First Case of 2019 Novel Coronavirus in the United States
Authors: George Diaz
Mary Chan
Elyse Bevers
Yan Li
Keith Ericson
Mark A Pallansch
Kevin Wickersham
Alicia Fry
Melissa Rolfes
Mike Boysun
Eileen Schneider
Chas DeBolt
LeAnne Fox
Claire M Midgley
Ying Tao
Jennifer Hunter
Brian Hiatt
John Wiesman
Xiaoyan Lu
Patricia Montgomery
Suxiang Tong
Tia K H Dostal
John T Watson
Denny Russell
Susan I Gerber
Aron Hall
Victoria Chu
Jing Zhang
Sara Podczervinski
Sara Oliver
Krista Queen
Nicholas R Graff
Ahmet Tural
Kim Peifer
Hannah Kirking
Steve Lindstrom
Wayne Turnberg
Dan Jernigan
Jasmine Matheson
Cynthia Harry
Xinyao deGrauw
Washington State 2019-nCoV Case Investigation Team
Marie E Killerby
Michelle L Holshue
Scott Lindquist
Satish K Pillai
Tessa Fairfortune
Timothy M Uyeki
Vivian Hawkins
Clinton R Paden
Holly M Biggs
Matt Zimmerman
Christopher Spitters
Anita Patel
Lindsay Kim
Kathy H Lofy
Amanda Cohn
Hollianne Bruce
Larissa Lewis
Esther W Lam
Brian Rha
Sara Wilkerson
William C Weldon
Stephanie Kujawski
Journal: New England Journal of Medicine (2020)
Discipline: CLINICAL MEDICINE
Keywords: novel coronavirus; 2019-nCoV; outbreak; Wuhan; China
Affiliations: From the Epidemic Intelligence Service (M.L.H.), the National Center for Immunizations and Respiratory Diseases (A.C., L.F., A.P.), the Division of Viral Diseases (S.I.G., L.K., S.T., X.L., S. Lindstrom, M.A.P., W.C.W., H.M.B.), the Influenza Division (T.M.U.), and the Division of Preparedness and Emerging Infections (S.K.P.), Centers for Disease Control and Prevention, Atlanta; and the Washington State Department of Health, Shoreline (M.L.H., C.D., S. Lindquist, K.H.L., J.W.), Snohomish Health District ...

Abstract:  An outbreak of novel coronavirus (2019-nCoV) that began in Wuhan, China, has spread rapidly, with cases now confirmed in multiple countries. We report the first case of 2019-nCoV infection confirmed in the United States and describe the identification, diagnosis, clinical course, and management of the case, including the patient's initial mild symptoms at presentation with progression to pneumonia on day 9 of illness. This case highlights the importance of close coordination between clinicians and public health authorities at the local, state, and federal levels, as well as the need for rapid dissemination of clinical information related to the care of patients with this emerging infection. 

Retracted: No

PubPeer comments:
 The [PCR test by CDC] will also test positive for SARS...and this [bat genome] seems to be the source of the problem , 
 Since they have sequenced (Accid:MN985325), they could easily test the underlying data to confirm the presence of [Prevotella] - which is present in all 4 available samples (1 from Wuhan and 3 from Hong Kong) , 
 1. On day 6, .. treatment with vancomycin (a 1750-mg loading dose followed by 1 g administered intravenously every 8 hours) and cefepime (administered intravenously every 8 hours) was initiated. 2. evening of day 7, and cefepime was discontinued on the following day, after serial negative procalcitonin levels and negative nasal PCR testing for methicillin-resistant Staphylococcus aureus. 3. On hospital day 8 (illness day 12), the patientu2019s clinical condition improved. Maybe the antibiotics worked (he was also given anti-virals). This is happening as this is a [Prevotella] (bacterial infection) - where the [nCoV has integrated in the bacterial genome] If true, it is also good that antibiotics are working well. Also, it is wrong to just look for one bacteria (methicillin-resistant Staphylococcus aureus) ,