Comparative study of patients with and without SARS WHO fulfilled the WHO SARS case definition
Identifieur interne : 001370 ( Pmc/Checkpoint ); précédent : 001369; suivant : 001371Comparative 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,
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DOI: 10.1016/j.jemermed.2004.11.022
PubMed: 15837019
PubMed Central: 7135563
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Comparative study of patients with and without SARS WHO fulfilled the WHO SARS case definition</title><author><name sortKey="Chang, Shang Miao" sort="Chang, Shang Miao" uniqKey="Chang S" first="Shang-Miao" last="Chang">Shang-Miao Chang</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="Liu, Ching Lung" sort="Liu, Ching Lung" uniqKey="Liu C" first="Ching-Lung" last="Liu">Ching-Lung Liu</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="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 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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="Liu, Ching Lung" sort="Liu, Ching Lung" uniqKey="Liu C" first="Ching-Lung" last="Liu">Ching-Lung Liu</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="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). 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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Emerg Med</journal-id><journal-id journal-id-type="iso-abbrev">J Emerg Med</journal-id><journal-title-group><journal-title>The Journal of Emergency Medicine</journal-title></journal-title-group><issn pub-type="ppub">0736-4679</issn><issn pub-type="epub">0736-4679</issn><publisher><publisher-name>Elsevier Inc.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">15837019</article-id><article-id pub-id-type="pmc">7135563</article-id><article-id pub-id-type="publisher-id">S0736-4679(05)00024-7</article-id><article-id pub-id-type="doi">10.1016/j.jemermed.2004.11.022</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Comparative study of patients with and without SARS WHO fulfilled the WHO SARS case definition</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Chang</surname><given-names>Shang-Miao</given-names></name><degrees>MD</degrees><xref rid="aff1" ref-type="aff">⁎</xref></contrib><contrib contrib-type="author"><name><surname>Liu</surname><given-names>Ching-Lung</given-names></name><degrees>MD</degrees><xref rid="aff1" ref-type="aff">⁎</xref></contrib><contrib contrib-type="author"><name><surname>Kuo</surname><given-names>Hsu-Tah</given-names></name><degrees>MD</degrees><xref rid="aff1" ref-type="aff">⁎</xref></contrib><contrib contrib-type="author"><name><surname>Chen</surname><given-names>Pei-Jan</given-names></name><degrees>MD</degrees><xref rid="aff1" ref-type="aff">⁎</xref></contrib><contrib contrib-type="author"><name><surname>Lee</surname><given-names>Chun Ming</given-names></name><degrees>MD</degrees><xref rid="aff1" ref-type="aff">⁎</xref></contrib><contrib contrib-type="author"><name><surname>Lin</surname><given-names>Fung-J.</given-names></name><degrees>MD</degrees><xref rid="aff1" ref-type="aff">⁎</xref></contrib><contrib contrib-type="author"><name><surname>Lin</surname><given-names>Ching-Chi</given-names></name><degrees>MD</degrees><xref rid="aff1" ref-type="aff">⁎</xref></contrib><contrib contrib-type="author"><name><surname>Lee</surname><given-names>Chao-Hsien</given-names></name><degrees>MD</degrees><xref rid="aff1" ref-type="aff">⁎</xref></contrib><contrib contrib-type="author"><name><surname>Lu</surname><given-names>Yen-Ta</given-names></name><degrees>MD, PhD</degrees><xref rid="aff2" ref-type="aff">†</xref><xref rid="cor1" ref-type="corresp">⁎</xref></contrib></contrib-group><aff id="aff1"><label>⁎</label>Division of Chest Medicine, Department of Medicine, Mackay Memorial Hospital, Taipei, Taiwan</aff><aff id="aff2"><label>†</label>Department of Medical Research, Mackay Memorial Hospital, Taipei, Taiwan</aff><author-notes><corresp id="cor1"><label>⁎</label><italic>Reprint Address</italic>: Yen-Ta Lu, <sc>md</sc>, <sc>p</sc>h<sc>d</sc>, Department of Medical Research, Mackay Memorial Hospital, 92, Sec 2, Chung-Shan North Road, Taipei, Taiwan</corresp></author-notes><pub-date pub-type="pmc-release"><day>14</day><month>4</month><year>2005</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub"><month>5</month><year>2005</year></pub-date><pub-date pub-type="epub"><day>14</day><month>4</month><year>2005</year></pub-date><volume>28</volume><issue>4</issue><fpage>395</fpage><lpage>402</lpage><history><date date-type="received"><day>16</day><month>12</month><year>2003</year></date><date date-type="rev-recd"><day>13</day><month>10</month><year>2004</year></date><date date-type="accepted"><day>29</day><month>11</month><year>2004</year></date></history><permissions><copyright-statement>Copyright © 2005 Elsevier Inc. All rights reserved.</copyright-statement><copyright-year>2005</copyright-year><copyright-holder>Elsevier Inc.</copyright-holder><license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p></license></permissions><abstract><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></abstract><kwd-group><title>Keywords</title><kwd>coronavirus</kwd><kwd>non-severe acute respiratory syndrome</kwd><kwd>nasopharyngeal swab</kwd><kwd>reverse-transcriptase polymerase chain reaction</kwd><kwd>severe acute respiratory syndrome</kwd></kwd-group></article-meta></front></pmc><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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