Published 3:08 pm, Friday, October 10, 2014
DALLAS - Thomas Eric Duncan 's temperature spiked to 103 degrees during the hours of his initial visit to an emergency room - a fever that was flagged with an exclamation point in the hospital's record-keeping system, his medical records show.
Despite telling a nurse that he had recently been in Africa and displaying other symptoms that could indicate Ebola, the man who would become the only person to die from the disease in the U.S. underwent a battery of tests and was eventually sent home.
Duncan's family provided his medical records to the Associated Press - more than 1,400 pages in all. They encompass his time in the ER, his urgent return to the hospital two days later and his steep decline as his organs began to fail.
Duncan carried the deadly virus with him from his home in Liberia, though he showed no symptoms when he left for the United States. He arrived in Dallas on Sept. 20 and fell ill several days later.
When he first showed up at Texas Health Presbyterian Hospital, the man complained of abdominal pain, dizziness, a headache and decreased urination. He reported severe pain - rating it an 8 on a scale of 10. Doctors gave him CT scans to rule out appendicitis, stroke and numerous other serious ailments. Ultimately, he was prescribed antibiotics and told to take Tylenol, then returned to the apartment where he was staying with a Dallas woman and three other people.
In spite of his fever, a physician's note dated Sept. 26 said Duncan was 'negative for fever and chills.'
'I have given patient instructions regarding their diagnosis, expectations for the next couple of days, and specific return precautions,' according to the emergency room physician's note. 'The condition of the patient at this time is stable.'
After Duncan's condition worsened, someone in the apartment called 911, and paramedics took him back to the hospital on Sept. 28. That's when he was admitted and swiftly put in isolation.
The documents also show that a nurse recorded early in Duncan's first hospital visit that he recently came to the U.S. from Africa, though he denied having been in contact with anyone sick.
The Centers for Disease Control and Prevention had alerted hospitals nationwide to take a travel history for patients with Ebola-like symptoms.
According to the records, Duncan was 45. Relatives said he was 42.
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