Lee</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Chest Medicine, Department of Medicine, Mackay Memorial Hospital, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Division of Chest Medicine, Department of Medicine, Mackay Memorial Hospital, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Lu, Yen Ta" sort="Lu, Yen Ta" uniqKey="Lu Y" first="Yen-Ta" last="Lu">Yen-Ta Lu</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Medical Research, Mackay Memorial Hospital, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Medical Research, Mackay Memorial Hospital, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">15837019</idno><idno type="pmc">7135563</idno><idno 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Memorial Hospital, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Division of Chest Medicine, Department of Medicine, Mackay Memorial Hospital, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Kuo, Hsu Tah" sort="Kuo, Hsu Tah" uniqKey="Kuo H" first="Hsu-Tah" last="Kuo">Hsu-Tah Kuo</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Chest Medicine, Department of Medicine, Mackay Memorial Hospital, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Division of Chest Medicine, Department of Medicine, Mackay Memorial Hospital, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Chen, Pei Jan" sort="Chen, Pei Jan" uniqKey="Chen P" first="Pei-Jan" last="Chen">Pei-Jan Chen</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Chest Medicine, Department of Medicine, Mackay Memorial Hospital, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Division of Chest Medicine, Department of Medicine, Mackay Memorial Hospital, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Lee, Chun Ming" sort="Lee, Chun Ming" uniqKey="Lee C" first="Chun Ming" last="Lee">Chun Ming Lee</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Chest Medicine, Department of Medicine, Mackay Memorial Hospital, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Division of Chest Medicine, Department of Medicine, Mackay Memorial Hospital, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Lin, Fung J" sort="Lin, Fung J" uniqKey="Lin F" first="Fung-J." last="Lin">Fung-J. Lin</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Chest Medicine, Department of Medicine, Mackay Memorial Hospital, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Division of Chest Medicine, Department of Medicine, Mackay Memorial Hospital, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Lin, Ching Chi" sort="Lin, Ching Chi" uniqKey="Lin C" first="Ching-Chi" last="Lin">Ching-Chi Lin</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Chest Medicine, Department of Medicine, Mackay Memorial Hospital, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Division of Chest Medicine, Department of Medicine, Mackay Memorial Hospital, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Lee, Chao Hsien" sort="Lee, Chao Hsien" uniqKey="Lee C" first="Chao-Hsien" last="Lee">Chao-Hsien Lee</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Chest Medicine, Department of Medicine, Mackay Memorial Hospital, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Division of Chest Medicine, Department of Medicine, Mackay Memorial Hospital, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Lu, Yen Ta" sort="Lu, Yen Ta" uniqKey="Lu Y" first="Yen-Ta" last="Lu">Yen-Ta Lu</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Medical Research, Mackay Memorial Hospital, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Medical Research, Mackay Memorial Hospital, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author></analytic><series><title level="j">The Journal of Emergency Medicine</title><idno type="ISSN">0736-4679</idno><idno type="eISSN">0736-4679</idno><imprint><date when="2005">2005</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>To differentiate severe acute respiratory syndrome (SARS) from non-SARS illness, we retrospectively compared 53 patients with probable SARS and 31 patients with non-SARS who were admitted to Mackay Memorial Hospital from April 27 to June 16, 2003. Fever (> 38°C) was the earliest symptom (50/53 SARS vs. 5/31 non-SARS, <italic>p</italic> < 0.0001), preceding cough by a mean of 4.5 days. The initial chest X-ray study was normal in 22/53 SARS cases versus 5/31 non-SARS cases. SARS patients with an initially normal chest X-ray study developed infiltrates at a mean of 5 ± 3.44 days after onset of fever (21/22 SARS vs. 0/5 non-SARS). Rapid radiographic progression of unifocal involvement to multifocal infiltrates was seen in 22 of 24 SARS vs. 0 of 26 non-SARS patients (<italic>p</italic> < 0.0001). Pleural effusion was not present in any SARS patients but was seen in 6 of 26 non-SARS cases (<italic>p</italic> < 0.0001). Initial lymphopenia, thrombocytopenia, and elevated lactate dehydrogenase were all more common in SARS than non-SARS (<italic>p</italic> < 0.0001). They may help differentiate SARS from non-SARS if a reliable and rapid diagnostic test is not available.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Ksiazek, T G" uniqKey="Ksiazek T">T.G. Ksiazek</name></author><author><name sortKey="Erdman, D" uniqKey="Erdman D">D. Erdman</name></author><author><name sortKey="Goldsmith, C" uniqKey="Goldsmith C">C. Goldsmith</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Peiris, J S M" uniqKey="Peiris J">J.S.M. Peiris</name></author><author><name sortKey="Lai, S T" uniqKey="Lai S">S.T. Lai</name></author><author><name sortKey="Poon, L L M" uniqKey="Poon L">L.L.M. Poon</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Drosten, C" uniqKey="Drosten C">C. Drosten</name></author><author><name sortKey="Gunther, S" uniqKey="Gunther S">S. 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Hui</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wong, G W K" uniqKey="Wong G">G.W.K. Wong</name></author><author><name sortKey="Hui, D S C" uniqKey="Hui D">D.S.C. Hui</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Antonio, G E" uniqKey="Antonio G">G.E. Antonio</name></author><author><name sortKey="Wong, K T" uniqKey="Wong K">K.T. Wong</name></author><author><name sortKey="Hui, D S" uniqKey="Hui D">D.S. Hui</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="O Onnell, D R O" uniqKey="O Onnell D">D.R.O. O’Donnell</name></author><author><name sortKey="Tasker, R C" uniqKey="Tasker R">R.C. Tasker</name></author><author><name sortKey="Roe, M F E" uniqKey="Roe M">M.F.E. Roe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Panesar, N S" uniqKey="Panesar N">N.S. Panesar</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Taïwan</li></country></list><tree><country name="Taïwan"><noRegion><name sortKey="Chang, Shang Miao" sort="Chang, Shang Miao" uniqKey="Chang S" first="Shang-Miao" last="Chang">Shang-Miao Chang</name></noRegion><name sortKey="Chen, Pei Jan" sort="Chen, Pei Jan" uniqKey="Chen P" first="Pei-Jan" last="Chen">Pei-Jan Chen</name><name sortKey="Kuo, Hsu Tah" sort="Kuo, Hsu Tah" uniqKey="Kuo H" first="Hsu-Tah" last="Kuo">Hsu-Tah Kuo</name><name sortKey="Lee, Chao Hsien" sort="Lee, Chao Hsien" uniqKey="Lee C" first="Chao-Hsien" last="Lee">Chao-Hsien Lee</name><name sortKey="Lee, Chun Ming" sort="Lee, Chun Ming" uniqKey="Lee C" first="Chun Ming" last="Lee">Chun Ming Lee</name><name sortKey="Lin, Ching Chi" sort="Lin, Ching Chi" uniqKey="Lin C" first="Ching-Chi" last="Lin">Ching-Chi Lin</name><name sortKey="Lin, Fung J" sort="Lin, Fung J" uniqKey="Lin F" first="Fung-J." last="Lin">Fung-J. Lin</name><name sortKey="Liu, Ching Lung" sort="Liu, Ching Lung" uniqKey="Liu C" first="Ching-Lung" last="Liu">Ching-Lung Liu</name><name sortKey="Lu, Yen Ta" sort="Lu, Yen Ta" uniqKey="Lu Y" first="Yen-Ta" last="Lu">Yen-Ta Lu</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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