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LETTER TO EDITOR
J Res Med Sci 2020,  25:82

COVID-19 pneumonia with scant respiratory symptoms


1 Acquired Immunodeficiency Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
2 School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Date of Submission30-Mar-2020
Date of Decision04-Apr-2020
Date of Acceptance08-Apr-2020
Date of Web Publication31-Aug-2020

Correspondence Address:
Dr. Arash Toghyani
Isfahan University of Medical Sciences, Isfahan
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jrms.JRMS_326_20

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How to cite this article:
Shirani K, Toghyani A. COVID-19 pneumonia with scant respiratory symptoms. J Res Med Sci 2020;25:82

How to cite this URL:
Shirani K, Toghyani A. COVID-19 pneumonia with scant respiratory symptoms. J Res Med Sci [serial online] 2020 [cited 2020 Oct 24];25:82. Available from: https://www.jmsjournal.net/text.asp?2020/25/1/82/294023



Dear Editor,

The novel coronavirus COVID-19 is spreading rapidly all around the world.[1] Gradually, we are getting familiar with this virus behavior. As a clinician who is working every day in the main hospital of coronavirus – Khorshid hospital – in Isfahan, Iran, I want to write about the strange behavior of this virus.

What we see in the outpatient clinic of this hospital is a noticeable percentage of patients coming with scant signs of upper respiratory tract infection or only signs of common cold with stable vital signs and high O2 saturation that in high-resolution computed tomography scan of lungs, the typical pattern of COVID-19 viral pneumonia is apparent. This viral pneumonia with scant signs of upper respiratory tract infection and stable vital signs with good patient general condition makes us worry.[2]

Most of these patients have normal vital signs and are managed outpatient. After few days, some of them get worse. This feature shows that the clinical presentation is not enough for decision about the care of patients with new emerging infections.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Holshue ML, DeBolt C, Lindquist S, Lofy KH, Wiesman J, Bruce H, et al. First Case of 2019 Novel Coronavirus in the United States. N Engl J Med 2020;382:929-36.  Back to cited text no. 1
    
2.
Arashiro T, Furukawa K, Nakamura A. COVID-19 in 2 Persons with Mild Upper Respiratory Tract Symptoms on a Cruise Ship, Japan. Emerg Infect Dis. 2020;26:1345-8.  Back to cited text no. 2
    




 

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