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Clinical Course and Outcomes of Patients with Severe Acute Respiratory Syndrome Coronavirus 2 Infection: a Preliminary Report of the First 28 Patients from the Korean Cohort Study on COVID-19.

Identifieur interne : 000379 ( PubMed/Corpus ); précédent : 000378; suivant : 000380

Clinical Course and Outcomes of Patients with Severe Acute Respiratory Syndrome Coronavirus 2 Infection: a Preliminary Report of the First 28 Patients from the Korean Cohort Study on COVID-19.

Auteurs : Eu Suk Kim ; Bum Sik Chin ; Chang Kyung Kang ; Nam Joong Kim ; Yu Min Kang ; Jae Phil Choi ; Dong Hyun Oh ; Jeong Han Kim ; Boram Koh ; Seong Eun Kim ; Na Ra Yun ; Jae Hoon Lee ; Jin Yong Kim ; Yeonjae Kim ; Ji Hwan Bang ; Kyoung Ho Song ; Hong Bin Kim ; Ki Hyun Chung ; Myoung Don Oh

Source :

RBID : pubmed:32242348

English descriptors

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-infected pneumonia emerged in Wuhan, China in December 2019. In this retrospective multicenter study, we investigated the clinical course and outcomes of novel coronavirus disease 2019 (COVID-19) from early cases in Republic of Korea.

DOI: 10.3346/jkms.2020.35.e142
PubMed: 32242348

Links to Exploration step

pubmed:32242348

Le document en format XML

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<front>
<div type="abstract" xml:lang="en">Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-infected pneumonia emerged in Wuhan, China in December 2019. In this retrospective multicenter study, we investigated the clinical course and outcomes of novel coronavirus disease 2019 (COVID-19) from early cases in Republic of Korea.</div>
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<DateCompleted>
<Year>2020</Year>
<Month>04</Month>
<Day>06</Day>
</DateCompleted>
<DateRevised>
<Year>2020</Year>
<Month>04</Month>
<Day>09</Day>
</DateRevised>
<Article PubModel="Electronic">
<Journal>
<ISSN IssnType="Electronic">1598-6357</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>35</Volume>
<Issue>13</Issue>
<PubDate>
<Year>2020</Year>
<Month>Apr</Month>
<Day>06</Day>
</PubDate>
</JournalIssue>
<Title>Journal of Korean medical science</Title>
<ISOAbbreviation>J. Korean Med. Sci.</ISOAbbreviation>
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<ArticleTitle>Clinical Course and Outcomes of Patients with Severe Acute Respiratory Syndrome Coronavirus 2 Infection: a Preliminary Report of the First 28 Patients from the Korean Cohort Study on COVID-19.</ArticleTitle>
<Pagination>
<MedlinePgn>e142</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.3346/jkms.2020.35.e142</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-infected pneumonia emerged in Wuhan, China in December 2019. In this retrospective multicenter study, we investigated the clinical course and outcomes of novel coronavirus disease 2019 (COVID-19) from early cases in Republic of Korea.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">All of the cases confirmed by real time polymerase chain reaction were enrolled from the 1st to the 28th patient nationwide. Clinical data were collected and analyzed for changes in clinical severity including laboratory, radiological, and virologic dynamics during the progression of illness.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The median age was 40 years (range, 20-73 years) and 15 (53.6%) patients were male. The most common symptoms were cough (28.6%) and sore throat (28.6%), followed by fever (25.0%). Diarrhea was not common (10.7%). Two patients had no symptoms. Initial chest X-ray (CXR) showed infiltration in 46.4% of the patients, but computed tomography scan confirmed pneumonia in 88.9% (16/18) of the patients. Six patients (21.4%) required supplemental oxygen therapy, but no one needed mechanical ventilation. Lymphopenia was more common in severe cases. Higher level of C-reactive protein and worsening of chest radiographic score was observed during the 5-7 day period after symptom onset. Viral shedding was high from day 1 of illness, especially from the upper respiratory tract (URT).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The prodromal symptoms of COVID-19 were mild and most patients did not have limitations of daily activity. Viral shedding from URT was high from the prodromal phase. Radiological pneumonia was common from the early days of illness, but it was frequently not evident in simple CXR. These findings could be plausible explanations for the easy and rapid spread of SARS-CoV-2 in the community.</AbstractText>
<CopyrightInformation>© 2020 The Korean Academy of Medical Sciences.</CopyrightInformation>
</Abstract>
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<Affiliation>Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.</Affiliation>
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<Affiliation>Division of Infectious Diseases, Department of Internal Medicine, National Medical Center, Seoul, Korea.</Affiliation>
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<Affiliation>Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.</Affiliation>
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<Affiliation>Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.</Affiliation>
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<LastName>Oh</LastName>
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<Affiliation>Department of Internal Medicine, Seoul Medical Center, Seoul, Korea.</Affiliation>
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<Affiliation>Division of Infectious Diseases, Department of Internal Medicine, Armed Forces Capital Hospital, Seongnam, Korea.</Affiliation>
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<Affiliation>Department of Infectious Diseases, Chonnam National University Medical School, Gwangju, Korea.</Affiliation>
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<Affiliation>Department of Internal Medicine, College of Medicine, Chosun University, Gwangju, Korea.</Affiliation>
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