Id |
Subject |
Object |
Predicate |
Lexical cue |
T17 |
0-6 |
Sentence |
denotes |
Case 1 |
T18 |
7-134 |
Sentence |
denotes |
A previously healthy 71-year-old man visited the Community Health Center on February 22, presenting 12 days of fever and cough. |
T19 |
135-275 |
Sentence |
denotes |
He underwent an examination of SARS-CoV-2 via real-time reverse transcription polymerase chain reaction (rRT-PCR) and diagnosed as COVID-19. |
T20 |
276-379 |
Sentence |
denotes |
He admitted to the local public medical center and 400 mg of hydroxychloroquine once daily was started. |
T21 |
380-520 |
Sentence |
denotes |
A chest radiograph obtained on day 2 showed mild opacities in the right lower lung, lopinavir/ritonavir 400 mg/100 mg twice daily was added. |
T22 |
521-613 |
Sentence |
denotes |
However, on day 3, oxygen demand increased, so he transferred to the tertiary-care hospital. |
T23 |
614-775 |
Sentence |
denotes |
At the time of arrival, the patient had no subjective dyspnea under 4 L/min oxygen flow via nasal cannula, but the respiratory rate was over 30 times per minute. |
T24 |
776-849 |
Sentence |
denotes |
Chest radiographs demonstrated rapidly aggravated bilateral infiltration. |
T25 |
850-956 |
Sentence |
denotes |
Routine blood tests found white blood cell (WBC) count at 3.53 × 103/µL, with lymphopenia of 0.4 × 103/µL. |
T26 |
957-1051 |
Sentence |
denotes |
C-reactive protein (CRP) and lactic dehydrogenase (LDH) elevated up to 59.7 mg/L and 814 IU/L. |
T27 |
1052-1184 |
Sentence |
denotes |
Routine chemistry, electrolyte, and blood coagulation tests revealed no abnormalities except mildly elevated aspartate transaminase. |
T28 |
1185-1248 |
Sentence |
denotes |
The level of interleukin 6 (IL-6) was increased as 101.3 pg/mL. |
T29 |
1249-1358 |
Sentence |
denotes |
Serial bacterial culture and polymerase chain reaction (PCR) for other respiratory viruses were all negative. |
T30 |
1359-1450 |
Sentence |
denotes |
Intubation and mechanical ventilator care were started according to the management of ARDS. |
T31 |
1451-1622 |
Sentence |
denotes |
Despite the continuous use of lopinavir/ritonavir, hydroxychloroquine and empirical antibiotics, he remained febrile with aggravated oxygenation profiles and chest images. |
T32 |
1623-1704 |
Sentence |
denotes |
Laboratory test showed further elevation of CRP (172.6 mg/L), IL-6 (208.2 pg/mL). |
T33 |
1705-1799 |
Sentence |
denotes |
On day 9, the arterial blood gas analysis showed PaO2/FiO2 of 86, consistent with severe ARDS. |
T34 |
1800-1863 |
Sentence |
denotes |
Intravenous methylprednisolone (1 mg/kg/day daily) was started. |
T35 |
1864-1981 |
Sentence |
denotes |
On day 10, convalescent plasma was obtained from a male donor in his 20s who had recovered from COVID-19 for 21 days. |
T36 |
1982-2143 |
Sentence |
denotes |
He was diagnosed as COVID-19 presenting fever, cough and pneumonia, however, showed complete recovery and didn’t have any symptom at the time of plasma donation. |
T37 |
2144-2271 |
Sentence |
denotes |
He has met the blood donor eligibility criteria for plasma donation, including age, weight, reasonable-sized antecubital veins. |
T38 |
2272-2411 |
Sentence |
denotes |
Also, allogeneic donor screening tests, defined by enforcement rules of the Blood Management Act in Korea, were acceptable for transfusion. |
T39 |
2412-2600 |
Sentence |
denotes |
Donor apheresis was performed with Spectra Optia apheresis system (CMNC software; Spectra Optia IDL Tubing set; Terumo BCT, Lakewood, CO, USA), 500 mL of convalescent plasma was collected. |
T40 |
2601-2852 |
Sentence |
denotes |
Anti-SARS-CoV-2 IgG antibody in plasma was measured by enzyme-linked immunosorbent assay (ELISA) (Novel Coronavirus COVID-19 IgG ELISA kit; Epitope Diagnostics, San Diego, CA, USA) and optical density (OD) ratio for IgG was 0.586 (cut-off value 0.22). |
T41 |
2853-2944 |
Sentence |
denotes |
The plasma was divided into two doses and administered to the patient at 12 hours interval. |
T42 |
2945-2981 |
Sentence |
denotes |
Each dose was given over for 1 hour. |
T43 |
2982-3059 |
Sentence |
denotes |
No adverse reaction occurred after the administration of convalescent plasma. |
T44 |
3060-3121 |
Sentence |
denotes |
The fever subsided, and oxygen demand decreased since day 11. |
T45 |
3122-3300 |
Sentence |
denotes |
The patient's condition much improved with decreased CRP and IL-6 to normal range (5.7 mg/L and < 1.5 pg/mL, respectively), and on day 18, PaO2/FiO2 increased up to 300 (Fig. 1). |
T46 |
3301-3377 |
Sentence |
denotes |
A chest X-ray revealed further resolution of both lung infiltrates (Fig. 2). |
T47 |
3378-3603 |
Sentence |
denotes |
SARS-CoV-2 was quantified by detection of the RNA-dependent RNA polymerase region of the ORF1b gene on rRT-PCR, the value of cycle threshold (Ct) changed from 24.98 on day 10 to 33.96 on day 20 after plasma infusion (Fig. 1). |
T48 |
3604-3641 |
Sentence |
denotes |
SARS-CoV-2 was negative after day 26. |
T49 |
3642-3748 |
Sentence |
denotes |
The patient underwent a tracheostomy and currently, is successfully weaned from the mechanical ventilator. |
T50 |
3749-4095 |
Sentence |
denotes |
Fig. 1 Case 1, responses to treatment. (A) Timelines of changes in PaO2/FiO2 and CRP during hospitalization. (B) Timelines of detection of the RNA-dependent RNA polymerase region of the ORF1b gene of severe acute respiratory syndrome coronavirus-2 in sputum by real-time reverse transcription polymerase chain reaction; cycle threshold is shown. |
T51 |
4096-4121 |
Sentence |
denotes |
CRP = C-reactive protein. |
T52 |
4122-4205 |
Sentence |
denotes |
Fig. 2 Chest X-rays of Case 1 taken before and after convalescent plasma infusion. |
T53 |
4206-4274 |
Sentence |
denotes |
Taken on day 7, just before the convalescent plasma infusion (left). |
T54 |
4275-4351 |
Sentence |
denotes |
Taken on day 13 shows marked improvement of bilateral infiltrations (right). |
T55 |
4352-4408 |
Sentence |
denotes |
The images are published under agreement of the patient. |