First Case of 2019 Novel Coronavirus in the United States

被引：3193

作者：

Holshue, Michelle L. ^{[1
,6
]}

DeBolt, Chas ^{[6
]}

Lindquist, Scott ^{[6
]}

Lofy, Kathy H. ^{[6
]}

Wiesman, John ^{[6
]}

Bruce, Hollianne ^{[7
]}

Spitters, Christopher ^{[7
,10
]}

Ericson, Keith ^{[8
]}

Wilkerson, Sara ^{[9
]}

Tural, Ahmet ^{[9
]}

Diaz, George ^{[9
]}

Cohn, Amanda ^{[2
]}

Fox, LeAnne ^{[2
]}

Patel, Anita ^{[2
]}

Gerber, Susan I. ^{[3
]}

Kim, Lindsay ^{[3
]}

Tong, Suxiang ^{[3
]}

Lu, Xiaoyan ^{[3
]}

Lindstrom, Steve ^{[3
]}

Pallansch, Mark A. ^{[3
]}

Weldon, William C. ^{[3
]}

Biggs, Holly M. ^{[3
]}

Uyeki, Timothy M. ^{[4
]}

Pillai, Satish K. ^{[5
]}

机构：

[1] Ctr Dis Control & Prevent, Epidem Intelligence Serv, Atlanta, GA USA

[2] Ctr Dis Control & Prevent, Natl Ctr Immunizat & Resp Dis, Atlanta, GA USA

[3] Ctr Dis Control & Prevent, Div Viral Dis, Atlanta, GA USA

[4] Ctr Dis Control & Prevent, Influenza Div, Atlanta, GA USA

[5] Ctr Dis Control & Prevent, Div Preparedness & Emerging Infect, Atlanta, GA USA

[6] Washington State Dept Hlth, Shoreline, WA USA

[7] Snohomish Hlth Dist, Everett, WA USA

[8] Providence Med Grp, Everett, WA USA

[9] Providence Reg Med Ctr, Everett, WA USA

[10] Univ Washington, Sch Med, Dept Med, Seattle, WA 98195 USA

来源：

NEW ENGLAND JOURNAL OF MEDICINE | 2020年 / 382卷 / 10期

关键词：

D O I：

10.1056/NEJMoa2001191

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A healthy 35 year-old man who had visited Wuhan, China, presented with cough and fever that progressed to pneumonia. This report describes the diagnosis, clinical course, and management of the condition. The case highlights the importance of close coordination between clinicians and public health authorities at the local, state, and federal levels. An outbreak of novel coronavirus (2019-nCoV) that began in Wuhan, China, has spread rapidly, with cases now confirmed in multiple countries. We report the first case of 2019-nCoV infection confirmed in the United States and describe the identification, diagnosis, clinical course, and management of the case, including the patient's initial mild symptoms at presentation with progression to pneumonia on day 9 of illness. This case highlights the importance of close coordination between clinicians and public health authorities at the local, state, and federal levels, as well as the need for rapid dissemination of clinical information related to the care of patients with this emerging infection.

引用

页码：929 / 936

页数：8

共 17 条

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