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        Unidentified pneumonia in Wuhan, China: 61 year old male


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Wuhan Municipal Health Committee issued a report on viral pneumonia of unknown causes in the early morning of January 11, indicating that as of 24:00 on January 10, 41 cases of pneumonia with new coronavirus infection had been preliminarily diagnosed, including 2 discharged cases, 7 severe cases and 1 death. The rest of the patients were in stable condition.
Wuhan Municipal Health and health commission later released an expert interpretation of the latest Circular on its official website. According to reports, the dead patient was a male, 61 years old, admitted due to respiratory failure, severe pneumonia, and suffering from abdominal tumor and chronic liver disease. The patient purchases goods in South China seafood market of Wuhan all year round.
Q: how are the cases diagnosed?
Answer: according to the patient's clinical manifestations, epidemiological history and the results of etiology test.
Q: what are the characteristics of the clinical manifestations of this epidemic case?
A: the clinical manifestations are fever, fatigue and other systemic symptoms, accompanied by dry cough, and dyspnea is more common in hospitalized patients. The vital signs of most patients were stable at admission.
Q: there is a case of death at present. What is the specific situation?
Answer: the patient is a male, 61 years old. He was admitted to the hospital due to respiratory failure and severe pneumonia. At the same time, he suffered from abdominal tumor and chronic liver disease. The patient purchases goods in South China seafood market of Wuhan all year round. After the treatment of symptomatic support, anti infection, ventilator assisted respiration, and continuous ECMO in vitro life support, the symptoms did not improve. On the night of January 9, 2020, the heartbeat stopped, and died after ineffective rescue. The results of etiology showed that the new coronavirus was positive for nucleic acid. Death was diagnosed as severe pneumonia, acute respiratory distress syndrome (severe), septic shock, multiple organ failure, severe acid-base metabolic disorder, cirrhosis. The direct cause of death was respiratory and circulatory failure.


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