{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T20:42:17Z","timestamp":1786999337001,"version":"build-2736575974"},"reference-count":10,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2021,4,19]],"date-time":"2021-04-19T00:00:00Z","timestamp":1618790400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1935789321001233_as1\">\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study aims to report the clinical features of a cohort of patients with suspected coronavirus disease (COVID-19) from Tobruk, Libya, and reflect upon the diagnosis challenge in low-resource settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789321001233_as2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A descriptive report of the first 100 patients with suspected COVID-19 who have visited the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and COVID-19 screening clinic at the National Centre for Disease Control in Tobruk, Libya.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789321001233_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The most common presenting symptoms were fever (90%), cough (89%), dyspnea (85%), sore throat (79%), fatigue (78%), headache (64%), loss of smell (52%), loss of taste (53%), loss of appetite (43%), nausea and vomiting (26%), diarrhea (22%), and rhinorrhea (16%); 51% of the patients had lymphocytopenia, whereas 13% had thrombocytopenia. Bilateral infiltrates were the most common radiologic finding on chest X-ray (76%), and COVID-19 IgM and\/or IgG antibodies were detected in 80% of the patients, whereas only 37% of the patients were tested positive by the reverse transcriptase polymerase chain reaction (RT-PCR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789321001233_as4\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The disease continued its spread across the region. Fever, cough, and dyspnea were the main symptoms; 21% of the patients did not have any chest X-ray abnormalities. Initial negative results for either antibody testing or RT-PCR-testing for COVID-19 do not rule out the infection.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/dmp.2021.123","type":"journal-article","created":{"date-parts":[[2021,4,19]],"date-time":"2021-04-19T04:59:20Z","timestamp":1618808360000},"page":"2331-2334","source":"Crossref","is-referenced-by-count":4,"title":["Clinical Characteristics of the First 100 Patients of COVID-19 in Tobruk, Libya: A Brief Report From Low-Resource Settings"],"prefix":"10.1017","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4577-4598","authenticated-orcid":false,"given":"Faisal","family":"Ismail","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atiya","family":"Farag","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soghra","family":"Haq","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad A.","family":"Kamal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2021,4,19]]},"reference":[{"key":"S1935789321001233_ref2","unstructured":"2. The National Centre of Disease Control of Libya. Country situation of COVID-19. 2006-2021. https:\/\/ncdc.org.ly\/Ar\/situation-of-corona\/. Accessed February 18, 2021."},{"key":"S1935789321001233_ref9","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2020200642"},{"key":"S1935789321001233_ref4","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc2010419"},{"key":"S1935789321001233_ref1","first-page":"157","article-title":"WHO declares COVID-19 a pandemic","volume":"91","author":"Cucinotta","year":"2020","journal-title":"Acta Biomed."},{"key":"S1935789321001233_ref3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2002032"},{"key":"S1935789321001233_ref5","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.8259"},{"key":"S1935789321001233_ref6","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9051515"},{"key":"S1935789321001233_ref8","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2020201160"},{"key":"S1935789321001233_ref7","doi-asserted-by":"publisher","DOI":"10.7326\/M20-1495"},{"key":"S1935789321001233_ref10","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0238160"}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789321001233","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,1,24]],"date-time":"2023-01-24T02:31:11Z","timestamp":1674527471000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789321001233\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,19]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["S1935789321001233"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2021.123","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,19]]}}}