Clinical Presentation
Symptoms and Labs/Imaging
initial analysis from the outbreak in China (n=44,000)
The majority of infections were in 30-70 year olds
Disease Severity – 1.2% asymptomatic, 80% mild 20% severe disease (testing started after outbreak and may underestimate asymptomatic)
Symptoms:
• Fever 43.8%(eventually in 80%)
• Cough 67.8% (Sputum 33.7%)
• Fatigue 38.1%
• Shortness of Breath 18.7%
• Myalgia/Arthralgia 14.9%
• Sore throat 13.9%
• Headache 13.4% v Lab/imaging:
• Lymphocytopenia (<1500) 83.2%
• CRP > 10 60.7%
• CXR abnormality 59% (most commonly bilateral or local patchy shadowing)
Other reported Symptoms
• Reports of anosmia in as high as 30-50% of patients (anecdotal reports) 3/23/20
In a small study while diarrhea and sinusitis were seen all patients with those symptoms also had cough however one patient had just rhinitis and otitis with no other symptoms Cough 7/9, Fever 2/9, Diarrhea (2/9 both had cough and fever) , sinusitis 4/9 (all had cough), rhinitis (2/9, 1 also with otitis 1 with cough), Asymptomatic 1/9 (n=9 Germany) 3/15/20 possible signal that diarrhea may be more common than previously thought in presentation