Table 1.
Case Patient | ||||
---|---|---|---|---|
Characteristics | Index/A | B | C | D |
General | ||||
Sex | Male | Female | Male | Male |
Age, y | 70 | 69 | 65 | 46 |
Occupation | Retired cadre worker | Housewife | Folk mortician | Village doctor |
Medical history | Hypertension, thyroidectomy | No relevant history | Hypertension | Hepatitis B, diabetes |
Relationship with index case patient (case patient A) | Self | Spouse | Prepared body for burial (dressed and placed in coffin) | Provided medical service |
Date of illness onset | 10 July 2015 | 26 July 2015 | 26 July 2015 | 31 July 2015 |
Date of hospitalization | 12 July 2015 | 29 July 2015 | 4 August 2015 | 4 August 2015 |
Clinical symptoms | ||||
Fever, maximum body temperature, °C | 38.8 | 39.6 | 39.0 | 40.0 |
Chills | Yes | Yes | Yes | No |
Headache | Yes | Yes | Yes | No |
Muscular stiffness | Yes | Yes | Yes | Yes |
Low back pain | Yes | No | Yes | No |
Fatigue | Yes | Yes | Yes | Yes |
Anoxia | Yes | Yes | Yes | Yes |
Nausea | Yes | Yes | No | No |
Vomiting | Yes | Yes | Yes | No |
Abdominal pain and/or distension | No | No | Yes | No |
Diarrhea | Yes | Yes | No | No |
Neurological symptoms | Yes | Yes | No | No |
Skin petechiae | Yes | No | No | No |
Superficial lymphadenopathy | No | No | No | No |
Hematemesis | Yes | No | No | No |
Hematuria | Yes | Yes | No | No |
Hematochezia | Yes | Yes | No | No |
Laboratory findings | ||||
Cell count, ×109/L | ||||
WBCs | 3.21 | 1.00 | 1.74 | 1.07 |
Lymphocytes | 0.80 | 0.41 | 0.66 | 0.42 |
Platelets | 44 | 96 | 89 | 88 |
ALT, U/L | 138 | 41 | 20 | 202 |
AST, U/L | 1154 | 86 | 35 | 219 |
Prothrombin time, s | 19.1 | Not tested | 11.9 | 13.4 |
aPTT, s | 106.8 | Not tested | 37.7 | 46.9 |
Urine protein | Not tested | Not tested | 1+ | 2+ |
Abbreviations: ALT, alanine aminotransferase; aPTT, activated partial thromboplastin time; AST, aspartate aminotransferase; WBCs, white blood cells, 1+, urinary protein concentration of 0.2-1.0g/L; 2+, urinary protein concentration of 1.0-2.0g/L.