A COVID-19 case report from asymptomatic contact: implication for contact isolation and incubation management

Abstract Background As of 2 March, 2020, at least 80 151 coronavirus disease 2019 (COVID-19) cases were reported in China. Most of the patients had a history of visiting Hubei Province or contacting with people who had ever stayed in or passed by Hubei Province or were exposed to symptoms. Some pati...

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Main Authors: Chang-Qiang Zhu, Shi-Ding Gao, Yan Xu, Xiao-Hong Yang, Fu-Qiang Ye, Le-Le Ai, Rui-Chen Lv, Bin Zhang, Yin Li, Heng Lv, Yun-Sheng Liu, Chun-Meng Shi, Chun-Hui Wang, Wei-Long Tan
Format: Article
Language:English
Published: BMC 2020-06-01
Series:Infectious Diseases of Poverty
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Online Access:http://link.springer.com/article/10.1186/s40249-020-00686-3
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author Chang-Qiang Zhu
Shi-Ding Gao
Yan Xu
Xiao-Hong Yang
Fu-Qiang Ye
Le-Le Ai
Rui-Chen Lv
Bin Zhang
Yin Li
Heng Lv
Yun-Sheng Liu
Chun-Meng Shi
Chun-Hui Wang
Wei-Long Tan
author_facet Chang-Qiang Zhu
Shi-Ding Gao
Yan Xu
Xiao-Hong Yang
Fu-Qiang Ye
Le-Le Ai
Rui-Chen Lv
Bin Zhang
Yin Li
Heng Lv
Yun-Sheng Liu
Chun-Meng Shi
Chun-Hui Wang
Wei-Long Tan
author_sort Chang-Qiang Zhu
collection DOAJ
description Abstract Background As of 2 March, 2020, at least 80 151 coronavirus disease 2019 (COVID-19) cases were reported in China. Most of the patients had a history of visiting Hubei Province or contacting with people who had ever stayed in or passed by Hubei Province or were exposed to symptoms. Some patients got infected through only asymptomatic contact. This study aimed to report the epidemic features and lab identification of a patient confirmed with COVID-19 infection through only asymptomatic contact. Case presentation A 44-year-old man, who lived in Nanchang, Jiangxi Province, China until 6 March 2020, suffered from cough on 27 January 2020. Fever symptoms appeared on 28 January, with a maximum temperature of 38.8 °C, accompanied by cough, sore throat, headache, fatigue, muscle ache, joint ache, and other symptoms. The symptoms continued until he was hospitalized on 30 January. Coronavirus conventional polymerase chain reaction assay was positive for the throat swab sample. The patient, along with his wife and son, drove from Nanchang to back to Honghu City, Hubei Province, on 23 January 2020. After staying with his parents and brother’s family for 3 days, the patient drove back to Nanchang and arrived on 25 January. On the way back home, they stopped by Tongshan service area, Hubei Province, without any close contact with other people. After arriving home in Nanchang City, Jiangxi Province, none of them left their residence. In addition, his parents stayed at home for 20 days with his younger brother’s family before they got back. His younger brother and one of his brother’s children visited Wuhan on 5 January and came home on 6 January 2020. Conclusions This report suggested that, in the early phase of COVID-19 pneumonia, routine screening could miss patients who were virus carriers. Highlighting travel history is of paramount importance for the early detection and isolation of severe acute respiratory syndrome coronavirus 2 cases.
