All the adult patients had normal (10/14, 71.4%) or decreased (4/14, 28.6%) white blood cell counts and 10 (71.4%) have lymphopenia. There were 4 (28.6%) patients had increased CRP, PCT, Serum amyloid A (SAA), D-dimer and IL-6, meanwhile, their CT-scan showed larger lung consolidation. Compared to children, there were only two (14.3%) patients showed increased CK-MB. Ferritin in the adult patients were higher than the children but most of them were normal (11/14, 78.6%). The imaging of adult chest was mix and the most common characters of imaging were pulmonary consolidation (50%), nodular shadow (42.9%), and ground glass opacity (GGO, 35.7%) (Figure 2). Four (28.6%) adults showed normal chest imaging.
Figure 2. Lung computed tomography (CT) images of case 7 and case 8’s families. (A) The CT of their grandpa, who was 72-year-old and admitted for symptoms of high fever for 3 days. (B) CT scan of case their father, a 38-year-old patient admitted for symptoms of high fever, shortness of breath and fatigue for 10 days on his admission day. (C) Lung CT image of their mother, a 32-year-old female patient admitted for positive result of PCR (C). (D) Chest CT of the twins’ grandma, 65 years old and had fever, dry cough and chest pain for 6 days before admission.