https://socictopen.socict.org/files/original/6fe6bfdb2eb676f7c88687785a2fb853.pdf bcefad9f4d4606924fa5c7f5b1831611 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Coronavirus Description An account of the resource Dominio científico: Coronavirus Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource First COVID-19 infections in the Philippines: a case report Creator An entity primarily responsible for making the resource Edna M. Edrada, Edmundo B. Lopez, Jose Benito Villarama, Eumelia P. Salva Villarama, Bren F. Dagoc, Chris Smith, Ana Ria Sayo, Jeffrey A. Verona, Jamie Trifalgar-Arches, Jezreel Lazaro, Ellen Grace M. Balinas, Elizabeth Freda O. Telan, Lynsil Roy, Myvie Galon, Carl Hill N. Florida, Tatsuya Ukawa, Annavi Marie G. Villaneuva, Nobuo Saito, Jean Raphael Nepomuceno, Koya Ariyoshi, Celia Carlos, Amalea Dulcene Nicolasora, Rontgene M. Solante Description An account of the resource Abstract Background The novel coronavirus (COVID-19) is responsible for more fatalities than the SARS coronavirus, despite being in the initial stage of a global pandemic. The first suspected case in the Philippines was investigated on January 22, 2020, and 633 suspected cases were reported as of March 1. We describe the clinical and epidemiological aspects of the first two confirmed COVID-19 cases in the Philippines, both admitted to the national infectious disease referral hospital in Manila. Case presentation Both patients were previously healthy Chinese nationals on vacation in the Philippines travelling as a couple during January 2020. Patient 1, a 39-year-old female, had symptoms of cough and sore throat and was admitted to San Lazaro Hospital in Manila on January 25. Physical examination was unremarkable. Influenza B, human coronavirus 229E, Staphylococcus aureus and Klebsiella pneumoniae were detected by PCR on initial nasopharyngeal/oropharyngeal (NPS/OPS) swabs. On January 30, SARS-CoV-2 viral RNA was reported to be detected by PCR on the initial swabs and she was identified as the first confirmed COVID-19 case in the Philippines. Her symptoms resolved, and she was discharged. Patient 2, a 44-year-old male, had symptoms of fever, cough, and chills. Influenza B and Streptococcus pneumoniae were detected by PCR on initial NPS/OPS swabs. He was treated for community-acquired pneumonia with intravenous antibiotics, but his condition deteriorated and he required intubation. On January 31, SARS-CoV-2 viral RNA was reported to be detected by PCR on the initial swabs, and he was identified as the 2nd confirmed COVID-19 infection in the Philippines. On February 1, the patient’s condition deteriorated, and following a cardiac arrest, it was not possible to revive him. He was thus confirmed as the first COVID-19 death outside of China. Conclusions This case report highlights several important clinical and public health issues. Despite both patients being young adults with no significant past medical history, they had very different clinical courses, illustrating how COVID-19 can present with a wide spectrum of disease. As of March 1, there have been three confirmed COVID-19 cases in the Philippines. Continued vigilance is required to identify new cases. Date A point or period of time associated with an event in the lifecycle of the resource 2020 Subject The topic of the resource Case Report, COVID-19, SARS-CoV-2, coronavirus, Philippines, Manila Identifier An unambiguous reference to the resource within a given context DOI: 10.1186/s41182-020-00203-0 Source A related resource from which the described resource is derived Tropical Medicine and Health Publisher An entity responsible for making the resource available BMC Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Arctic medicine. Tropical medicine Language A language of the resource EN