COVID-19

COVID-19 Insights: Cases, Test Accuracy

COVID-19 cases, Antibody Tests Less Accurate

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Medical Doctor 24 y old, assigned to COVID-19 patients. Gets flu like symptoms after a few weeks.

Develops shortness of breath to the point that she walks with small steps. Palpitations. Dry cough mild.

Cough subsided.

Develops intermittent fever.

Dry cough resumed after 10 days.

I prescribe the treatment that I use for outpatient. Recovers in four days.

Sister 19 y old, develops flu like symptoms, fever, and then becomes OK in two days.

Still have dry cough.

Three brothers. All young 22, 20, 18. No symptoms. One brother complained of slight scratchy throat.

Mother 50 years old, diabetic, hypertensive, taking anxiolytics. Develops dry throat, tachycardia, tachypnea, clear chest. Upset stomach and diarrhea.

Labs show: IgM and IgG for typhoid positive.
CRP 14.9 normal more than 5 mg/L
ESR 73 mm/hour – normal 0-15 mm/hour

HbA1C 5.8% – good index 4.0-5.6%
Chest clear
Chest X-Ray

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Working in a small clinic
One of the nurses decided to visit NY during the early days.
Came back and developed flu like symptoms
Tested positive in a few days.
During this time, he interacted with other staff members as usual.
One more staff member became ill with similar symptoms. Tested positive in a few days.
One NP developed the symptoms. Was given an off to isolate. Tested negative.
Recovered in a few days and went back to the work.

One more case
Father 67 y old. Develops fever and flu like symptoms for four days. Intermittent fever low grade. Diabetic, hypertensive …
All children up to age of 24 are fine.
Mother age 47 is fine.

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Male 47 y of age. Diabetic. Develops flu like symptoms. Start using hot water and steam. Develops shortness of breath. Calls for help, on ventilator for 50 days.

Sedated, unable to resume breathing – either too exhausted or neurological issues.
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Sensitivity and Specificity

We will discuss the CDC’s message tomorrow
CDC about the COVID-19 testing and the issues with the testing.
Interim Guidelines for COVID-19 Antibody Testing | CDC

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