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10.1038/s41591-020-0877-5

http://scihub22266oqcxt.onion/10.1038/s41591-020-0877-5
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32327757!ä!32327757

suck abstract from ncbi


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pmid32327757      Nat+Med 2020 ; 26 (6): 861-868
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  • Clinical and virologic characteristics of the first 12 patients with coronavirus disease 2019 (COVID-19) in the United States #MMPMID32327757
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  • Nat Med 2020[Jun]; 26 (6): 861-868 PMID32327757show ga
  • Data on the detailed clinical progression of COVID-19 in conjunction with epidemiological and virological characteristics are limited. In this case series, we describe the first 12 US patients confirmed to have COVID-19 from 20 January to 5 February 2020, including 4 patients described previously(1-3). Respiratory, stool, serum and urine specimens were submitted for SARS-CoV-2 real-time reverse-transcription polymerase chain reaction (rRT-PCR) testing, viral culture and whole genome sequencing. Median age was 53 years (range: 21-68); 8 patients were male. Common symptoms at illness onset were cough (n = 8) and fever (n = 7). Patients had mild to moderately severe illness; seven were hospitalized and demonstrated clinical or laboratory signs of worsening during the second week of illness. No patients required mechanical ventilation and all recovered. All had SARS-CoV-2 RNA detected in respiratory specimens, typically for 2-3 weeks after illness onset. Lowest real-time PCR with reverse transcription cycle threshold values in the upper respiratory tract were often detected in the first week and SARS-CoV-2 was cultured from early respiratory specimens. These data provide insight into the natural history of SARS-CoV-2. Although infectiousness is unclear, highest viral RNA levels were identified in the first week of illness. Clinicians should anticipate that some patients may worsen in the second week of illness.
  • |Adult[MESH]
  • |Aged[MESH]
  • |Betacoronavirus/*genetics/isolation & purification/pathogenicity[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*diagnosis/epidemiology/pathology/virology[MESH]
  • |Feces/virology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*diagnosis/epidemiology/pathology/virology[MESH]
  • |RNA, Viral/genetics/*isolation & purification[MESH]
  • |Real-Time Polymerase Chain Reaction[MESH]
  • |SARS-CoV-2[MESH]
  • |United States/epidemiology[MESH]


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