2019 novel coronavirus (2019-nCoV) outbreak: A new challenge

Objectives: Following the public-health emergency of international concern (PHEIC) declared by the World Health Organization (WHO) on 30 January 2020 and the recent outbreak caused by 2019 novel coronavirus (2019-nCoV) [officially renamed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)]...

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Main Authors: Tommaso Lupia, Silvia Scabini, Simone Mornese Pinna, Giovanni Di Perri, Francesco Giuseppe De Rosa, Silvia Corcione
Format: Article
Language:English
Published: Elsevier 2020-06-01
Series:Journal of Global Antimicrobial Resistance
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213716520300503
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author Tommaso Lupia
Silvia Scabini
Simone Mornese Pinna
Giovanni Di Perri
Francesco Giuseppe De Rosa
Silvia Corcione
author_facet Tommaso Lupia
Silvia Scabini
Simone Mornese Pinna
Giovanni Di Perri
Francesco Giuseppe De Rosa
Silvia Corcione
author_sort Tommaso Lupia
collection DOAJ
description Objectives: Following the public-health emergency of international concern (PHEIC) declared by the World Health Organization (WHO) on 30 January 2020 and the recent outbreak caused by 2019 novel coronavirus (2019-nCoV) [officially renamed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)] in China and 29 other countries, we aimed to summarise the clinical aspects of the novelBetacoronavirus disease (COVID-19) and its possible clinical presentations together with suggested therapeutic algorithms for patients who may require antimicrobial treatment. Methods: The currently available literature was reviewed for microbiologically confirmed infections by 2019-nCoV or COVID-19 at the time of writing (13 February 2020). A literature search was performed using the PubMed database and Cochrane Library. Search terms included ‘novel coronavirus’ or ‘2019-nCoV’ or ‘COVID-19’. Results: Published cases occurred mostly in males (age range, 8–92 years). Cardiovascular, digestive and endocrine system diseases were commonly reported, except previous chronic pulmonary diseases [e.g. chronic obstructive pulmonary disease (COPD), asthma, bronchiectasis] that were surprisingly underreported. Fever was present in all of the case series available, flanked by cough, dyspnoea, myalgia and fatigue. Multiple bilateral lobular and subsegmental areas of consolidation or bilateral ground-glass opacities were the main reported radiological features of 2019-nCoV infection, at least in the early phases of the disease. Conclusion: The new 2019-nCoV epidemic is mainly associated with respiratory disease and few extrapulmonary signs. However, there is a low rate of associated pre-existing respiratory co-morbidities.
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spelling doaj.art-b0c83cf9b10745068ccac9ebebf876cb2022-12-21T17:44:14ZengElsevierJournal of Global Antimicrobial Resistance2213-71652020-06-012122272019 novel coronavirus (2019-nCoV) outbreak: A new challengeTommaso Lupia0Silvia Scabini1Simone Mornese Pinna2Giovanni Di Perri3Francesco Giuseppe De Rosa4Silvia Corcione5Corresponding author. Present address: Department of Medical Sciences, Unit of Infectious Diseases Unit, University of Turin, Turin, Italy.; Department of Medical Sciences, Unit of Infectious Diseases, University of Turin, Turin, ItalyDepartment of Medical Sciences, Unit of Infectious Diseases, University of Turin, Turin, ItalyDepartment of Medical Sciences, Unit of Infectious Diseases, University of Turin, Turin, ItalyDepartment of Medical Sciences, Unit of Infectious Diseases, University of Turin, Turin, ItalyDepartment of Medical Sciences, Unit of Infectious Diseases, University of Turin, Turin, ItalyDepartment of Medical Sciences, Unit of Infectious Diseases, University of Turin, Turin, ItalyObjectives: Following the public-health emergency of international concern (PHEIC) declared by the World Health Organization (WHO) on 30 January 2020 and the recent outbreak caused by 2019 novel coronavirus (2019-nCoV) [officially renamed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)] in China and 29 other countries, we aimed to summarise the clinical aspects of the novelBetacoronavirus disease (COVID-19) and its possible clinical presentations together with suggested therapeutic algorithms for patients who may require antimicrobial treatment. Methods: The currently available literature was reviewed for microbiologically confirmed infections by 2019-nCoV or COVID-19 at the time of writing (13 February 2020). A literature search was performed using the PubMed database and Cochrane Library. Search terms included ‘novel coronavirus’ or ‘2019-nCoV’ or ‘COVID-19’. Results: Published cases occurred mostly in males (age range, 8–92 years). Cardiovascular, digestive and endocrine system diseases were commonly reported, except previous chronic pulmonary diseases [e.g. chronic obstructive pulmonary disease (COPD), asthma, bronchiectasis] that were surprisingly underreported. Fever was present in all of the case series available, flanked by cough, dyspnoea, myalgia and fatigue. Multiple bilateral lobular and subsegmental areas of consolidation or bilateral ground-glass opacities were the main reported radiological features of 2019-nCoV infection, at least in the early phases of the disease. Conclusion: The new 2019-nCoV epidemic is mainly associated with respiratory disease and few extrapulmonary signs. However, there is a low rate of associated pre-existing respiratory co-morbidities.http://www.sciencedirect.com/science/article/pii/S2213716520300503Coronavirus2019-nCoVCOVID-19PneumoniaSAR-CoV-2Outbreak
spellingShingle Tommaso Lupia
Silvia Scabini
Simone Mornese Pinna
Giovanni Di Perri
Francesco Giuseppe De Rosa
Silvia Corcione
2019 novel coronavirus (2019-nCoV) outbreak: A new challenge
Journal of Global Antimicrobial Resistance
Coronavirus
2019-nCoV
COVID-19
Pneumonia
SAR-CoV-2
Outbreak
title 2019 novel coronavirus (2019-nCoV) outbreak: A new challenge
title_full 2019 novel coronavirus (2019-nCoV) outbreak: A new challenge
title_fullStr 2019 novel coronavirus (2019-nCoV) outbreak: A new challenge
title_full_unstemmed 2019 novel coronavirus (2019-nCoV) outbreak: A new challenge
title_short 2019 novel coronavirus (2019-nCoV) outbreak: A new challenge
title_sort 2019 novel coronavirus 2019 ncov outbreak a new challenge
topic Coronavirus
2019-nCoV
COVID-19
Pneumonia
SAR-CoV-2
Outbreak
url http://www.sciencedirect.com/science/article/pii/S2213716520300503
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