key: cord-1051825-l8rbaedx
authors: Klement, Elise; Godefroy, Nagisa; Burrel, Sonia; Kornblum, Dimitri; Monsel, Gentiane; Bleibtreu, Alexandre; Marcelin, Anne-Geneviève; Calvez, Vincent; Caumes, Eric; Boutolleau, David; Pourcher, Valérie
title: The first locally acquired novel case of 2019-nCoV infection in a healthcare worker in the Paris area
date: 2020-03-25
journal: Clin Infect Dis
DOI: 10.1093/cid/ciaa171
sha: ed77cf84d7fdb258fe3725f0d916d5d4017bf81c
doc_id: 1051825
cord_uid: l8rbaedx

nan

An outbreak of 2019-nCoV has spread from Wuhan, China (1)(2). On January 3 st 2020, six patients have been confirmed in France. We report the first 2019-nCoV locally acquired case in a healthcare-worker (HCW).

The patient, a 53-year-old man works as general practitioner, visiting up to 30-40 patients per day in the Paris area.

On January 23 rd , he provided care to Chinese tourists with influenza-like illness. The patients, from Wuhan, were visiting Paris with a tour group traveling through Europe (Italy, Switzerland and France) since January 15 th . The two patients had no fever, little cough and normal lung auscultation. The Taiwanese tour guide provided translation for the two patients, and appeared asymptomatic. They left France on January 25 th with the group.

On January 27 th , the Regional Health Agency informed the physician, who was asymptomatic and working without any respiratory precaution, that the tour guide had been tested positive for 2019-nCoV in Taiwan. On January 28 th , the physician presented a sore throat and 38°C fever but no respiratory sign. He self-medicated with amoxicillin and oseltamivir. On the 29 th , the patient was transferred to isolation room in the dedicated unit of our department with a slight headache and myalgia. The physical examination was normal. The blood standard tests revealed only a white-cell count at 3,5G/l. Nasopharyngeal swab and induced sputum were 

Wuhan coronavirus (2019-nCoV) global cases

Detection of 2019 novel coronavirus (2019-nCoV) by real-time RT-PCR

Early Transmission Dynamics in Wuhan, China, of Novel Coronavirus-Infected Pneumonia

We thank the patient, the nurse and the clinical staff of the Infectious Diseases and Virology Departments of Pitié-Salpêtrière hospital who provided care for the patient.Potential conflicts: Dr. Marcelin reports grants and personal fees from VIIV Healthcare, grants and personal fees from Gilead, grants and personal fees from MSD, grants and personal fees from Janssen, outside the submitted work; Dr. Calvez reports grants and personal fees from VIIV Healthcare, grants and personal fees from Gilead, grants and personal fees from MSD, grants and personal fees from Janssen, outside the submitted work; All other authors declare no conflicts of interest.