case_images: PMC7522195_01
case_images: Case history of the first recovered coronavirus disease (COVID-19) patient from Panama. *The patient experienced no fever, sore throat, nasal congestion, running nose or severe coughing since symptom onset until the day of hospitalization. **Carnivals ("Carnavales") are one of the most popular holiday celebrations of the year in Panama. ***The first confirmed case of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in Panama using reverse-transcription polymerase-chain-reaction (RT-PCR) testing was reported on March 9, 2020, and the same day the patient was confirmed positive for SARS-CoV-2 infection. The school where the first cluster of activity was detected in Panama City closed on March 10, 2020, 5 days after the beginning of the academic year. ICU, Intensive care unit; IgG, Immunoglobulin G.
case_images: fpubh-08-553730-g0001.jpg
case_images: PMC7522195_02_fpubh-08-553730-g0001.jpg
case_images: F1
case_images: On arrival, the high school teacher's symptoms had evolved to dry cough, fever, and shortness of breath (Figure 1), and his chest radiograph showed extensive areas of multilobar opacities and bilateral minor pleural effusions, suggesting pneumonia (Figures 2A-D). Despite not knowing the cause of the patient's illness initially, on March 6, 2020, the medical team decided to initiate treatment with cephalosporins and continuous infusion of methylprednisolone (100 mg/24 h) for 4 days (Figure 1). He was transferred to the ICU on March 9 (Figure 1; Table 1), where the medical team suspended treatment with steroids and began treatment with hydroxychloroquine, azithromycin, and lopinavir/ritonavir regimen according to WHO recommendations. The patient still does not know where he may have acquired the virus, as he had not been in close contact with the director or co-worker during the school organization week (Figure 1). Due to recurrent fever and neutrophilia, blood cultures and respiratory samples were obtained from the patient on March 18 (day 16 of hospitalization), showing an Acinetobacter baumannii complex infection without organ dysfunction, which was treated successfully (Figure 1).
case_images: PMC7522195_02
case_images: Case history of the first recovered coronavirus disease (COVID-19) patient from Panama. *The patient experienced no fever, sore throat, nasal congestion, running nose or severe coughing since symptom onset until the day of hospitalization. **Carnivals ("Carnavales") are one of the most popular holiday celebrations of the year in Panama. ***The first confirmed case of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in Panama using reverse-transcription polymerase-chain-reaction (RT-PCR) testing was reported on March 9, 2020, and the same day the patient was confirmed positive for SARS-CoV-2 infection. The school where the first cluster of activity was detected in Panama City closed on March 10, 2020, 5 days after the beginning of the academic year. ICU, Intensive care unit; IgG, Immunoglobulin G.
case_images: fpubh-08-553730-g0001.jpg
case_images: PMC7522195_02_fpubh-08-553730-g0001.jpg
case_images: F1
case_images: On arrival, the high school teacher's symptoms had evolved to dry cough, fever, and shortness of breath (Figure 1), and his chest radiograph showed extensive areas of multilobar opacities and bilateral minor pleural effusions, suggesting pneumonia (Figures 2A-D). Despite not knowing the cause of the patient's illness initially, on March 6, 2020, the medical team decided to initiate treatment with cephalosporins and continuous infusion of methylprednisolone (100 mg/24 h) for 4 days (Figure 1). He was transferred to the ICU on March 9 (Figure 1; Table 1), where the medical team suspended treatment with steroids and began treatment with hydroxychloroquine, azithromycin, and lopinavir/ritonavir regimen according to WHO recommendations. The patient still does not know where he may have acquired the virus, as he had not been in close contact with the director or co-worker during the school organization week (Figure 1). Due to recurrent fever and neutrophilia, blood cultures and respiratory samples were obtained from the patient on March 18 (day 16 of hospitalization), showing an Acinetobacter baumannii complex infection without organ dysfunction, which was treated successfully (Figure 1).
case_images: Chest radiographs. The radiographs show bilateral ground-glass opacities (A) on admission to the hospital on March 3, 2020; (B) during intubation on March 5; (C) during begin treatment with steroids on March 6; (D) on entering the intensive care unit on March 9; (E) on March 12; (F) on March 17; and (G) on March 20. No alveolar infiltrates observed on the radiographs (H) on March 23 and (I) during discharge from intensive care unit on March 24, 2020.
case_images: fpubh-08-553730-g0002.jpg
case_images: PMC7522195_02_fpubh-08-553730-g0002.jpg
case_images: F2
case_images: On arrival, the high school teacher's symptoms had evolved to dry cough, fever, and shortness of breath (Figure 1), and his chest radiograph showed extensive areas of multilobar opacities and bilateral minor pleural effusions, suggesting pneumonia (Figures 2A-D). The chest radiographs continued to show signs of bilateral alveolar infiltrates until day 20, but signs of improvement were seen from March 12 (Figures 2E-G).