What was behind the first recognition and characterization of autochthonous SARS‐CoV‐2 transmission in Italy: The impact on European scenario
An Italian male with no link to China Severe Acute Respiratory Syndrome Coronavirus 2 (SARS‐CoV‐2) epidemic presented at Emergency Room (ER) with severe respiratory impairment. The RT‐PCR on 20 February 2020, nasopharyngeal swab revealed SARS‐CoV‐2 infection, confirmed with viral culture and sequenc...
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| Veröffentlicht in: | Clinical case reports Jg. 9; H. 6; S. e04154 - n/a |
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| Sprache: | Englisch |
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John Wiley & Sons, Inc
01.06.2021
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| Abstract | An Italian male with no link to China Severe Acute Respiratory Syndrome Coronavirus 2 (SARS‐CoV‐2) epidemic presented at Emergency Room (ER) with severe respiratory impairment. The RT‐PCR on 20 February 2020, nasopharyngeal swab revealed SARS‐CoV‐2 infection, confirmed with viral culture and sequencing. This was the first identified autochthonous SARS‐CoV‐2 transmission in Italy, that unveiled global pathogen diffusion. This clinical case highlights an underestimation of SARS‐CoV‐2 circulation, making initial containment measures unfit to face the real situation and delaying the management of potentially affected SARS‐CoV‐2 patients. |
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| AbstractList | Abstract An Italian male with no link to China Severe Acute Respiratory Syndrome Coronavirus 2 (SARS‐CoV‐2) epidemic presented at Emergency Room (ER) with severe respiratory impairment. The RT‐PCR on 20 February 2020, nasopharyngeal swab revealed SARS‐CoV‐2 infection, confirmed with viral culture and sequencing. This was the first identified autochthonous SARS‐CoV‐2 transmission in Italy, that unveiled global pathogen diffusion. This clinical case highlights an underestimation of SARS‐CoV‐2 circulation, making initial containment measures unfit to face the real situation and delaying the management of potentially affected SARS‐CoV‐2 patients. An Italian male with no link to China Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) epidemic presented at Emergency Room (ER) with severe respiratory impairment. The RT-PCR on 20 February 2020, nasopharyngeal swab revealed SARS-CoV-2 infection, confirmed with viral culture and sequencing. This was the first identified autochthonous SARS-CoV-2 transmission in Italy, that unveiled global pathogen diffusion. This clinical case highlights an underestimation of SARS-CoV-2 circulation, making initial containment measures unfit to face the real situation and delaying the management of potentially affected SARS-CoV-2 patients. An Italian male with no link to China Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) epidemic presented at Emergency Room (ER) with severe respiratory impairment. The RT-PCR on 20 February 2020, nasopharyngeal swab revealed SARS-CoV-2 infection, confirmed with viral culture and sequencing. This was the first identified autochthonous SARS-CoV-2 transmission in Italy, that unveiled global pathogen diffusion. This clinical case highlights an underestimation of SARS-CoV-2 circulation, making initial containment measures unfit to face the real situation and delaying the management of potentially affected SARS-CoV-2 patients.An Italian male with no link to China Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) epidemic presented at Emergency Room (ER) with severe respiratory impairment. The RT-PCR on 20 February 2020, nasopharyngeal swab revealed SARS-CoV-2 infection, confirmed with viral culture and sequencing. This was the first identified autochthonous SARS-CoV-2 transmission in Italy, that unveiled global pathogen diffusion. This clinical case highlights an underestimation of SARS-CoV-2 circulation, making initial containment measures unfit to face the real situation and delaying the management of potentially affected SARS-CoV-2 patients. |
