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ARTICLE IN PRESS
braz j infect dis 2 0 2 0;x x x(x x):xxx–xxx

The Brazilian Journal of

INFECTIOUS DISEASES
www.elsevier.com/locate/bjid

1 Clinical image

2 Novel coronavirus pneumonia

3 Q1 Na Wu, Yi Zhang, Yong-Sheng Yu ∗

4 University Affiliated Sixth People’s Hospital, Department of Infectious Diseases, Shanghai, China
5

6 a r t i c l e i n f o
7

8 Article history:
9 Received 17 February 2020
10 Accepted 9 March 2020
11 Available online xxx

12 A previously healthy 64-year-old female was admitted to our examination, she was febrile and tachypneic. Coarse breath 16

13 hospital with a two-day history of high fever, fatigue, and dry sounds in both lungs were heard during inspiration and expi- 17

14 cough. She had a history of recent travel from Wuhan, China, ration. Laboratory data showed a white blood cell (WBC) count 18

15 the center of an outbreak of 2019 novel coronavirus (2019- of 4.6 × 109 /L with 87.4% neutrophils and 10.0% lymphocytes. 19

nCoV), to Shanghai one day before admission. On physical Inflammatory marker levels were elevated with erythrocyte

Fig. 1 – Computed tomography (CT) scan of the chest showing bilateral multifocal ground-glass opacities on day 2 after the
onset of illness.

∗
Corresponding author.
E-mail address: yuyongshengsyy@163.com (Y. Yong-Sheng).
https://doi.org/10.1016/j.bjid.2020.03.001
1413-8670/© 2020 Published by Elsevier España, S.L.U. on behalf of Sociedade Brasileira de Infectologia. This is an open access article
under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Please cite this article in press as: Na W, et al. Novel coronavirus pneumonia. Braz J Infect Dis. 2020. https://doi.org/10.1016/j.bjid.2020.03.001
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 BJID 961 1–2
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2 b r a z j i n f e c t d i s . 2 0 2 0;x x x(x x):xxx–xxx

20 sedimentation rate (ESR) of 67 mm/h and C-reactive protein

21 (CRP) of 57.7 mg/L. A computed tomography (CT) scan of the
Acknowledgements
22 chest showed multiple ground-glass opacities in both lungs
This work was partly supported by the Medical Education 42
23 (Fig. 1). Real-time reverse transcription polymerase chain reac-
Research Project of Shanghai Jiao Tong University School of 43
24 tion assay of the material collected form patient’s throat was
Medicine (No. YB150712). 44
25 positive for the 2019-nCoV nucleic acid. Subsequently, the
26 patient was transferred to Shanghai public health clinical cen- 45

27 ter (SHPHCC), the designated hospital, for further treatment. references

46
28 She had a satisfactory response to the medical treatment and
29 was discharged upon recovery two weeks after the onset of
30 illness. 1. Wang D, Hu B, Hu C, et al. Clinical characteristics of 138 Q3 47

31 The common symptoms at onset of novel coronavirus hospitalized patients with 2019 novel coronavirus-infected 48
pneumonia in Wuhan, China. JAMA. 2020;(Feb 7), 49
32 pneumonia (NCP) are fever, fatigue, dry cough, myalgia, and
http://dx.doi.org/10.1001/jama.2020.1585 [Epub ahead of print]. 50
33 dyspnea.1 However, a significant part of NCP patients initially 2. Huang C, Wang Y, Li X, et al. Clinical features of patients 51
34 present with diarrhea and nausea prior to the development infected with 2019 novel coronavirus in Wuhan, China. Lancet. 52
35 of fever and dyspnea.1 The typical findings of chest CT scans 2020;395:497–506. 53

36 include bilateral ground-glass and consolidative opacities.1–4 3. Chen N, Zhou M, Dong X, et al. Epidemiological and clinical 54

37 Additional features, such as nodular, reticular, peripheral characteristics of 99 cases of 2019 novel coronavirus 55
pneumonia in Wuhan, China: a descriptive study. Lancet. 56
38 opacities and crazy-paving patterns may be helpful in early
2020;395:507–13. 57
39 diagnosis.4 Importantly, early diagnosis is beneficial to the
4. Chung M, Bernheim A, Mei X, et al. CT Imaging Features of 58
40 patients and the public health surveillance and response sys- 2019 Novel Coronavirus (2019-nCoV). Radiology. 2020;(Feb 4), 59
41 tems. http://dx.doi.org/10.1148/radiol.2020200230 [Epub ahead of 60
print]. 61

Conflicts of interest

Q2 The authors declare no conflicts of interest.

Please cite this article in press as: Na W, et al. Novel coronavirus pneumonia. Braz J Infect Dis. 2020. https://doi.org/10.1016/j.bjid.2020.03.001
BJID 961 1–2