[Differential diagnosis of severe acute respiratory syndrome (SARS) in "post-SARS" stage]. 2003

Shao-xi Cai
Department of Respiratory Diseases, Nanfang Hospital, First Military Medical University, Guangzhou 510515, China.

The epidemic of severe acute respiratory syndrome (SARS) has now been brought under control and entered the so-called post-SARS stage, with only a very few new cases reported daily throughout China. As an infectious disease spreading through the respiratory tract, SARS is featured by the inconsistency between its clinical representations, physical signs of the lungs and chest imaging findings. It has been shown that atypical pneumonia (AP), with similar clinical features to SARS, has been identified in Guangzhou, China, long before the prevalence of SARS, a fact that urges further understanding of SARS in regard to its incidence and variable clinical courses, for its differential diagnosis with such diseases as AP, influenza-related pneumonia, pulmonary tuberculosis, fungal and cytomegalovirus pneumonia. Information sharing among the medical institutes and training of the first-line medical staff for their better understanding and awareness of SARS and AP is crucial in the clinical practice, to insure timely case identification and avoid "oversensitive" diagnosis. Consultation of particular cases involving experts from multiple medical science fields should be encouraged, which is also an effective measure against newly emerged infectious diseases.

UI MeSH Term Description Entries
D011014 Pneumonia Infection of the lung often accompanied by inflammation. Experimental Lung Inflammation,Lobar Pneumonia,Lung Inflammation,Pneumonia, Lobar,Pneumonitis,Pulmonary Inflammation,Experimental Lung Inflammations,Inflammation, Experimental Lung,Inflammation, Lung,Inflammation, Pulmonary,Inflammations, Lung,Inflammations, Pulmonary,Lobar Pneumonias,Lung Inflammation, Experimental,Lung Inflammations,Lung Inflammations, Experimental,Pneumonias,Pneumonias, Lobar,Pneumonitides,Pulmonary Inflammations
D003937 Diagnosis, Differential Determination of which one of two or more diseases or conditions a patient is suffering from by systematically comparing and contrasting results of diagnostic measures. Diagnoses, Differential,Differential Diagnoses,Differential Diagnosis
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D045169 Severe Acute Respiratory Syndrome A viral disorder characterized by high FEVER, dry COUGH, shortness of breath (DYSPNEA) or breathing difficulties, and atypical PNEUMONIA. A virus in the genus CORONAVIRUS is the suspected agent. Respiratory Syndrome, Severe Acute,Respiratory Syndrome, Acute, Severe,SARS (Severe Acute Respiratory Syndrome)

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