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Ngiam JN, Quek LHH, Kwan J, Yong E, Tan GSE. Abdominal aortic mycotic aneurysm as a sequela of invasive Group A streptococcal infection. QJM 2023; 116:455-457. [PMID: 36645253 DOI: 10.1093/qjmed/hcad008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/08/2023] [Accepted: 01/10/2023] [Indexed: 01/17/2023] Open
Affiliation(s)
- Jinghao Nicholas Ngiam
- From the Division of Infectious Diseases, Department of Medicine, National University Health System, Singapore 119228
| | - Lawrence Han Hwee Quek
- Vascular and Interventional Radiology, Department of Diagnostic Radiology, Tan Tock Seng Hospital, Singapore 308433
| | - Justin Kwan
- Vascular and Interventional Radiology, Department of Diagnostic Radiology, Tan Tock Seng Hospital, Singapore 308433
| | - Enming Yong
- Vascular Surgery Service, Department of General Surgery, Tan Tock Seng Hospital, Singapore 308433
| | - Glorijoy Shi En Tan
- Department of Infectious Diseases, National Centre for Infectious Diseases, Tan Tock Seng Hospital, Singapore 308433
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Tan GSE, Gao CQ, Ow JSY, Tan TT, Ooi ST, Lin C, Lin RTP, Lee VJM, Chan M, Leo YS, Vasoo S. Results from a systematic programme of evaluating COVID-19 reinfection cases in the early phase of the pandemic, Singapore. BMC Infect Dis 2023; 23:93. [PMID: 36788516 PMCID: PMC9927039 DOI: 10.1186/s12879-023-08056-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Accepted: 02/06/2023] [Indexed: 02/16/2023] Open
Abstract
OBJECTIVES The objectives of this study were to describe the coronavirus disease caused by SARS-CoV-2 (COVID-19) reinfection evaluation algorithm used in the early phase of the pandemic in Singapore and analyze the clinical and laboratory characteristics of the cases evaluated. METHODS We performed a retrospective case-control analysis including all COVID-19 cases evaluated for possible reinfection under the local COVID-19 reinfection evaluation programme between 1 June 2020-30 June 2021. Whole genome sequencing (WGS) was used as confirmatory testing. We compared all reinfection ("RI") cases against those who were evaluated but eventually assessed not to be reinfection ("non-RI"). RESULTS There were 74 possible reinfection cases evaluated through the programme, of which 32 were subsequently classified as RI. There was strong statistical evidence that RI cases had a longer interval between 1st and 2nd episode (mean 297 days; 95%-confidence interval (CI) 267-327) compared to non-RI cases (mean 186 days; 95%-CI 144-228). The cycle threshold (Ct) value of initial polymerase chain rection (PCR) at 2nd episode was also found to be significantly lower in RI cases (mean 23; 95%-CI 20-26) compared to non-RI cases (mean 34; 95%-CI 32-36). There was no significant difference in the proportion of individuals who had fever, acute respiratory symptoms or asymptomatic in both groups. Delta and beta variants were most commonly identified from WGS and provide indication of re-infection as these were not 'wild-type' and were not circulating during the time period of the index infection. CONCLUSIONS Using a combination of serologic, microbiologic and genomic criteria to evaluate possible reinfection cases is useful and can provide a framework for evaluation that may be modified for future similar situations.
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Affiliation(s)
- Glorijoy Shi En Tan
- Department of Infectious Diseases, Tan Tock Seng Hospital, Singapore, Singapore. .,National Centre for Infectious Diseases, Singapore, Singapore. .,Level 3 Clinical Staff Office, Centre for Healthcare Innovation, 18 Jalan Tan Tock Seng, 308443, Singapore, Singapore.
