Laboratory Diagnostic and Monitoring at Early Stages of SARS-CoV-2 Infection: Case Report and Literature Review

Authors

  • Adhi Kristianto Sugianli Department of Clinical Pathology, Faculty of Medicine, Padjadjaran University/Dr. Hasan Sadikin Hospital, Bandung, Indonesia
  • Dewi Kartika Turbawaty Department of Clinical Pathology, Faculty of Medicine, Padjadjaran University/Dr. Hasan Sadikin Hospital, Bandung, Indonesia
  • Ida Parwati Department of Clinical Pathology, Faculty of Medicine, Padjadjaran University/Dr. Hasan Sadikin Hospital, Bandung, Indonesia

DOI:

https://doi.org/10.24293/ijcpml.v29i1.1952

Keywords:

COVID-19, early stages of SARS-CoV-2, laboratory diagnosis

Abstract

COVID-19 is a new respiratory disease caused by severe acute respiratory syndrome Coronavirus type 2 (SARS-CoV-2) and became a pandemic in early 2020. Since the clinical presentation of this viral infection can mimic other types of viral infection (e.g., dengue, influenza, and another respiratory disease), the laboratory approach becomes essential, particularly at the early stages of infection. This case-literature review approach described an outpatient case of a 39-year-old male patient with mild-to-moderate COVID-19 who recovered after 49 days of self-quarantine. Lymphopenia and mild thrombocytopenia can be used as early screening for COVID-19 at the early stages of infection and mainly occur in outpatient settings. Meanwhile, Neutrophil-to-Lymphocyte Count Ratio (NLCR), C-Reactive Protein (CRP), and Liver Function Test (LFT) can be used for severity prediction and/or follow-up the outcome of the infected patient. Therefore, the integrated clinical-laboratory finding at the early stages of infection is vital to provide better and effective patient management.

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Author Biographies

Adhi Kristianto Sugianli, Department of Clinical Pathology, Faculty of Medicine, Padjadjaran University/Dr. Hasan Sadikin Hospital, Bandung, Indonesia

Adhi Kristianto Sugianli is a clinical pathologist. He works at the Department of Clinical Pathology at Hasan Sadikin Hospital/Faculty of Medicine Universitas Padjadjaran, Bandung in Indonesia. After acquiring his medical degree in Indonesia, he obtained his clinical training as clinical pathologist at Universitas Padjadjaran (2008 – 2011). In 2010, he obtained a master degree in laboratory medicine from Universitas Padjadjaran. In 2013 he started working as a PhD Fellow on the SPIN-KNAW project entitled: "Novel strategies and tools for antimicrobial resistance surveillance”, known as SPIN AMR. His PhD research focuses on the microbiology aspect of infectious diseases, including antibiotic resistance surveillance methods and laboratory capacity building.

Dewi Kartika Turbawaty, Department of Clinical Pathology, Faculty of Medicine, Padjadjaran University/Dr. Hasan Sadikin Hospital, Bandung, Indonesia

Department of Clinical Pathology, Faculty of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital Bandung

Ida Parwati, Department of Clinical Pathology, Faculty of Medicine, Padjadjaran University/Dr. Hasan Sadikin Hospital, Bandung, Indonesia

Department of Clinical Pathology, Faculty of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital Bandung

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Submitted

2022-01-02

Accepted

2022-05-31

Published

2023-01-19

How to Cite

[1]
Sugianli, A.K., Turbawaty, D.K. and Parwati, I. 2023. Laboratory Diagnostic and Monitoring at Early Stages of SARS-CoV-2 Infection: Case Report and Literature Review. INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY. 29, 1 (Jan. 2023), 94–100. DOI:https://doi.org/10.24293/ijcpml.v29i1.1952.

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Section

Case Report