@article{ajmcr20221045,
author={{Zhang, Chenglu and Cao, Haohao and Huang, Donghui and Jiang, Hongfeng},
title={Case Report of a Critically Ill Patient with COVID-19 in Early Outbreak},
journal={American Journal of Medical Case Reports},
volume={10},
number={4},
pages={101--109},
year={2022},
url={http://pubs.sciepub.com/ajmcr/10/4/5},
issn={2374-216X},
abstract={<b>Introduction: </b>Corona Virus Disease 2019 (COVID-19) has spread rapidly throughout the world. Many people died of this disease. We reported a case of critical illness with COVID-19 pneumonia that occurred in the early stage of viral spread in China and describe the identification, diagnosis, clinical course, and management of the case, including the patient¡¯s symptoms throughout the course. <b>Patient concerns: </b>This article describes the whole diagnosis and treatment process of a critically ill patient in a case report. <b>Diagnosis: </b>The patient was a physician and presented to a fever clinic with a history of treating a suspected patient without special protection the day before. After 5 days, a nucleic acid test for COVID-19 was positive. Then, the patient was transferred to the intensive care unit (ICU) immediately because of severe dyspnea. He was diagnosed with COVID-19 based on a history of exposure, severe acute respiratory syndrome, positive COVID-19 test and chest computed tomography (CT). <b>Interventions: </b>Various therapies were used in this critically ill patient, including anti-infection drugs, hormones, immunoglobulins, herbal medicine, noninvasive ventilation, and special plasma. <b>Outcomes:</b> The patient recovered completely and was discharged after one month of hospitalization. COVID-19 was tested negative and a chest CT showed marked improvement prior to discharge after 4 weeks admission. <b>Conclusion: </b>This study highlights the complexity of treatment and recurrent positivity of the critically ill COVID-19 pneumonia patient and aims to provide useful reference and information for our knowledge of the clinical spectrum of disease.},
doi={10.12691/ajmcr-10-4-5}
publisher={Science and Education Publishing}
}