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Published on: November 10, 2023
Flight of the COVID-19 patient: experience with a Wuhan evacuee: a case report
Sandeep Segar1,2, Daniel Bouland1,2, Francesca Torriani2,3
1Division of Hospital Medicine, University of California San Diego Health, 200 West Arbor Drive, MC 8485, San Diego, CA, 92103, USA.
Insights
A case study of a 51-year-old woman with coronavirus disease 2019 (COVID-19) details her recovery after treatment with remdesivir. The patient experienced typical symptoms and was successfully discharged after hospitalization.
Area of Science:
- Infectious Diseases
- Virology
- Public Health
Background:
- Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) caused the COVID-19 pandemic.
- The World Health Organization declared COVID-19 a global pandemic in March 2020.
Observation:
- A 51-year-old Chinese woman diagnosed with COVID-19 upon arrival at a California quarantine facility.
- Clinical presentation included high fevers, night sweats, cough, leukopenia, lymphopenia, thrombocytopenia, and transaminitis.
- Hypoxia and chest imaging findings necessitated treatment with remdesivir.
Findings:
- The patient's symptoms evolved, requiring medical intervention.
- Remdesivir was administered as an investigational antiviral treatment.
- The patient recovered and was discharged after two weeks.
Implications:
- This case provides insights into the clinical management of COVID-19.
- It highlights challenges in determining non-infectivity for a novel disease.
- Understanding patient recovery pathways is crucial for pandemic response.
Background:
Coronavirus disease 2019, caused by severe acute respiratory syndrome coronavirus 2, was declared a global pandemic by the World Health Organization in March 2020.
Case Presentation:
We report a case of a 51-year-old Chinese woman who was evacuated from Wuhan, China and diagnosed with coronavirus disease 2019 infection at a Southern California quarantine facility. Her clinical course was notable for high fevers, night sweats, productive cough, transient leukopenia, lymphopenia, thrombocytopenia, and transaminitis. Evolving hypoxia and infiltrates on chest imaging warranted the trial of an investigational antiviral drug - remdesivir. Our patient recovered and was discharged after 2 weeks of hospitalization.
Conclusions:
This case highlights our patient's clinical course, including diagnostic work-up, medical management, and challenges in defining non-infectivity in a relatively unknown disease.
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