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Little is known about COVID-19 patients who have not traveled to infected areas or had direct contact with infected persons. This report describes the clinical features of 28 such patients with confirmed COVID-19 infection. Data on clinical characteristics during hospitalization were collected. Epidemiological exposures were investigated among patients reporting no travel to infected areas or direct contact with a case-patient. Patients presented with various symptoms, increased levels ofdoi:10.1272/jnms.jnms.2020_87-411 pmid:32908116 fatcat:rqubjnk6tjb4bjkxzww2yzp5vy