- 著者
- 
             
             Yutaro Akiyama
             
             Shinichiro Morioka
             
             Yuji Wakimoto
             
             Akira Kawashima
             
             Kohei Kanda
             
             Ayako Okuhama
             
             Tetsuya Suzuki
             
             Yusuke Miyazato
             
             Hidetoshi Nomoto
             
             Satoshi Ide
             
             Takato Nakamoto
             
             Keiji Nakamura
             
             Masayuki Ota
             
             Yuki Moriyama
             
             Saho Takaya
             
             Kota Yamada
             
             Maho Taguchi
             
             Erika Sugito
             
             Shinji Izuka
             
             Kenji Ishiguro
             
             Toshiaki Kobayashi
             
             Wataru Miyake
             
             Shuji Kubota
             
             Masahiro Ishikane
             
             Noriko Kinoshita
             
             Kei Yamamoto
             
             Mugen Ujiie
             
             Satoshi Kutsuna
             
             Kayoko Hayakawa
             
             Sho Saito
             
             Norio Ohmagari
             
          
- 出版者
- The Japanese Society of Internal Medicine
- 雑誌
- Internal Medicine (ISSN:09182918)
- 巻号頁・発行日
- pp.5614-20,  (Released:2020-11-02)
- 参考文献数
- 7
- 被引用文献数
- 
             
             
             2
             
             
          
        
        Objective In fever clinics screening coronavirus disease (COVID-19), there could be patients with life-threatening diseases that physicians should not overlook. We exploratorily investigated the final diagnosis among non-COVID-19 hospitalized patients who visited the fever clinic. Methods This was a retrospective, observational, and single-centered study conducted in the National Center for Global Health and Medicine (NCGM), Tokyo, Japan. We conducted a retrospective chart review of patients who visited the fever clinic in the NCGM from 11 March 2020 to 24 April 2020. Patients Patients who met the following clinical criteria visited the fever clinic in the NCGM: (1) body temperature >37.5°C, (2) any symptoms consistent with COVID-19 or (3) referral from local healthcare facilities. In the fever clinic, all patients who met the above criteria had severe acute respiratory syndrome coronavirus 2 polymerase chain reaction test with nasopharyngeal swab specimens. Patients with severe symptoms or an unstable condition were sent to an outpatient clinic for infectious diseases for further evaluation and treatment. Results Among 1,470 patients who visited the fever clinic, 84 patients were hospitalized, and 45 of them were diagnosed as having COVID-19. Among the remaining 39 non-COVID-19 patients, there were nine patients with life-threatening diseases. The life-threatening diseases included acute heart failure, septic shock, pneumocystis pneumonia, peritonsillar abscess, and necrotizing fasciitis. Conclusion Physicians should evaluate each patient carefully while considering other life-threatening conditions even in such a COVID-19 pandemic era.