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Suspected SARS-CoV-2 infection with fever and coronary heart disease: A case report.
Gong, Jin-Ru; Yang, Jia-Sheng; He, Yao-Wei; Yu, Kang-Hui; Liu, Jia; Sun, Rui-Lin.
  • Gong JR; Department of Pulmonary and Critical Care Medicine, Guangdong Second Provincial General Hospital, Guangzhou 510317, Guangdong Province, China.
  • Yang JS; Department of Pulmonary and Critical Care Medicine, Guangdong Second Provincial General Hospital, Guangzhou 510317, Guangdong Province, China.
  • He YW; Department of Pulmonary and Critical Care Medicine, Guangdong Second Provincial General Hospital, Guangzhou 510317, Guangdong Province, China.
  • Yu KH; Department of Radiology, Guangdong Second Provincial General Hospital, Guangzhou 510317, Guangdong Province, China.
  • Liu J; Department of Pulmonary and Critical Care Medicine, Guangdong Second Provincial General Hospital, Guangzhou 510317, Guangdong Province, China.
  • Sun RL; Department of Pulmonary and Critical Care Medicine, Guangdong Second Provincial General Hospital, Guangzhou 510317, Guangdong Province, China. sunruilin213@126.com.
World J Clin Cases ; 8(23): 6056-6063, 2020 Dec 06.
Article in English | MEDLINE | ID: covidwho-994306
ABSTRACT

BACKGROUND:

The coronavirus disease 2019 (COVID-19) is an emerging infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Suspected cases accounted for a large proportion in the early stage of the COVID-19 outbreak. The deviation of the nucleic acid test by throat swab (the current gold standard of COVID-19) caused by variation in sampling techniques and reagent kits and coupled with nonspecific clinical manifestations make confirmation of the suspected cases difficult. Proper management of the suspected cases of COVID-19 is crucial for disease control. CASE

SUMMARY:

A 65-year-old male presented with fever, lymphopenia, and chest computed tomography (CT) images similar to COVID-19 after percutaneous coronary intervention. The patient was diagnosed as having bacterial pneumonia with cardiogenic pulmonary edema instead of COVID-19. This was based on four negative results for throat swab detection of SARS-CoV-2 nucleic acid using reverse transcriptase-polymerase chain reaction assay and one negative result for serological antibody of SARS-CoV-2 with the serological assay. Additionally, the distribution of ground-glass opacities and thickened blood vessels from the CT images differed from COVID-19 features, which further supported the exclusion of COVID-19.

CONCLUSION:

Distinguishing COVID-19 patients from those with bacterial pneumonia with cardiogenic pulmonary edema can be difficult. Therefore, it requires serious identification.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Observational study / Prognostic study Language: English Journal: World J Clin Cases Year: 2020 Document Type: Article Affiliation country: Wjcc.v8.i23.6056

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Observational study / Prognostic study Language: English Journal: World J Clin Cases Year: 2020 Document Type: Article Affiliation country: Wjcc.v8.i23.6056