• Bradley Sanville, Rebecca Corbett, Wesley Pidcock, Kaitlyn Hardin, Christian Sebat, Minh-Vu Nguyen, George R Thompson, Angela Haczku, Michael Schivo, and Stuart Cohen.
• Division of Pulmonary, Critical Care, and Sleep Medicine, School of Medicine, University of California at Davis, Davis, California, USA.
• Clin. Infect. Dis. 2020 Nov 19; 71 (16): 2222-2226.

AbstractThis is the first known community transmission case of the novel coronavirus disease (COVID-19) in the United States, with significant public health implications. Diagnosis of COVID-19 is currently confirmed with PCR based testing of appropriate respiratory samples. Given the absence of travel or known exposure history, this patient did not meet the criteria for testing according to CDC guidelines at the time of her presentation. Since this case, any patient with severe disease (eg, ARDS or pneumonia) requiring hospitalization without an explanatory diagnosis can be tested even if no clear source of exposure is identified. While influencing national health policies for revising screening criteria, this case also highlighted significant knowledge gaps in diagnosis and treatment and a desperate need for early, widespread, fast and cheap testing for COVID-19.© The Author(s) 2020. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com.

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