| | | | | | - Thuan Thong Tan
- grid.163555.10000 0000 9486 5048Department of Infectious Diseases, Singapore General Hospital, Singapore, Singapore
| | - Say Tat Ooi
- grid.415203.10000 0004 0451 6370Division of Infectious Disease, Department of General Medicine, Khoo Teck Puat Hospital, Singapore, Singapore
| | - Cui Lin
- grid.508077.dNational Centre for Infectious Diseases, Singapore, Singapore
| | | | | | - Monica Chan
- grid.240988.f0000 0001 0298 8161Department of Infectious Diseases, Tan Tock Seng Hospital, Singapore, Singapore ,grid.508077.dNational Centre for Infectious Diseases, Singapore, Singapore
| | - Yee Sin Leo
- grid.240988.f0000 0001 0298 8161Department of Infectious Diseases, Tan Tock Seng Hospital, Singapore, Singapore ,grid.508077.dNational Centre for Infectious Diseases, Singapore, Singapore ,grid.59025.3b0000 0001 2224 0361Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore
| | - Shawn Vasoo
- grid.240988.f0000 0001 0298 8161Department of Infectious Diseases, Tan Tock Seng Hospital, Singapore, Singapore ,grid.508077.dNational Centre for Infectious Diseases, Singapore, Singapore ,grid.59025.3b0000 0001 2224 0361Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore
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Lim WY, Tan GSE, Htun HL, Phua HP, Kyaw WM, Guo H, Cui L, Mak TM, Poh BF, Wong JCC, Setoh YX, Ang BSP, Chow ALP. The first nosocomial cluster of COVID-19 due to the Delta variant in a major acute-care hospital in Singapore - investigations and outbreak response. J Hosp Infect 2021; 122:27-34. [PMID: 34942201 PMCID: PMC8687717 DOI: 10.1016/j.jhin.2021.12.011] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2021] [Revised: 12/04/2021] [Accepted: 12/09/2021] [Indexed: 12/20/2022]
Abstract
OBJECTIVES The first large nosocomial cluster of COVID-19 in Singapore in April 2021 led to partial closure of a major acute-care hospital. We report our investigations and evaluate the effectiveness of the BNT162.b2 and mRNA1273 vaccines against the Delta variant. METHODS Close contacts of COVID-19 patients and the affected ward were identified and underwent surveillance for SARS-CoV-2 infection. Patient, staff and visitor cohorts were constructed and factors associated with infection evaluated. Phylogenetic analysis of patient samples was performed. Ward air exhaust filters were tested for SARS-CoV-2 virus. RESULTS There were 47 cases in total, comprising 29 patients, 9 staff, 6 ward visitors and 3 household contacts. All infections were of the Delta variant. Ventilation studies showed turbulent airflow and swabs from air exhaust filters were positive for SARS-Cov2. Vaccine breakthrough infections were seen in both patients and staff. Among patients, vaccination was associated with a 79% lower odds of infection with COVID-19 (adjusted OR =0.21, 95%CI 0.05-0.95) CONCLUSIONS: This cluster occurred despite an enhancement in infection control measures that the hospital had undertaken at the onset of this pandemic, but it was rapidly brought under control through case isolation, extensive contact tracing and quarantine measures, and led to enhancements in hospital personal protective equipment (PPE) use, introduction of routine rostered testing of inpatients and staff, and hospital infrastructure changes to improve ventilation within the general ward.
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Affiliation(s)
- Wei-Yen Lim
- Department of Clinical Epidemiology, Tan Tock Seng Hospital, Singapore; Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
| | | | - Htet Lin Htun
- Department of Clinical Epidemiology, Tan Tock Seng Hospital, Singapore
| | - Hwee Pin Phua
- Department of Clinical Epidemiology, Tan Tock Seng Hospital, Singapore
| | - Win Mar Kyaw
- Department of Clinical Epidemiology, Tan Tock Seng Hospital, Singapore
| | - Huiling Guo
- Department of Clinical Epidemiology, Tan Tock Seng Hospital, Singapore
| | - Lin Cui
- National Public Health Laboratory, National Centre for Infectious Diseases, Singapore
| | - Tze Minn Mak
- National Public Health Laboratory, National Centre for Infectious Diseases, Singapore
| | - Bee Fong Poh
- Department of Infection Prevention and Control, Tan Tock Seng Hospital, Singapore
| | | | - Yin Xiang Setoh
- Environmental Health Institute, National Environment Agency, Singapore
| | - Brenda Sze Peng Ang
- Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore; Department of Infectious Diseases, Tan Tock Seng Hospital, Singapore
| | - Angela Li Ping Chow
- Department of Clinical Epidemiology, Tan Tock Seng Hospital, Singapore; Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore
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Umapathi T, Li KZ, Chin CF, Vijakumar K, Tan GSE, Ung PH, Yeo TK, Agrawal R. Acute Isolated Near Vision Difficulty in Patients With COVID-19 Infection. J Neuroophthalmol 2021; 41:e279-e282. [PMID: 34415279 PMCID: PMC8366533 DOI: 10.1097/wno.0000000000001120] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- Thirugnanam Umapathi
- Department of Neurology (TU), National Neuroscience Institute, Singapore; Department of Ophthalmology (KZL, CFC, TKY, RA), NHG Eye Institute, Tan Tock Seng Hospital, Singapore; Department of General Medicine (KV, PHU), Tan Tock Seng Hospital, Singapore; National Centre for Infectious Diseases (GSET), Tan Tock Seng Hospital, Singapore ; Singapore Eye Research Institute (RA), Singapore; and Lee Kong Chian School of Medicine (RA), Nanyang Technological University, Singapore
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Khoo AL, Zhao YJ, Tan GSE, Teng M, Yap J, Tambyah PA, Ng CH, Lim BP, Chai LYA. Cost-Effectiveness of Serum Galactomannan Surveillance during Mould-Active Antifungal Prophylaxis. J Fungi (Basel) 2021; 7:jof7060417. [PMID: 34073588 PMCID: PMC8227639 DOI: 10.3390/jof7060417] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2021] [Revised: 05/14/2021] [Accepted: 05/19/2021] [Indexed: 11/16/2022] Open
Abstract
Serial galactomannan (GM) monitoring can aid the diagnosis of invasive aspergillosis (IA) and optimise treatment decisions. However, widespread adoption of mould-active prophylaxis has reduced the incidence of IA and challenged its use. We evaluated the cost-effectiveness of prophylaxis-biomarker strategies. A Markov model simulating high-risk patients undergoing routine GM surveillance with mould-active versus non-mould-active prophylaxis was constructed. The incremental cost for each additional quality-adjusted life-year (QALY) gained over a lifetime horizon was calculated. In 40- and 60-year-old patients receiving mould-active prophylaxis coupled with routine GM surveillance, the total cost accrued was the lowest at SGD 11,227 (USD 8255) and SGD 9234 (USD 6790), respectively, along with higher QALYs gained (5.3272 and 1.1693). This strategy, being less costly and more effective, dominated mould-active prophylaxis with no GM monitoring or GM surveillance during non-mould-active prophylaxis. The prescription of empiric antifungal treatment was influential in the cost-effectiveness. When the GM test sensitivity was reduced from 80% to 30%, as might be anticipated with the use of mould-active prophylactic agents, the conclusion remained unchanged. The likelihood of GM surveillance with concurrent mould-active prophylaxis being cost-effective was 77%. Routine GM surveillance remained cost-effective during mould-active prophylaxis despite lower IA breakthroughs. Cost-saving from reduced empirical antifungal treatment was an important contributing factor.
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Affiliation(s)
- Ai Leng Khoo
- Pharmacy and Therapeutics Office, Group Health Informatics, National Healthcare Group, Singapore 138543, Singapore; (A.L.K.); (Y.J.Z.); (M.T.); (B.P.L.)
| | - Ying Jiao Zhao
- Pharmacy and Therapeutics Office, Group Health Informatics, National Healthcare Group, Singapore 138543, Singapore; (A.L.K.); (Y.J.Z.); (M.T.); (B.P.L.)
| | - Glorijoy Shi En Tan
- Department of Infectious Diseases, Tan Tock Seng Hospital, National Centre for Infectious Diseases, Singapore 308442, Singapore;
- Division of Infectious Diseases, University Medicine Cluster, National University Health System, Singapore 117549, Singapore;
| | - Monica Teng
- Pharmacy and Therapeutics Office, Group Health Informatics, National Healthcare Group, Singapore 138543, Singapore; (A.L.K.); (Y.J.Z.); (M.T.); (B.P.L.)
| | - Jenny Yap
- Department of Pharmacy, National University Health System, Singapore 117549, Singapore;
| | - Paul Anantharajah Tambyah
- Division of Infectious Diseases, University Medicine Cluster, National University Health System, Singapore 117549, Singapore;
- Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117572, Singapore;
- Infectious Diseases Translational Research Programme, Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117572, Singapore
| | - Chin Hin Ng
- Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117572, Singapore;
- National University Cancer Institute, National University Health System, Singapore 117549, Singapore
| | - Boon Peng Lim
- Pharmacy and Therapeutics Office, Group Health Informatics, National Healthcare Group, Singapore 138543, Singapore; (A.L.K.); (Y.J.Z.); (M.T.); (B.P.L.)