| Author | Mileto, Davide Villani, Pier Giorgio Malara, Annalisa Micheli, Valeria Alquati, Omar Rizzo, Alberto Gismondo, Maria Rita Mancon, Alessandro Pagani, Cristina |
| AuthorAffiliation | 2 Anesthesia and ICU Department Maggiore Hospital ASST Lodi Lodi Italy 1 Laboratory of Clinical Microbiology, Virology and Bioemergencies ASST Fatebenefratelli Sacco – University of Milan Milan Italy |
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| Cites_doi | 10.1016/j.cmi.2020.03.025 10.1093/cid/ciaa1196 10.2807/1560‐7917.ES.2020.25.13.2000305 10.1056/NEJMc2001468 10.1038/s41586‐020‐2012‐7 10.1093/cid/ciaa449 10.1016/S1473‐3099(20)30314‐5 10.1002/jmv.25932 10.1002/jmv.26447 10.1038/s41467‐020‐19057‐5 |
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| References_xml | – volume: 26 start-page: 954 year: 2020 end-page: 956 article-title: Molecular characterization of SARS‐CoV‐2 from the first case of COVID‐19 in Italy publication-title: Clinical Microb Inf – volume: 93 start-page: 1752 issue: 3 year: 2021 end-page: 1757 article-title: Geographical reconstruction of the SARS‐CoV‐2 outbreak in Lombardy (Italy) during the early phase publication-title: J Med Virol – volume: 17 year: 2020 article-title: Highly sensitive quantification of plasma SARS‐CoV‐2 RNA shelds light on its potential clinical value publication-title: Clin Infect Dis – volume: 92 start-page: 1671 issue: 9 year: 2020 end-page: 1675 article-title: Diagnostic accuracy of an automated chemiluminescent immunoassay for anti‐SARS‐CoV‐2 IgM and IgG antibodies: an Italian experience publication-title: J Med Virol – volume: 11 start-page: 5493 issue: 1 year: 2020 article-title: SARS‐CoV‐2 viral load is associated with increased disease severity and mortality publication-title: Nat Commun – volume: 20 start-page: 920 issue: 8 year: 2020 end-page: 928 article-title: Investigation of a COVID‐19 outbreak in Germany resulting from a single travel‐associated primary case: a case series publication-title: Lancet Infect Dis – volume: 382 start-page: 970 issue: 10 year: 2020 end-page: 971 article-title: Transmission of 2019‐nCoV infection from an asymptomatic contact in Germany publication-title: N Engl J Med – volume: 25 year: 2020 article-title: Whole genome and phylogenetic analysis of two SARS‐CoV‐2 strains isolated in Italy in January and February 2020: additional clues on multiple introductions and further circulation in Europe publication-title: Euro Surveill – volume: 579 start-page: 270 year: 2020 end-page: 273 article-title: A pneumonia outbreak associated with a new coronavirus of probable bat origin publication-title: Nature – volume: 17 year: 2020 article-title: Detectable serum SARS‐CoV‐2 viral load (RNAaemia) is closely correlated with drastically elevated interleukin 6 (IL‐6) level in critically ill COVID‐19 patients publication-title: Clin Infect Dis – year: 2020 – ident: e_1_2_9_4_1 doi: 10.1016/j.cmi.2020.03.025 – ident: e_1_2_9_14_1 – ident: e_1_2_9_5_1 – ident: e_1_2_9_3_1 – ident: e_1_2_9_9_1 doi: 10.1093/cid/ciaa1196 – ident: e_1_2_9_10_1 doi: 10.2807/1560‐7917.ES.2020.25.13.2000305 – ident: e_1_2_9_12_1 – ident: e_1_2_9_15_1 doi: 10.1056/NEJMc2001468 – ident: e_1_2_9_2_1 doi: 10.1038/s41586‐020‐2012‐7 – ident: e_1_2_9_7_1 doi: 10.1093/cid/ciaa449 – ident: e_1_2_9_11_1 – ident: e_1_2_9_13_1 – ident: e_1_2_9_16_1 doi: 10.1016/S1473‐3099(20)30314‐5 – ident: e_1_2_9_6_1 doi: 10.1002/jmv.25932 – ident: e_1_2_9_17_1 doi: 10.1002/jmv.26447 – ident: e_1_2_9_8_1 doi: 10.1038/s41467‐020‐19057‐5 |
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| Title | What was behind the first recognition and characterization of autochthonous SARS‐CoV‐2 transmission in Italy: The impact on European scenario |
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