key: cord-1012591-9rjpw6dg
authors: Wang, Xinglei; Zhao, Jie; Wang, Xiaoyang; Jiang, Duyin
title: On the importance of establishing emergency screening from an early case of COVID-19
date: 2021-07-26
journal: Asian J Surg
DOI: 10.1016/j.asjsur.2021.06.062
sha: fde823b696a325c12694227d5ef26d4052519bf5
doc_id: 1012591
cord_uid: 9rjpw6dg

nan

3 chemotherapy and endocrine therapy after seven months following surgical excision. From January 29, 2020, to February 5, with a low fever and chest tightness, the patient sought treatment at two different hospitals. Laboratory tests were notable for a C-reactive protein (CRP) of 12.86 mg/L and a total leukocyte count of 4.56 × 10 9 /L with 57.9% neutrophils, 31.3% lymphocytes, and 10.1% monocytes. A chest computed tomography (CT) showed bilateral ground-glass opacities (GGOs) throughout both lungs, with a pure ground-glass nodule (GGN) in the lateral basal segment of the lower right lung lobe ( Figure 1A ) and a mixed GGN in the anterior basal segment of the lower left lobe ( Figure 1B ). An additional mixed GGN was seen in the posterior basal segment of the lower right lobe ( Figure 1C ). Considering the possibility that these findings, including the suspected inflammation, were consistent with cancer metastasis and an adverse drug reaction (ADR) of postoperative breast cancer radiotherapy, short-term re-examination was recommended. After that, the patient applied for admission to our hospital with chest tightness, shortness of breath, and discomfort. Coming to our hospital with no fever, she went to the outpatient clinic of the respiratory department and was given symptomatic treatment in the emergency observation room, and the symptoms seemed to be alleviated. To clarify the changes of the disease, a chest CT ( Figure 1D The patient in the isolated emergency room was rescued by staff wearing protective clothing and pharynx swab samples were collected.

If the patient needs to have a computed tomography (CT) scan, enter the mobile cabin CT room (only for COVID-19)

The patient was excluded from infection with COVID-19.

The patient was diagnosed as COVID-19.

The patients were treated according to the normal emergency diagnosis and treatment procedure.

The staff report COVID-19 's accurate diagnosis to the hospital and the CDC.

The staff of the emergency department assisted the CDC in transferring the patient to a designated hospital for treatment.

Clinical features of patients with 2019 novel coronavirus in Wuhan

We would like to acknowledge the hard and dedicated work of all the staff that implemented the intervention and evaluation components of the study.To the editor, Coronavirus Disease 2019 (COVID-19), known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has been labeled a pandemic by the