Id |
Subject |
Object |
Predicate |
Lexical cue |
T27 |
0-10 |
Sentence |
denotes |
Background |
T28 |
11-113 |
Sentence |
denotes |
In December 2019, several cases of an unidentified pneumonia occurred in the province of Hubei, China. |
T29 |
114-250 |
Sentence |
denotes |
With the use of next-generation sequencing, the Wuhan Institute of Virology identified a new coronavirus as the etiological agent [1,2]. |
T30 |
251-380 |
Sentence |
denotes |
This new virus, which belongs to the genus betacoronavirus, was initially acknowledged as novel coronavirus 2019 (2019-nCOV) [3]. |
T31 |
381-558 |
Sentence |
denotes |
On 11 February 2020, the virus was officially renamed the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) by the International Committee on Taxonomy of Viruses [4]. |
T32 |
559-714 |
Sentence |
denotes |
Since then the virus has rapidly spread and on the 18th of July 2020, over 14 million confirmed cases and 600 000 direct casualties have been reported [5]. |
T33 |
715-880 |
Sentence |
denotes |
So far, implementation of strict quarantine measures have contained further exponential spreading of the virus in Europe and have flattened the first epidemic curve. |
T34 |
881-1051 |
Sentence |
denotes |
Considering the extent of the pandemic, its socio-economic impact, and the effect on healthcare systems worldwide, there is a high need to extend the diagnostic capacity. |
T35 |
1052-1227 |
Sentence |
denotes |
So far, the gold standard for the diagnosis of SARS-CoV-2, implemented at the start of the outbreak, is real-time reverse transcriptase polymerase chain reaction (RT-PCR) [6]. |
T36 |
1228-1378 |
Sentence |
denotes |
In contrast with a high specificity up to 98.8% [7], RT-PCR suffers from a rather long turnaround time when performed in batch testing (2 to 6 hours). |
T37 |
1379-1456 |
Sentence |
denotes |
Continuous PCR testing has a faster turnaround time (1 u) but a low capacity. |
T38 |
1457-1619 |
Sentence |
denotes |
False negative results in both the very early as well as the late phase of the disease due to low virus shedding at these stages of infection are reported [8–10]. |
T39 |
1620-1725 |
Sentence |
denotes |
Studies have shown discrepant results between RT-PCR and chest computed tomography (CT) findings [11,12]. |
T40 |
1726-1896 |
Sentence |
denotes |
CT imaging findings in 30 patients with suspicion of COVID-19 pneumonia were shown to have a sensitivity of 97.2% compared to 83.3% of initial nasopharyngeal RT-PCR [13]. |
T41 |
1897-2008 |
Sentence |
denotes |
Establishing the diagnosis of COVID-19 is sometimes very challenging and does not only rely on molecular tests. |
T42 |
2009-2171 |
Sentence |
denotes |
We report on two patients who presented at the emergency department with high suspicion of COVID-19 infection based on clinical findings and/or chest-CT findings. |
T43 |
2172-2288 |
Sentence |
denotes |
Nevertheless, SARS-CoV-2 RT-PCR testing was repeatedly negative on repetitive nasopharyngeal, throat and anal swabs. |
T44 |
2289-2400 |
Sentence |
denotes |
Case 1 was a 66 year old male experiencing symptoms of shortness of breath, fever and muscle pain since 8 days. |
T45 |
2401-2450 |
Sentence |
denotes |
Lab findings showed thrombopenia (87,000/µL, ref. |
T46 |
2451-2497 |
Sentence |
denotes |
149,000–31,9000/µL), lymphopenia (930/µL, ref. |
T47 |
2498-2554 |
Sentence |
denotes |
1,133–3,105/µL), normal neutrophil count (2,980/µL, ref. |
T48 |
2555-2603 |
Sentence |
denotes |
1,573–6,100/µL) low eosinophil count (0/µL, ref. |
T49 |
2604-2650 |
Sentence |
denotes |
28–273/µL), normal basophil count (10/µL, ref. |
T50 |
2651-2765 |
Sentence |
denotes |
6–50/µL), elevated D-dimers (1,480 ng/mL, ref. <500 ng/mL) and elevated C-reactive protein (29 mg/L, ref <5 mg/L). |
T51 |
2766-2965 |
Sentence |
denotes |
