Flight of the COVID-19 Patient: Experience With a Wuhan Evacuee

A Case Report

Sandeep Segar; Daniel Bouland; Francesca Torriani; Kevin Kwak; Deepak Asudani; Randy Taplitz; Vineet Gupta

Disclosures

J Med Case Reports. 2020;14(66) 

In This Article

Abstract and Introduction

Abstract

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.

Introduction

A cluster of unexplained pneumonia cases linked to the Huanan seafood market in Wuhan, China was first reported on December 31, 2019.[1] After testing negative for common respiratory viruses, these patients tested positive for a novel coronavirus - severe acute respiratory syndrome-related coronavirus 2 (SARS-CoV-2), which is the cause of coronavirus disease 2019 (COVID-19).[2,3] Some of these initial patients demonstrated hypoxemia, ground glass opacification on chest imaging, abnormal laboratory results - low white blood cell (WBC) count, low absolute lymphocyte count (ALC), low platelet count, elevated liver enzymes, and elevated creatinine.[2]

COVID-19 was declared a global pandemic by the World Health Organization with over 750,000 confirmed cases in over 200 countries and territories as of March 31, 2020.[4] We report the case of an early patient with COVID-19 who was evacuated from Wuhan, China and developed signs of infection at a Southern California quarantine facility. This case highlights our patient's clinical course, including relevant history, diagnostic work-up, medical management, and challenges in defining non-infectivity.

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