1921
Volume 103, Issue 1
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract.

We report a young Thai man from the Thai-Myanmar border suffering from 2 days of fever and myalgia without respiratory tract signs or symptoms. He reported no history of travel through an area with confirmed COVID-19 cases or contact with sick persons. After excluding malaria and dengue, which are common causative agents of acute undifferentiated febrile illness (AUFI) in Thailand, chest radiography was performed according to the patient triage protocol of our institute for AUFI during the COVID-19 outbreak. Chest radiography revealed findings compatible with pneumonia. Nasopharyngeal, throat, and sputum samples tested positive for SARS-CoV-2 by real-time reverse transcriptase–PCR. The preadmission diagnosis of COVID-19 in this patient enabled appropriate management and isolation to prevent nosocomial transmission. Fever and nonspecific symptoms and laboratory results in early COVID-19 may be difficult to distinguish from tropical infectious diseases, especially when respiratory signs and symptoms are absent. This fact necessitates vigilant awareness in clinical investigation, management, and infection control, especially in tropical resource-limited settings.

[open-access] This is an open-access article distributed under the terms of the Creative Commons Attribution (CC-BY) License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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References

  1. Crump JA, Kirk MD, 2015. Estimating the burden of febrile illnesses. PLoS Negl Trop Dis 9: e0004040.
    [Google Scholar]
  2. World Health Organization, 2020. Novel Coronavirus (2019-nCoV) Situation Report -51. Available at: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200311-sitrep-51-covid-19.pdf?sfvrsn=1ba62e57_10. Accessed April 25, 2020.
    [Google Scholar]
  3. Guan WJ et al., China Medical Treatment Expert Group for COVID-19, 2020. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med 382: 17081720.
    [Google Scholar]
  4. (COVID-19 Clinical Management Oversight Committee) Department of Medical Services Thai Ministry of Public Health, 2020. Guidelines for Clinical Practice, Diagnosis, Treatment and Prevention of Healthcare-Associated Infection in Response to Patients with COVID-19 Infection (30 March 2020). Available at: https://ddc.moph.go.th/viralpneumonia/file/g_health_care/g05n.pdf. Accessed April 25, 2020.
    [Google Scholar]
  5. Luvira V, Silachamroon U, Piyaphanee W, Lawpoolsri S, Chierakul W, Leaungwutiwong P, Thawornkuno C, Wattanagoon Y, 2019. Etiologies of acute undifferentiated febrile illness in Bangkok, Thailand. Am J Trop Med Hyg 100: 622629.
    [Google Scholar]
  6. Ellis RD et al., 2006. Causes of fever in adults on the Thai-Myanmar border. Am J Trop Med Hyg 74: 108113.
    [Google Scholar]
  7. Suputtamongkol Y et al., 2010. Strategies for diagnosis and treatment of suspected leptospirosis: a cost-benefit analysis. PLoS Negl Trop Dis 4: e610.
    [Google Scholar]
  8. Hunt M, Koziatek C, 2020. A case of COVID-19 pneumonia in a young male with full body rash as a presenting symptom. Clin Pract Cases Emerg Med 4: 219221.
    [Google Scholar]
  9. Lorenz C, Azevedo TS, Chiaravalloti-Neto F, 2020. COVID-19 and dengue fever: a dangerous combination for the health system in Brazil. Travel Med Infect Dis 101659. Available at: https://doi.org/10.1016/j.tmaid.2020.101659.
    [Google Scholar]
  10. Navarro JC, Arrivillaga-Henriquez J, Salazar-Loor J, Rodriguez-Morales AJ, 2020. COVID-19 and dengue, co-epidemics in Ecuador and other countries in Latin America: pushing strained health care systems over the edge. Travel Med Infect Dis 101656.
    [Google Scholar]
  11. Chanda-Kapata P, Kapata N, Zumla A, 2020. COVID-19 and malaria: a symptom screening challenge for malaria endemic countries. Int J Infect Dis 94: 151153.
    [Google Scholar]
  12. Yan G et al., 2020. Covert COVID-19 and false-positive dengue serology in Singapore. Lancet Infect Dis 20: 536.
    [Google Scholar]
  13. (COVID-19 Clinical Management Oversight Committee) Department of Medical Services Thai Ministry of Public Health, 2020. Guidelines for Clinical Practice, Diagnosis, Treatment and Prevention of Healthcare-Associated Infection in Response to Patients with COVID-19 Infection (1 May 2020).
    [Google Scholar]
  14. Wong HYF et al., 2020. Frequency and distribution of chest radiographic findings in COVID-19 positive patients. Radiology 201160. Available at: https://doi.org/10.1148/radiol.2020201160.
    [Google Scholar]
  15. Sivakorn C, Luvira V, Muangnoicharoen S, Piroonamornpun P, Ouppapong T, Mungaomklang A, Iamsirithaworn S, 2020. Case report: walking pneumonia in novel coronavirus disease (COVID-19): mild symptoms with marked abnormalities on chest imaging. Am J Trop Med Hyg 102: 940942.
    [Google Scholar]
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  • Received : 08 May 2020
  • Accepted : 09 May 2020
  • Published online : 15 May 2020
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