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Volume 9, Number 10—October 2003
Dispatch

Severe Acute Respiratory Syndrome: Lessons from Singapore

Kamaljit Singh*Comments to Author , Li-Yang Hsu†, Jorge S. Villacian†, Abdulrazaq Habib*, Dale Fisher*, and Paul A. Tambyah*
Author affiliations: *National University Hospital, Singapore; †Tan Tock Seng Hospital, Singapore

Main Article

Table 1

Admitting clinical characteristics of patients 1 through 7 with severe acute respiratory syndromea

Characteristic Patient
1 2 3 4 5 6 7
Sex F F M F F M M
Age 71 43 40 78 53 63 84
Source of virus Community Community HCW Community Community Community Inpatient
Admission diagnosis Meningitis Pneumonia Suspect
SARS Interstitial lung disease Pneumonia Congestive heart failure Pneumonia
SARS contact
Co-illnesses IHD; DM;
hypothyroidism Hypertension IHD, ypertension;
chronic renal failure; CTD on steroids IHD
Hypertension IHD
Cerebrovascular disease
Symptoms
Cough - + + - + + -
Dyspnea - + - + + - +
Rhinorrhea - - - - - + -
Sore throat - + - - - - -
Headache - + + - - - -
Myalgia - - + - - + -
Fever + + + - + + +
Others Confusion Vomiting,
diarrhea Dizziness
Temp on admission (°C) 38.7 38.9 36.8 36.0 39.6 35.1 38.0
Physical signs
Crackles + + + + + + +
Chest x-ray
findings Right basal infiltrates Bibasilar infiltrates Right basal infiltrates Right basal infiltrates Bilateral infiltrates Bilateral infiltrates Right upper lobe infiltrates
RT-PCR ND ND Positive ND Positive Positive ND
Outcome Survived Died Survived Died Died Died Died

aF, female; M, male; HCW, healthcare worker; SARS, severe acute respiratory syndrome; IHD, ischemic heart disease; DM, diabetes mellitus; CTD, connective tissue disease; RT-PCR, reverse transcriptase polymerase chain reaction; ND, not done.

Main Article

Page created: January 10, 2011
Page updated: January 10, 2011
Page reviewed: January 10, 2011
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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