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©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 6, 2020; 8(17): 3903-3910
Published online Sep 6, 2020. doi: 10.12998/wjcc.v8.i17.3903
Published online Sep 6, 2020. doi: 10.12998/wjcc.v8.i17.3903
Diagnosis and treatment of an elderly patient with 2019-nCoV pneumonia and acute exacerbation of chronic obstructive pulmonary disease in Gansu Province: A case report
Tian-Peng He, Dong-Liang Wang, Jing Zhao, Xiao-Ying Jiang, Yuan Yuan, First Department of Critical Care Medicine, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
Jin He, Department of Medical, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
Jian-Ke Feng, Department of Medical, Infectious Diseases of Gansu Provincial Hospital, Tianshui 741024, Gansu Province, China
Author contributions: He TP and Yuan Y conceived of and designed the research; Yuan Y funded the research and provided remote teleconsultation; He TP and Wang DL wrote the article and processed the data; Zhao J and Jiang XY organized the cases and proofread the article; He J and Feng JK managed the patients and provided data.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Yuan Yuan, MD, PhD, Assistant Professor, Chief Doctor, First Department of Critical Care Medicine, Gansu Provincial Hospital, No. 204 Donggang West Road, Chengguan District, Lanzhou 730000, Gansu Province, China. lanzhouyy@163.com
Received: March 28, 2020
Peer-review started: March 28, 2020
First decision: July 3, 2020
Revised: July 9, 2020
Accepted: July 30, 2020
Article in press: July 30, 2020
Published online: September 6, 2020
Peer-review started: March 28, 2020
First decision: July 3, 2020
Revised: July 9, 2020
Accepted: July 30, 2020
Article in press: July 30, 2020
Published online: September 6, 2020
Core Tip
Core tip: The 2019-novel coronavirus (nCoV) pneumonia, which is caused by a 2019-nCoV infection, is characterized by fever, weakness, and a dry cough. Severe cases can progress rapidly to acute respiratory distress syndrome, septic shock, and refractory metabolic acidosis. In this article, we describe a 94-year-old woman in Gansu province with an epidemiological history of cumulative exposure who was diagnosed with 2019-nCoV pneumonia during isolation and later presented with symptoms of cough and weakness. Acute exacerbation of chronic obstructive pulmonary disease was complicated during hospitalization. It was a severe case. After 12 d of active treatment, the patient was cured and discharged.