Duncan.27s illness in Dallas Ebola virus cases in the United States

texas presbyterian hospital, duncan treated

duncan began experiencing symptoms on september 24, 2014, , arrived @ texas health presbyterian hospital emergency room @ 10:37 p.m. on september 25. @ 11:36 p.m., triage nurse asked duncan symptoms, , duncan reported feeling abdominal pain, dizziness, nausea , headache (new onset). nurse recorded fever of 100.1 °f (37.8 °c), did not inquire travel history not triage protocol @ time. @ 12:05 a.m., duncan admitted treatment area room on-duty physician accessed electronic health record (ehr). physician noted nasal congestion, runny nose, , abdominal tenderness. duncan given paracetamol (acetaminophen) @ 1:24 a.m. ct scan results came noting no acute disease abdominal , pelvic areas , unremarkable head. lab results returned showing low white blood cells, low platelets, increased creatinine, , elevated levels of liver enzyme ast. temperature noted @ 103.0 °f (39.4 °c) @ 3:02 a.m. , 101.2 °f (38.4 °c) @ 3:32 a.m. duncan diagnosed sinusitis , abdominal pain , sent home @ 3:37 a.m. prescription antibiotics, not effective treating viral diseases.

duncan s condition worsened, , transported on september 28 same texas health presbyterian hospital emergency room ambulance. duncan arrived in emergency room @ 10:07 a.m., experiencing diarrhea, abdominal pain, , fever. within fifteen minutes, doctor noted duncan had come liberia , needed tested ebola. doctor described following strict c.d.c. protocol including wearing mask, gown, , gloves. @ 12:58 p.m., doctor called cdc directly. 9:40 p.m., duncan experiencing explosive diarrhea , projectile vomiting. @ 8:28 a.m. next morning, doctor noted duncan appeared deteriorating. 11:32 a.m., duncan suffering fatigue severe enough prevent him using bedside toilet. later day, duncan transferred intensive care unit (icu) after other patients had been evacuated. next day, september 30, duncan diagnosed ebola virus disease after positive test result.

duncan s diagnosis publicly confirmed during cdc news conference same day. evening, duncan reported feeling better , requested watch movie. following morning, duncan breathing rapidly , complaining of pain on . afternoon, however, able eat, , doctor noted feeling better. next day, october 3, duncan again reported feeling abdominal pain. evening, hospital contacted chimerix, biotechnology company developing brincidofovir combat disease. next day, duncan s organs failing, , intubated him breathe. in afternoon, hospital began administering brincidofovir. nurses nina pham , amber joy vinson continued care duncan around clock. on october 7, hospital reported duncan s condition improving. however, duncan died @ 7:51 a.m. on october 8, becoming first person die in united states of ebola virus disease , index patient later infections of nurses pham , vinson.