| | - Louis Yi Ann Chai
- Division of Infectious Diseases, University Medicine Cluster, National University Health System, Singapore 117549, Singapore;
- Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117572, Singapore;
- Infectious Diseases Translational Research Programme, Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117572, Singapore
- National University Cancer Institute, National University Health System, Singapore 117549, Singapore
- Correspondence: ; Tel.: +65-6779-5555
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Mao Y, Tan YR, Thein TL, Chai YAL, Cook AR, Dickens BL, Lew YJ, Lim FS, Lim JT, Sun Y, Sundaram M, Soh A, Tan GSE, Wong FPG, Young B, Zeng K, Chen M, Ong DLS. Identifying COVID-19 cases in outpatient settings. Epidemiol Infect 2021; 149:e92. [PMID: 33814027 PMCID: PMC8060539 DOI: 10.1017/s0950268821000704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2020] [Revised: 03/04/2021] [Accepted: 03/23/2021] [Indexed: 01/08/2023] Open
Abstract
Case identification is an ongoing issue for the COVID-19 epidemic, in particular for outpatient care where physicians must decide which patients to prioritise for further testing. This paper reports tools to classify patients based on symptom profiles based on 236 severe acute respiratory syndrome coronavirus 2 positive cases and 564 controls, accounting for the time course of illness using generalised multivariate logistic regression. Significant symptoms included abdominal pain, cough, diarrhoea, fever, headache, muscle ache, runny nose, sore throat, temperature between 37.5 and 37.9 °C and temperature above 38 °C, but their importance varied by day of illness at assessment. With a high percentile threshold for specificity at 0.95, the baseline model had reasonable sensitivity at 0.67. To further evaluate accuracy of model predictions, leave-one-out cross-validation confirmed high classification accuracy with an area under the receiver operating characteristic curve of 0.92. For the baseline model, sensitivity decreased to 0.56. External validation datasets reported similar result. Our study provides a tool to discern COVID-19 patients from controls using symptoms and day from illness onset with good predictive performance. It could be considered as a framework to complement laboratory testing in order to differentiate COVID-19 from other patients presenting with acute symptoms in outpatient care.
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Affiliation(s)
- Yinan Mao
- Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore
- Department of Statistics and Applied Probability, National University of Singapore, Singapore, Singapore
| | - Yi-Roe Tan
- National Centre for Infectious Diseases, Singapore, Singapore
| | - Tun Linn Thein
- National Centre for Infectious Diseases, Singapore, Singapore
| | - Yi Ann Louis Chai
- National University Hospital, National University Health System, Singapore, Singapore
| | - Alex R. Cook
- Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore
- Department of Statistics and Applied Probability, National University of Singapore, Singapore, Singapore
| | - Borame L. Dickens
- Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore
| | - Yii Jen Lew
- National University Polyclinics, Singapore, Singapore
| | - Fong Seng Lim
- Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Jue Tao Lim
- Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore
| | - Yinxiaohe Sun
- Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore
| | | | - Alexius Soh
- National Centre for Infectious Diseases, Singapore, Singapore
- Department of Infectious Diseases, Tan Tock Seng Hospital, Singapore, Singapore
| | - Glorijoy Shi En Tan
- National Centre for Infectious Diseases, Singapore, Singapore
- Department of Infectious Diseases, Tan Tock Seng Hospital, Singapore, Singapore
| | | | - Barnaby Young
- National Centre for Infectious Diseases, Singapore, Singapore
| | - Kangwei Zeng
- National Centre for Infectious Diseases, Singapore, Singapore
| | - Mark Chen
- Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore
- National Centre for Infectious Diseases, Singapore, Singapore
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Tan GSE, Ding Y, Cui L, Mak TM, Mok CK, Kurup A, Parthasarathy P, Chia WN, Wang LF, Lin RTP, Leo YS, Vasoo S. Positive RT-PCR detected in patients recovered from COVID-19. Ann Acad Med Singap 2021; 50:191-194. [PMID: 33733267 DOI: 10.47102/annals-acadmedsg.2020387] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
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Tan GSE, Linn KZ, Soon MML, Vasoo S, Chan M, Poh BF, Ng OT, Ang BSP, Leo YS, Marimuthu K. Effect of extended use N95 respirators and eye protection on personal protective equipment (PPE) utilization during SARS-CoV-2 outbreak in Singapore. Antimicrob Resist Infect Control 2020; 9:86. [PMID: 32539765 PMCID: PMC7294768 DOI: 10.1186/s13756-020-00753-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Accepted: 06/08/2020] [Indexed: 01/22/2023] Open
Affiliation(s)
- Glorijoy Shi En Tan
- National Centre for Infectious Diseases, 16 Jalan Tan Tock Seng, Singapore, 308442, Singapore. .,Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore.
