The first case of COVID-19 occurring as community-acquired pneumonia in Hokkaido, Japan and our preventive measures against nosocomial infection.

COVID-19 New coronavirus pneumonia Nosocomial infection SARS-CoV-2 Steroid treatment

Journal

Respiratory medicine case reports
ISSN: 2213-0071
Titre abrégé: Respir Med Case Rep
Pays: England
ID NLM: 101604463

Informations de publication

Date de publication:
2020
Historique:
received: 26 04 2020
revised: 30 04 2020
accepted: 05 05 2020
pubmed: 12 5 2020
medline: 12 5 2020
entrez: 12 5 2020
Statut: epublish

Résumé

We report a case of a 59-year-old man with coronavirus disease 2019 (COVID-19). He had visited a hospital for fever and cough and been treated with antibiotics for pneumonia in the right upper lobe. However, he gradually progressed to dyspnea and consulted our hospital. His chest radiographs showed bilateral pneumonia shadows and his CT showed ground glass opacities and consolidation. Although we treated him with broad-spectrum antibiotics, the pneumonia shadow rapidly progressed and mechanical ventilation was administered. We collected sputum from the bronchus using bronchoscopy to detect microorganisms, and RT-PCR tests confirmed COVID-19 pneumonia. He was transferred to a designated hospital. In order to prevent the occurrence of nosocomial infections, close contacts within the hospital and medical staff were suspended from their work for two weeks. No secondary infection with COVID-19 appeared. This was the first case of COVID-19 occurring as community-acquired pneumonia in Hokkaido, Japan.

Identifiants

pubmed: 32391243
doi: 10.1016/j.rmcr.2020.101078
pii: S2213-0071(20)30188-X
pii: 101078
pmc: PMC7206437
doi:

Types de publication

Case Reports

Langues

eng

Pagination

101078

Informations de copyright

© 2020 The Authors.

Déclaration de conflit d'intérêts

No conflict of interest.

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Auteurs

Keiki Yokoo (K)

Department of Respiratory Medicine, Teine Keijinkai Hospital, Japan.

Fumiko Sugaya (F)

Department of Respiratory Medicine, Teine Keijinkai Hospital, Japan.

Suguru Matsuzaka (S)

Department of General Internal Medicine and Infectious Disease Medicine, Teine Keijinkai Hospital, Japan.

Kentaro Ueda (K)

Department of Anesthesiology Medicine, Teine Keijinkai Hospital, Japan.

Ryosuke Kamimura (R)

Department of Anesthesiology Medicine, Teine Keijinkai Hospital, Japan.

Takeshi Yokoyama (T)

Department of Anesthesiology Medicine, Teine Keijinkai Hospital, Japan.

Yoshiyasu Ambo (Y)

Department of Surgery, Medicine, Teine Keijinkai Hospital, Japan.

Gen Yamada (G)

Department of Respiratory Medicine, Teine Keijinkai Hospital, Japan.

Yoshiaki Narita (Y)

Department of Surgery, Medicine, Teine Keijinkai Hospital, Japan.

Classifications MeSH