Table 1.
Patient 1 | Patient 2 | Patient 3 | Patient 4 | Patient 5 | Patient 6 | Patient 7 | Patient 8 | Patient 9 | Patient 10 | Patient | Patient | Patient | ||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
(F) | (M) | (M) | (M) | (M) | (F) | (F) | (M) | (M) | (F) | 11 (M) | 12 (M) | 13 (M) | ||
Age (years) | 14.17 | 16.5 | 1.17 | 15.11 | 0.92 | 12.5 | 3.01 | 0.33 | 5.58 | 0.75 | 17.75 | 7.58 | 11.33 | |
Presenting symptoms | Fever, abdominal pain, nausea, vomiting | Fever, lymphadenopathy, headache, diarrhea, nausea, vomiting, rash, pedal edema | Fever, diarrhea, anorexia, dyspnea, pedal edema | Fever, dyspnea | Fever, diarrhea, dyspnea, cough | Fever, cough, rash, minimal pedal edema | Fatigue, dizziness | Diarrhea, vomiting, dyspnea | Fever, limb weakness, conjunctivitis, diarrhea, dyspnea | Fever, seizure, diarrhea, vomiting | Dyspnea, cough | Fever, nausea, abdominal pain, decreased appetite | Fever, fatigue, lymphadenopathy, headache, seizure, vomiting, transient visual impairment | |
Clinical findings | Days before admission | 0 | 6 | 4 | 7 | 10 | 4 | 1 | 1 | 10 | 3 | 1 | 3 | 7 |
Comorbidities | Acute appendicitis with generalized peritonitis | None | Spastic cerebral palsy | None | None | End- stage kidney disease on hemodialysis | Total AV block, infective endocarditis | None | None | Intussusception | End- stage kidney disease on hemodialysis, focal segmental glomerulosclerosis | Acute appendicitis | Hypertensive encephalopathy, nephritic syndrome, neuromyelitis optica, optic neuritis | |
Initial oxygen supplementation therapy | No | No | Yes | Yes | Yes | No | No | No | Yes | Yes | Yes | No | Yes | |
Presence of shock | Septic shock mimic | None | Hypovolemic | Cardiogenic | Hypovolemic | None | Cardiac, hypovolemic, septic shock mimic | Hypovolemic | None | Hypovolemic | None | Septic shock mimic | None | |
Mechanical ventilation | Yes | No | Yes | No | No | No | Yes | No | Yes | Yes | Yes | No | Yes | |
Intubation | Yes | No | Yes | No | No | No | Yes | No | Yes | Yes | Yes | Yes | Yes | |
Exposure to healthcare facilities or professionals | Yes | Yes | Yes | No | Yes | No | No | Yes | Yes | No | Yes | Yes | Yes | |
History of contact with suspected or confirmed cases | No | Yes | No | No | Yes | Yes | No | No | No | No | No | No | No | |
Cause of death | Septic shock mimic | – | – | – | – | – | – | – | – | – | ARDS | – | – | |
Key initial laboratory and radiographic findings | PCR sample | Naso-oropharyngeal | Naso-oropharyngeal and rectal | Naso-oropharyngeal | Naso-oropharyngeal | Naso-oropharyngeal | Naso-oropharyngeal | Naso-oropharyngeal | Naso-oropharyngeal and rectal | Naso-oropharyngeal | Naso-oropharyngeal | Naso-oropharyngeal | Naso-oropharyngeal | Naso-oropharyngeal and ETT aspirate |
PCR results |
|
Negative | Negative | Positive |
|
Negative | Positivea | Negative | Negative | Negative | Negative | Negative | Negative | |
SARS- CoV-2 antibody test | Negative | IgG (+) | IgG (+) | IgM and IgG (+) | N/A | Negative | IgM (+) | IgG (+) | IgG (+) | IgG (+) | IgG (+) | IgM and IgG (+) | IgG (+) | |
Chest X-ray | Normal | Lower left lobe infiltrate | Bilateral infiltrate | Cardiomegaly with lung edema, thickening of hilar bilaterally | Infiltrate at right paracardial and bilateral suprahilar and perihilar infiltrate | N/A | Cardiomegaly, inhomogeneous opacity at the apex of right lung, cardiac pacemaker projected in the ventricle | Infiltrate at right upper and lower lobe and left perihilar | Normal | Normal | Inhomogeneous consolidation at both lungs | Normal | Infiltrate at both lungs | |
Echocardiography | N/A | Depressed LV function with EF 42% | Normal | Poor contractility | N/A | N/A | Vegetation (+) | N/A | N/A | N/A |
|
N/A | N/A |
Note: N/A, not available; M, male; F, female; ER, emergency room; BPM, beats per minute; L, liter; NC, nasal cannula; NRM, non-rebreathing mask; RA, room air; MV, mechanical ventilation; PCR, polymerase chain reaction; Ab, antibody; IgG, immunoglobulin G; IgM, immunoglobulin M; MAP, mean arterial pressure; CRP, C-reactive protein; LV, left ventricle; EF, ejection fraction; MR, mitral regurgitation; TR, tricuspid regurgitation; NS, normal saline; RL, ringer lactate; FiO2, fraction of inspired oxygen; ETT, endotracheal tube; ARDS, acute respiratory distress syndrome; Ct, cycle threshold; AV, atrio-ventricular.
Positive result was obtained from the referring hospital.