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2020 ; 35
(4
): 788-792
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
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English Wikipedia
Four cases of coronavirus disease 2019 in the early stage of pandemic of South
Korea: a single public hospital experience
#MMPMID32668515
Ahn MY
; Oh DH
; Kim S
; Choi JP
; Lee JH
; Lee YK
; Hong KH
Korean J Intern Med
2020[Jul]; 35
(4
): 788-792
PMID32668515
show ga
In view of this pandemic, as of February 2020, South Korea has the second highest
number of confirmed cases in the world. Herein, we report four confirmed
coronavirus disease 2019 (COVID-19) cases in the early stage of the pandemic in
South Korea and describe the identification, diagnosis, clinical course, and
management, including one patient's initial mild symptoms at presentation and
their progression to pneumonia on day 21 of illness. Within 48 hours of
hospitalization, all four patients underwent evaluation for initial laboratory
parameters, COVID-19 polymerase chain reaction (PCR), and chest computed
tomography (CT) findings. All four mild COVID-19 patients were discharged, and
they were re-examined 14 days after discharge. Despite all four of them being
asymptomatic, one patient was re-admitted after confirmation of COVID-19 through
PCR viral nucleic acid detection. She could be discharged after 7 days with two
subsequent negative COVID-19 PCR at 24-hour intervals. Patients with mild
COVID-19 generally have normal follow-up chest CT scans after discharge, even if
the early chest CT definitely indicates pneumonia. Re-hospitalized patients with
COVID-19 PCR positive results after discharge were not related to her initial
chest CT, lab, symptoms compared other three patients.