AUCTORES
Globalize your Research
Case Report
*Corresponding Author: Ethem Bilgiç, Department of General Surgery, Izmir Bozkaya Research and Education Hospital İzmir, Turkey.
Citation: Ethem Bilgiç (2020) COVID-19 cases: definitive, or not? J. Clinical Medical Reviews and Reports 2(7); DOI: 10.31579/2690-8794/041
Copyright: © 2020, Ethem Bilgiç, This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 27 August 2020 | Accepted: 31 August 2020 | Published: 02 October 2020
Keywords: severe acute respiratory syndrome corona virus 2; corona virus Pandemics
Context: A cluster and increase in pneumonia cases with unknown cause were detected in Wuhan, Hubei province, China, in December 2019. These cases were reported to be associated with a new coronavirus type by the Chinese health authorities on January 7, 2020. The first case in Turkey was diagnosed on March 11, 2020. COVID-19 (SARS-CoV-2 infection) guide was prepared for the pandemic by the Ministry of Health scientific committee. However, despite strong clinical, laboratory and radiological suspicions, there are also patients who do not meet the exact case definition.
Case report: In this case report, we aimed to discuss two cases that did not meet the definitive case definition and followed up in our clinic.
Conclusions: Although gold standard method for the definitive diagnosis of SARS-CoV-2 infection is PCR, rapid antibody tests and CT findings are used in combination with PCR for a more effective struggle in the pandemic process would enhance rapid diagnosis of cases, necessary treatment and isolation measures to prevent transmission. It is thought that it would be useful to make case definitions.
Coronaviruses are common among humans, mammals and birds; enveloped ribonucleic acid(RNA) viruses that cause respiratory, enteric, hepatic and neurological diseases. There are six types of coronavirus known to cause disease in humans. Four of them (229E, OC43, NL63 and HKU1) typically cause cold symptoms in individuals with healthy immune systems. The other two are SARS-CoV which cause severe acute respiratory syndrome and MERS-CoV, which causes Middle East Respiratory Syndrome. They are zoonotic infections with mortality rates of 9.6% and 34.4%, respectively [1, 2].
A cluster and increase in pneumonia cases with unknown cause were detected in Wuhan, Hubei province, China, in December 2019 [3, 4]. These cases were reported to be associated with a new coronavirus type by the Chinese health authorities on January 7, 2020. The World Health Organization (WHO) termed the clinical picture of the new coronavirus "corona virus disease 2019" (COVID-19) and the virus that caused this disease severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on February 11, 2020 [5]. The main transmission routes of the virus have been reported as respiratory droplets and close contact between people. After that, COVID-19 has spread all over the world and has become a global public health problem.
The first case in Turkey was diagnosed on March 11, 2020. COVID-19 (SARS-CoV-2 infection) guide was prepared for the pandemic by the Ministry of Health scientific committee. This guideline contains information about the virus that caused COVID-19, ways of transmission, case definition, diagnostic methods, strategy and behavior patterns for COVID-19 case or contacted in follow- up. The “COVID-19 (2019-nCoV Disease) Guide” is updated in line with current WHO recommendations and current scientific developments. According to this guide, cases with SARS-CoV-2 detected by molecular methods (polymerase chain reaction) from respiratory samples are defined as definitive cases [6]. However, despite strong clinical, laboratory and radiological suspicions, there are also patients who do not meet the exact case definition.
In this case report, we aimed to discuss two cases that did not meet the definitive case definition and followed up in our clinic.
We declare that all patients gave their consent to have their cases to reported.
Case 1: Our first case, a 69-year-old male patient applied to our emergency department with complaints of fever and cough on 27.03.2020. It was learned from the anamnesis of the patient that he came from Istanbul to Didim by bus on 25.03.2020, traveled with his wife and his complaints had been present for five days. The patient had a history of hypertension and antihypertensive use. In the physical examination of the patient, fever was measured as 37.9oC. System examination was normal. White blood cells (WBC): 4.32 K/μL (4.6-10.2 K/μL), platelet count(PLT): 115 K/μL (142-424 K/CRL), c-reactive protein (CRP): 8.4 mg/L (0-5 mg/L) was determined in laboratory tests. In the non-contrasted thorax computed tomography (CT) examination, “Peripherally located ground-glass views and patches of stone in the middle lower zones in both lungs are noteworthy. The peripheral location and patterns of the lesions were evaluated as highly significant in terms of COVID-19.” as reported (Figures 1A and 1B).