Chest CT on the day of admission showed bilateral ground glass opacities with a crazy paving pattern suspicious for COVID-19 (CT severity score of 10 or CO-RADS classification of 4: COVID-19 likely). |
T52 |
2966-3173 |
Sentence |
denotes |
Repetitive nasopharyngeal swabs on day 8, 9, 12 and 13 as well as anal swabs on day 9 and 13 after symptom onset were all SARS-CoV-2 RT-PCR negative using the protocol described by Corman and colleagues [6]. |
T53 |
3174-3305 |
Sentence |
denotes |
Serology on day 13 after symptom onset indicated negative IgM but positive IgG (Prima Professional®, Point-Of-Care antibody Tests). |
T54 |
3306-3437 |
Sentence |
denotes |
On day 13, the patient was admitted to the intensive care unit (ICU) because of type 1 respiratory insufficiency (pO2 60 mmHg, ref. |
T55 |
3438-3470 |
Sentence |
denotes |
83–108 mm Hg; pCO2 31 mmHg, ref. |
T56 |
3471-3497 |
Sentence |
denotes |
35–45 mm Hg; pH 7.46, ref. |
T57 |
3498-3509 |
Sentence |
denotes |
7.35–7.45). |
T58 |
3510-3552 |
Sentence |
denotes |
He did not require mechanical ventilation. |
T59 |
3553-3609 |
Sentence |
denotes |
Based on these findings, he was diagnosed with COVID-19. |
T60 |
3610-3757 |
Sentence |
denotes |
Case 2 was a 14 year old child presenting at the emergency room with 3 days of fever > 39°C, muscle pain, cough, sore throat, headache and fatigue. |
T61 |
3758-3887 |
Sentence |
denotes |
The girl’s father had suffered from fever and respiratory symptoms after contact with multiple COVID-19 patients 4 weeks earlier. |
T62 |
3888-4050 |
Sentence |
denotes |
On day 4 after symptom onset, there was a clinical deterioration to refractory shock and multi-organ failure with hypotension and respiratory and cardiac failure. |
T63 |
4051-4100 |
Sentence |
denotes |
Lab findings showed thrombopenia (89,000/µL, ref. |
T64 |
4101-4147 |
Sentence |
denotes |
154,000–452,000/µL), lymphopenia (162/µL, ref. |
T65 |
4148-4204 |
Sentence |
denotes |
1,500–6,500/µL), normal neutrophil count (7,564/µL, ref. |
T66 |
4205-4256 |
Sentence |
denotes |
2,500–8,000), normal eosinophil count (283/µL, ref. |
T67 |
4257-4300 |
Sentence |
denotes |
100–500/µL), low basophil count (0/µL, ref. |
T68 |
4301-4415 |
Sentence |
denotes |
10–100/µL), elevated D-dimers (4,420 ng/mL, ref. <500 ng/mL) and high C-reactive protein (308 mg/L, ref. <5 mg/L). |
T69 |
4416-4463 |
Sentence |
denotes |
Chest CT did not show signs of viral pneumonia. |
T70 |
4464-4526 |
Sentence |
denotes |
Echocardiography revealed decreased left ventricular function. |
T71 |
4527-4597 |
Sentence |
denotes |
She responded well to supportive therapy and corticosteroid treatment. |
T72 |
4598-4691 |
Sentence |
denotes |
Throat swabs on day 3 and 5 after symptom onset were negative for SARS-CoV-2 with RT-PCR [6]. |
T73 |
4692-4794 |
Sentence |
denotes |
Serology on day 8 after symptom onset was negative for IgM but positive for IgG (Prima Professional®). |
T74 |
4795-4908 |
Sentence |
denotes |
She was diagnosed with pediatric inflammatory multisystem syndrome temporally associated with COVID-19 (PIMS-TS). |
T75 |
4909-5024 |
Sentence |
denotes |
The case reports mentioned above point out the potential of serological assays to add to the diagnosis of COVID-19. |
T76 |
5025-5130 |
Sentence |
denotes |
So far, a large number of serological assays have been developed in response to the diagnostic need [14]. |
T77 |
5131-5247 |
Sentence |
denotes |
Data on the validation and comparison of the performance of these assays are emerging but are still limited [15–18]. |
T78 |
5248-5424 |
Sentence |
denotes |
Since antibody production by the specific immune system is subject to delay, a lower diagnostic performance of serological assays in the early phase of the disease is expected. |
T79 |
5425-5543 |
Sentence |
denotes |
So far, studies have revealed that antibodies could be detected as early as 3–6 days after symptom onset [9,10,19,20]. |