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. 2020 Apr 6;102(6):1309–1315. doi: 10.4269/ajtmh.19-0576

Table 2.

Summary of main laboratory findings and treatment

Subject Met MoPH case definition Yersinia pestis status Reported antibiotics Serum antibiotics Bld and Spt cultures White blood cell count (%Neu) C-reactive protein (mg/L) PCR Nas ATB (days) Outcome (day) Final classification (MoPH)
1 Yes NS and SC Gent Co-trim and cipro 7.73 (86) 134 ADV Gent (4) and cipro (10) Alive (D12) Confirmed
2 No Co-trim Co-trim 9.23 (64) 5 ADV Strepto (8) Alive (D8) Suspected
3 No Co-trim, and gent Co-trim 4.81 (83) 36 ADV Levoflo (10) Alive (D9) Suspected
4 No None None 11,08 (68) 5 ADV Strepto (8) Alive (D8) Suspected
5 No None None 8.22 (67) 41 HRV Strepto (8) Alive (D8) Suspected
6 No Cipro None 13.7 (90) 89 ADV Strepto (1)* Alive (D5) Suspected
7 No RDT+ and IgG+ Unknown med Doxy n/a n/a ADV/Sa Levoflo (10)† Alive (D14) Probable
8 Yes Co-trim Co-trim 11.9 (71) 75 HRV‡/Sp Levoflo (7) Alive (D8) Suspected
9 No None Co-trim 7.23 (71) 5 NL63/ADV Strepto (8) Alive (D8) Suspected
10 Yes RDT+, PCR+, and SC None None Kp (Spt) 34.74 (79) 323 HPEV Gent (3) and levoflo (10) Alive (D14) Confirmed
11 No NS and rest− None None n/a n/a HRV/Sp Strepto (1) and cipro (2)* Alive (D2) Suspected
12 No None None 2.15 (60) 158 Influenza virus A‡/Sp Gent (2), levoflo (2), and ceftri (6) Alive (D8) Suspected
13 No NS and rest− Gent None n/a n/a ADV‡/Sp None Alive (D2) Suspected
14 No RDT+ Unknown med None 5.39 (62) 16 n/a Levoflo (5) Alive (D5) Probable
15 Yes None Doxy Sa (Bld) n/a n/a NL63‡/Sa Gent (4) and cipro (4) Alive (D4)§ Suspected
16 Yes Unknown med Cipro n/a n/a n/a Gent (1) Died (D1) Suspected
17 No Cipro None 4.74 (38) 5 n/a Strepto (8) Alive (D8) Suspected
18 No None Co-trim Sp (Bld) 11.75 (74) 74 n/a Strepto (8) Alive (D8) Suspected
19 No None Co-trim and gent 25.93 (87) 129 HPEV‡/Sp Strepto (8) Alive (D8) Suspected
20 Yes None Co-trim 25.37 (88) 157 ADV Strepto (8) Alive (D8) Suspected

ADV = adenovirus; ATB = antibiotics received during hospital admission (with duration in days); Bld = blood; Cipro = ciprofloxacin; Co-trim = co-trimoxazole; Doxy = serum antibiotics; Gent = gentamicin; HPEV = paraechovirus; HRV = rhinovirus; MoPH = Ministry of Public Health; n/a: not available; NL63 = coronavirus NL63; NS = no sputum; PCR Nas = polymerase chain reaction on nasopharyngeal swab; RDT = rapid diagnostic test; Spt = sputum; Unknown med = unknown medication; %Neu = percentage of neutrophils.

* Antibiotics discontinued.

† Antibiotic started 4 days after inclusion.

‡ Multiple viruses detected on PCR, only virus with the lowest cycle threshold is shown.

§ Self-discharge against medical advice (ciprofloxacin was continued after discharge).