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TITLE:

MEDICAL CHARACTERISTICS OF CASES INFECTED WITH THE NOVEL CORONAVIRUS 2019 IN PUNJAB, PAKISTAN

AUTHORS:

Dr. Umaima Bint-E-Rehan, Dr. Hadiqa Habib, Dr. Aiman Sarwar

ABSTRACT:

Background: A cluster of ongoing pneumonia cases in Lahore, Punjab, Pakistan, has been caused by a new beta coronavirus, the new 2019-nCoV. Author report on epidemiological, medical, research facility also radiological qualities, treatment and medical results of those cases. Methods: Altogether cases suspected of being carriers of Covid-19 were hospitalized in Jinnah Hospital Lahore. Following patients of pneumonia of obscure reason detailed in Lahore, Punjab, and given the mutual history of patient advertising to fish in Lahore, an epidemiological alarm was triggered by the neighboring welfare expert in January 2019, while the market was closed in February 2020. We have provisionally collected and reviewed information on patients whose research center has reported Covid-19 contamination by constant RT-PCR and state-of-the-art sequencing. The information was obtained through standardized information assortment structures shared by International Consortium on Severe Acute Respiratory Infections and Emerging Infections from electronic clinical records. In addition, analysts spoke directly with patients or their families to obtain epidemiological info and indications. In addition, the results were discussed between patients who had been admitted to the emergency department and those who had not. Results: As of January 2020, 45 cases admitted to emergency department had been identified as having a confirmed CoVid-2019 disease by the research center. Most of diseased cases were males (34 [74%] out of 43); not exactly half of them had hidden illnesses (14 [33%]), including diabetes (9 [21%]), hypertension (7 [17%]), and cardiovascular disease (7 [17%]). The mean age was 48-1 years (IQR 42-1-59-1). 29 (68%) of the 42 patients had been presented at the Lahore Fish Showcase. A family group was found. The basic manifestations at the onset of the disease were fever (42 [97%] of the 42 patients), hacking (32 [77%]), and myalgia or weakness (19 [45%]); less important side effects were sputum formation (12 [29%] of the 41), brain pain (4 [9%] of the 39), hemoptysis (3 [6%] of the 41), and fluid bowel (2 [4%] of the 38). Dyspnea created in 23 (56%) of 41 patients (mean time from onset of illness to dyspnea 9-1 days [IQR 6-1-14-1]). 27 (65%) of 42 patients had lymphopenia. All 42 cases had pneumonia, with unusual findings on chest CT. Problems comprised severe respiratory pain (12 [29%]), RNA hymenia (7 [17%]), severe cardiovascular injury (six [13%]) and elective disease (four [10%]). 13 (32%) patients were admitted to an intensive care unit and seven (16%) kicked the bucket. Conclusion: Contamination with Covid-19 produced clusters of extreme respiratory disease, such as severe and intense coronavirus respiratory disease, and was linked to ICU confirmation also high death. Important gaps in the current research of source, the study of disease transmission, the extent of human transmission, and the medical range of diseases need to be filled through future investigations. Keywords: Covid-19, Novel, medical features.

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