Id |
Subject |
Object |
Predicate |
Lexical cue |
T56 |
0-6 |
Sentence |
denotes |
Case 2 |
T57 |
7-154 |
Sentence |
denotes |
A 67-year-old woman with a medical history of hypertension developed fever and myalgia and diagnosed as COVID-19 via SARS-CoV-2 rRT-PCR on March 6. |
T58 |
155-346 |
Sentence |
denotes |
The next day, she was admitted to a local public medical center and received hydroxychloroquine 400 mg once daily and lopinavir/ritonavir 400 mg/100 mg twice daily with empirical antibiotics. |
T59 |
347-505 |
Sentence |
denotes |
However, on day 3, she was transferred to the tertiary-care hospital due to increased oxygen demand and worsening infiltrative shadows in the left lower lung. |
T60 |
506-642 |
Sentence |
denotes |
At that time, her oxygen saturation checked 93% on 4 L/min oxygen flow via nasal cannula with a respiratory rate of 24 times per minute. |
T61 |
643-900 |
Sentence |
denotes |
Routine blood tests showed mild leukocytosis (12.67 × 103/µL) with lymphopenia (0.7 × 103/µL), elevated CRP, IL-6 and LDH. (131.1 mg/L, 474.7 pg/mL, 344 IU/L, respectively) Routine chemistry, electrolyte, and blood coagulation tests showed no abnormalities. |
T62 |
901-980 |
Sentence |
denotes |
Bacterial cultures and the PCR for other respiratory viruses were all negative. |
T63 |
981-1143 |
Sentence |
denotes |
She received high flow oxygen therapy but bilateral infiltration and oxygenation were deteriorated, so intubation and mechanical ventilator care started on day 4. |
T64 |
1144-1212 |
Sentence |
denotes |
Intravenous methylprednisolone (0.5 mg/kg/day daily) was also added. |
T65 |
1213-1346 |
Sentence |
denotes |
She had sustained high fever with rapidly increasing CRP (314 mg/L), WBC (21.79 × 103/µL), and persistent lymphopenia (0.5 × 103/µL). |
T66 |
1347-1397 |
Sentence |
denotes |
PaO2/FiO2 fell to 76, consistent with severe ARDS. |
T67 |
1398-1554 |
Sentence |
denotes |
After applying for the prone position according to the management of ARDS with the use of steroids, chest images and the oxygen demand began to be improved. |
T68 |
1555-1671 |
Sentence |
denotes |
On day 6, convalescent plasma was obtained from a male donor in his 20s who had recovered from COVID-19 for 18 days. |
T69 |
1672-1847 |
Sentence |
denotes |
He was diagnosed as COVID-19 presenting fever, cough and pneumonia however, showed complete recovery and serial PCRs for SARS-CoV-2 were all negative after hospital discharge. |
T70 |
1848-1934 |
Sentence |
denotes |
Donor screening and plasma collection were performed as mentioned above in the Case 1. |
T71 |
1935-2035 |
Sentence |
denotes |
OD ratio for IgG was 0.532 and the plasma was administered to the patient in the same way as Case 1. |
T72 |
2036-2096 |
Sentence |
denotes |
There was no adverse reaction during the plasma transfusion. |
T73 |
2097-2188 |
Sentence |
denotes |
Leukocytosis and lymphopenia were immediately recovered after convalescent plasma infusion. |
T74 |
2189-2298 |
Sentence |
denotes |
On day 9, the density of bilateral infiltration on chest X-ray much improved with increased PaO2/FiO2 to 230. |
T75 |
2299-2366 |
Sentence |
denotes |
The level of CRP and IL-6 also recovered to the normal range (Figs. |
T76 |
2367-2376 |
Sentence |
denotes |
3 and 4). |
T77 |
2377-2508 |
Sentence |
denotes |
SARS-CoV-2 was quantified by rRT-PCR; the value of Ct changed from 20.51 on day 5 to 36.33 on day 9 after plasma infusion (Fig. 3). |
T78 |
2509-2590 |
Sentence |
denotes |
The patient is successfully extubated and discharged from the hospital on day 24. |
T79 |
2591-2628 |
Sentence |
denotes |
SARS-CoV-2 was negative after day 20. |
T80 |
2629-2975 |
Sentence |
denotes |
Fig. 3 Case 2, 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. |
T81 |
2976-3001 |
Sentence |
denotes |
CRP = C-reactive protein. |
T82 |
3002-3085 |
Sentence |
denotes |
Fig. 4 Chest X-rays of Case 2 taken before and after convalescent plasma infusion. |
T83 |
3086-3149 |
Sentence |
denotes |
Taken on day 2, before the convalescent plasma infusion (left). |
T84 |
3150-3225 |
Sentence |
denotes |
Taken on day 6 shows marked improvement of bilateral infiltrations (right). |
T85 |
3226-3282 |
Sentence |
denotes |
The images are published under agreement of the patient. |