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김세용 ( Se Yong Kim ),조동호 ( Dong Ho Jo ),최장규 ( Jangkyu Choi ),고성민 ( Sung Min Ko ),오홍상 ( Hong Sang Oh ) 국군의무사령부 2020 대한군진의학학술지 Vol.51 No.1
Background; Following the first confirmed diagnosed case on January 19, 2020, a cluster outbreak within a religious group occurred in Daegu city, South Korea, in February 2020. As of February 29, 2020, the number of patients related to the religious group had increased to 1,557 (53.1% of total cases), immediately followed by large-scale community spread that overwhelmed the city's medical surge capacity. Method; We collected clinical medical records, nursing records, laboratory findings, and radiology results for 44 patients (23 in the religious group, 21 from community transmission) with coronavirus disease (COVID-19) transferred to Armed Forces Daejeon Hospital between February 25 and March 25, 2020. Results; The median patient age was 53 years, and 20 patients were men. The primary outcome, de-isolation and discharge, was confirmed in 32 patients. The median time to de-isolation was 10 days, and there was no difference between the community transmission and religious groups. The most common symptom was fever (20.5% on admission and 56.8% during hospitalization), followed by cough (70.4%), sputum (56.8%), and myalgia (40.9%). Ten patients experienced anosmia or hyposmia. The median incubation period was 5 days. On admission, 28 patients showed abnormal radiologic findings. The most common pattern on computed tomography scans was ground-glass opacity (67.5%). Neutropenia, lymphocytopenia, and thrombocytopenia were present in 13.6%, 45.4%, 13.6% of patients, respectively, on admission. Conclusion; Among 44 patients with COVID-19, 41 showed mild respiratory tract infection symptoms. Of these, three required oxygen therapy and recovered and 32 were discharged within a median of 24 days without any complications.