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A 68-year-old male patient was admitted because of cough,fever and dyspnea for 1 day# He reported a history of visits to a live animal market# He had been well expect coronary disease and chronic obstructive pulmonary disease #COPD# before admission# He denied using steroid before# On examination, the temperature was 39#7° C, pulse was 78 beats/min, respiratory rate was 30 breaths/min, and blood pressure was 112/78 mmHg#