| | - Kyaw Zaw Linn
- National Centre for Infectious Diseases, 16 Jalan Tan Tock Seng, Singapore, 308442, Singapore
| | - Margaret Mei Ling Soon
- National Centre for Infectious Diseases, 16 Jalan Tan Tock Seng, Singapore, 308442, Singapore.,Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore
| | - Shawn Vasoo
- National Centre for Infectious Diseases, 16 Jalan Tan Tock Seng, Singapore, 308442, Singapore.,Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore
| | - Monica Chan
- National Centre for Infectious Diseases, 16 Jalan Tan Tock Seng, Singapore, 308442, Singapore.,Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore
| | - Bee Fong Poh
- Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore
| | - Oon-Tek Ng
- National Centre for Infectious Diseases, 16 Jalan Tan Tock Seng, Singapore, 308442, Singapore.,Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore.,Lee Kong Chian School of Medicine, 11 Mandalay Road, Singapore, 308232, Singapore
| | - Brenda Sze-Peng Ang
- National Centre for Infectious Diseases, 16 Jalan Tan Tock Seng, Singapore, 308442, Singapore.,Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore
| | - Yee-Sin Leo
- National Centre for Infectious Diseases, 16 Jalan Tan Tock Seng, Singapore, 308442, Singapore.,Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore.,Lee Kong Chian School of Medicine, 11 Mandalay Road, Singapore, 308232, Singapore.,Yong Loo Lin School of Medicine, 10 Medical Drive, Singapore, 117597, Singapore
| | - Kalisvar Marimuthu
- National Centre for Infectious Diseases, 16 Jalan Tan Tock Seng, Singapore, 308442, Singapore.,Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore.,Yong Loo Lin School of Medicine, 10 Medical Drive, Singapore, 117597, Singapore
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Tan GSE, Singh R, Chong TYR, Su PQ, Lee JSS, Wong KJH, Tan JWL, Vasoo S. Severe primary cutaneous Cryptococcus gattii causing ulcerative cellulitis in an immunocompetent patient. Lancet Infect Dis 2020; 19:1148. [PMID: 31559968 DOI: 10.1016/s1473-3099(19)30409-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/14/2019] [Revised: 05/25/2019] [Accepted: 06/27/2019] [Indexed: 10/25/2022]
Affiliation(s)
| | - Ravinder Singh
- Department of General Medicine, Tan Tock Seng Hospital, Singapore
| | | | | | | | | | - Justina Wei Lynn Tan
- Department of Rheumatology, Allergy and Immunology, Tan Tock Seng Hospital, Singapore
| | - Shawn Vasoo
- Department of Infectious Diseases, Tan Tock Seng Hospital, Singapore; Infectious Disease Research Laboratory, National Centre for Infectious Diseases, Singapore.
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Tan GSE, Ang H, Manauis CM, Chua JM, Gao CQ, Ng FKK, Wong CS, Ng OT, Marimuthu K, Chan M, Leo YS, Vasoo S. Reducing hospital admissions for COVID-19 at a dedicated screening centre in Singapore. Clin Microbiol Infect 2020; 26:1278-1279. [PMID: 32422409 PMCID: PMC7228894 DOI: 10.1016/j.cmi.2020.05.005] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2020] [Revised: 05/05/2020] [Accepted: 05/07/2020] [Indexed: 11/15/2022]
Affiliation(s)
- G S E Tan
- National Centre for Infectious Diseases, Singapore; Department of Infectious Diseases, Tan Tock Seng Hospital, Singapore.
| | - H Ang
- Emergency Department, Tan Tock Seng Hospital, Singapore
| | - C M Manauis
- Emergency Department, Tan Tock Seng Hospital, Singapore
| | - J M Chua
- Emergency Department, Tan Tock Seng Hospital, Singapore
| | - C Q Gao
- National Centre for Infectious Diseases, Singapore
| | - F K K Ng
- National Centre for Infectious Diseases, Singapore
| | - C S Wong
- National Centre for Infectious Diseases, Singapore; Department of Infectious Diseases, Tan Tock Seng Hospital, Singapore
| | - O T Ng
- National Centre for Infectious Diseases, Singapore; Department of Infectious Diseases, Tan Tock Seng Hospital, Singapore; Lee Kong Chian School of Medicine, Singapore
| | - K Marimuthu
- National Centre for Infectious Diseases, Singapore; Department of Infectious Diseases, Tan Tock Seng Hospital, Singapore; Yong Loo Lin School of Medicine, Singapore
| | - M Chan
- National Centre for Infectious Diseases, Singapore; Department of Infectious Diseases, Tan Tock Seng Hospital, Singapore
| | - Y-S Leo
- National Centre for Infectious Diseases, Singapore; Department of Infectious Diseases, Tan Tock Seng Hospital, Singapore
| | - S Vasoo
- National Centre for Infectious Diseases, Singapore; Department of Infectious Diseases, Tan Tock Seng Hospital, Singapore
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