The patient was hospitalized by isolation precautions. Levofloxacin 500 mg IV 1x1 and oseltamivir 75 mg capsule 2x1 was started for treatment. Nasopharyngeal swab sample was taken for COVID-19 polymerase chain reaction (PCR) test on 27.03.2020 and 30.03.2020. However, PCR tests were negative. On 31.03.2020, hydroxychloroquine 200 mg tablet was added to the treatment of the patient whose fever continuedon the first day as 2x2, then 2x1 and continued for five days. A nasopharyngeal swab sample was taken from the patient for the third time on 06.04.2020 for PCR testing and control CT without contrast was taken. The third PCR test was also negative. The control CT was reported as “draws attention in the form of patchy peripheral frosted glass in both lungs on the posterior segment of the right upper lobe on the right, and on the left at the level of the lower lobe of the upper lobe, on the right middle lobe, on the levels of the superior segment of both lower lobes and the posterobasal segment of both lower lobes. Thin linear density increases accompany the existing ground glass shapes and curvilinear streaks are added in basal segments. Occasionally, cobblestone views are formed. The findings are peripheral and bilateral. Compared to the older CT, there is an increase in the number and area of the lesion. The findings are compatible with the mid-term natural course in terms of its radiological course. Although progression is observed, it does not mean clinical progression. The patient's findings have been evaluated in favor of the natural process of COVID-19 infection and clinical evaluation is recommended for progression.” Nasopharyngeal swab sample was taken from the patient for COVID-19 PCR test again on 08.04.2020. After the delivery of the rapid diagnostic kit, the patient was administered a rapid test with COVID-19 (SARS-CoV-2) Antibody Test Kit (Colloidal Gold) by recommendations of producer company (Anhui Deep Blue Medical Technology, Anhui, China). The last PCR test was negative but the rapid antibody test, COVID-19 immunoglobulin M (IgM) was positive (Figure 2). The patient, whose fever and cough complaints decreased in the follow-up and the respiratory distress did not develop, was discharged on the 15th day of hospitalization with the decision to follow up at home.
Case2: The second case was a 67-year-old female patient and was the first case’s wife. The patient, who had a history of bus travel with the first case, was called to the Infectious Diseases Policlinic on 28.03.2020 after the first patient was hospitalized. Her complaint was soreness of all body, not cough and breathe distress. She had no fever. Her physical examination is normal. WBC: 4.71 K/μL (4.6-10.2 K/μL), hemoglobin (HGB): 11.7 g/dl (12.2-18.1 g/dl), hematocrit (HCT): 34.3% (37.7-53.7%), PLT: 148 K/μL (142-424 K/μL), CRP: 11.2 mg/L (0-5 mg/L) were resulted in laboratory tests. The non-contrast thoracic CT was reported as “The right lower lobe superior segment in both lungs, and both lower lobe anterobasal, laterobasal and posterobasal segments in the form of patches of peripherally located frosted glass, and patches of cobblestones are remarkable. The findings are highly suspicious for COVID-19 infection.” (Figure 3). The patient was hospitalized for further examination, isolation and observation. The nasopharyngeal swab sample was taken for the COVID-19 PCR test on 28.03.2020. Levofloxacin 500 mg IV 1x1 and oseltamivir 75 mg capsule 2x1 were started for treatment. The PCR test was positive on 30.03.2020, then she was transferred to the city pandemic hospital.
The first cases were detected in the United States, Russia, the Philippines, Singapore, Japan, Sweden, Canada, England, Spain immediately after the World Health Organization declared a global public health emergency against coronavirus disease on January 30, 2020. This rapid spread demonstrated the importance of the need for fast and effective identification methods that can be used in health institutions dealing with the diagnosis and treatment of COVID-19.7
The gold standard for the diagnosis of COVID-19 is the identification of viral nucleic acid by polymerase chain reaction. However, the polymerase chain reaction method is a long time method that should be done meticulously. Also, some potential COVID-19 cases may have false negative results that may be detrimental to the control of the outbreak.8 We met a similar situation in the two cases we described above. The second case resulted in a positive COVID-19 PCR test, then she was recorded as definitive case, included the total number of cases in Turkey. However, despite the fact that the first case was clinically and radiologically compatible, positive COVID-19 rapid antibody test, the COVID-19 PCR test was negative and was not recorded as a definitive case.
In one retrospective study, the CT findings of 53 patients with COVID-19 were compared with PCR test. It has been reported that the diagnosis of viral pneumonia by CT could be three days earlier than PCR test, and CT could be standard method for COVID-19 diagnosis [7]. So, isolation and treatment of patients can be done earlier with rapid diagnosis and potential transmission can be prevented. Another fast, simple and sensitive method of diagnosing COVID-19 is to measure SARS-CoV-2 specific antibodies in peripheral blood.While the first defense mechanism against viral infections is immunoglobulin M (IgM), immunoglobulin G (IgG) is important in long-term immunity and immune memory [9]. In one study, it was reported that IgM antibodies could be measured in patient blood three to six days after SARS infection and eight days after IgG antibodies [10]. Hence, rapid detection of IgM and IgG antibodies will make an important contribution to the diagnosis and treatment of COVID-19. Li et al. reported the sensitivity as 88.66% and the specificity as 90.63% of rapid tests [8].These tests are important and quick method for local health institutions that do not have the possibility to perform PCR, because they do not require special equipment and personnel.
Although gold standard method for the definitive diagnosis of SARS-CoV-2 infection is PCR, rapid antibody tests and CT findings are used in combination with PCR for a more effective struggle in the pandemic process would enhance rapid diagnosis of cases, necessary treatment and isolation measures to prevent transmission. It is thought that it would be useful to make case definitions.
Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.
Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.
Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.
Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.
We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.
The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.
Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.
Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.
Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.
Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.
Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.
This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.
Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.
As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.
Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.
International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.
Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