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spelling doaj.art-2f1135158b034852938282d611b372bc2022-12-22T00:52:44ZengBMCInfectious Diseases of Poverty2049-99572020-06-01911710.1186/s40249-020-00686-3A COVID-19 case report from asymptomatic contact: implication for contact isolation and incubation managementChang-Qiang Zhu0Shi-Ding Gao1Yan Xu2Xiao-Hong Yang3Fu-Qiang Ye4Le-Le Ai5Rui-Chen Lv6Bin Zhang7Yin Li8Heng Lv9Yun-Sheng Liu10Chun-Meng Shi11Chun-Hui Wang12Wei-Long Tan13Centre for Diseases Prevention and Control of Eastern TheaterThe No: 908 HospitalCentre for Diseases Prevention and Control of Jiangsu ProvinceCentre for Diseases Prevention and Control of Eastern TheaterCentre for Diseases Prevention and Control of Eastern TheaterCentre for Diseases Prevention and Control of Eastern TheaterCentre for Diseases Prevention and Control of Eastern TheaterCentre for Diseases Prevention and Control of Eastern TheaterCentre for Diseases Prevention and Control of Eastern TheaterCentre for Diseases Prevention and Control of Eastern TheaterArmy Medical UniversityArmy Medical UniversityCentre for Diseases Prevention and Control of Eastern TheaterCentre for Diseases Prevention and Control of Eastern TheaterAbstract Background As of 2 March, 2020, at least 80 151 coronavirus disease 2019 (COVID-19) cases were reported in China. Most of the patients had a history of visiting Hubei Province or contacting with people who had ever stayed in or passed by Hubei Province or were exposed to symptoms. Some patients got infected through only asymptomatic contact. This study aimed to report the epidemic features and lab identification of a patient confirmed with COVID-19 infection through only asymptomatic contact. Case presentation A 44-year-old man, who lived in Nanchang, Jiangxi Province, China until 6 March 2020, suffered from cough on 27 January 2020. Fever symptoms appeared on 28 January, with a maximum temperature of 38.8 °C, accompanied by cough, sore throat, headache, fatigue, muscle ache, joint ache, and other symptoms. The symptoms continued until he was hospitalized on 30 January. Coronavirus conventional polymerase chain reaction assay was positive for the throat swab sample. The patient, along with his wife and son, drove from Nanchang to back to Honghu City, Hubei Province, on 23 January 2020. After staying with his parents and brother’s family for 3 days, the patient drove back to Nanchang and arrived on 25 January. On the way back home, they stopped by Tongshan service area, Hubei Province, without any close contact with other people. After arriving home in Nanchang City, Jiangxi Province, none of them left their residence. In addition, his parents stayed at home for 20 days with his younger brother’s family before they got back. His younger brother and one of his brother’s children visited Wuhan on 5 January and came home on 6 January 2020. Conclusions This report suggested that, in the early phase of COVID-19 pneumonia, routine screening could miss patients who were virus carriers. Highlighting travel history is of paramount importance for the early detection and isolation of severe acute respiratory syndrome coronavirus 2 cases.http://link.springer.com/article/10.1186/s40249-020-00686-3COVID-19CoronavirusInfectionParticular contacting
spellingShingle Chang-Qiang Zhu
Shi-Ding Gao
Yan Xu
Xiao-Hong Yang
Fu-Qiang Ye
Le-Le Ai
Rui-Chen Lv
Bin Zhang
Yin Li
Heng Lv
Yun-Sheng Liu
Chun-Meng Shi
Chun-Hui Wang
Wei-Long Tan
A COVID-19 case report from asymptomatic contact: implication for contact isolation and incubation management
Infectious Diseases of Poverty
COVID-19
Coronavirus
Infection
Particular contacting
title A COVID-19 case report from asymptomatic contact: implication for contact isolation and incubation management
title_full A COVID-19 case report from asymptomatic contact: implication for contact isolation and incubation management
title_fullStr A COVID-19 case report from asymptomatic contact: implication for contact isolation and incubation management
title_full_unstemmed A COVID-19 case report from asymptomatic contact: implication for contact isolation and incubation management
title_short A COVID-19 case report from asymptomatic contact: implication for contact isolation and incubation management
title_sort covid 19 case report from asymptomatic contact implication for contact isolation and incubation management
topic COVID-19
Coronavirus
Infection
Particular contacting
url http://link.springer.com/article/10.1186/s40249-020-00686-3
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