Donald Trump's shock announcement that he has coronavirus and his subsequent hospitalisation has sent the US reeling. However, the 45th president is hardly the first to suffer from a major illness or even a global pandemic while in office.
From George Washington to George W. Bush, here's a roundup of the US presidency's more memorable brushes with disease and death.
Former president George W. Bush invoked the 25th Amendment in 2002 and again in 2007 while being sedated for routine colonoscopies, putting then-vice president Dick Cheney in charge for hours.
Although the amendment was adopted in 1967, Ronald Reagan indicated in 1985 he did not believe he officially invoked it when he left then-vice president George H.W. Bush briefly at the helm while doctors removed a cancerous polyp from the president's colon.
Reagan said the period was too "brief and temporary" for the amendment to apply.
With the nation on the brink of an economic depression, Cleveland aimed to keep the cancer on the roof of his mouth a secret so as not to send the nation into a financial panic. He mostly succeeded.
The tumor, five teeth and a piece of his left jawbone were reportedly removed somewhere off the coast of New York, and a rubber prosthetic was later inserted for aesthetics.
Despite the grave nature of his health, his administration worked furiously to keep his illness from the general public.
The street outside the presidential mansion, then in the temporary capital of New York, was closed off and covered in hay to muffle the noise while the first president, just a year into his administration, quietly convalesced.
"Beset by hiccups, Washington made strange gurgling noises that were interpreted as a death rattle," biographer Ron Chernow writes in his book "Washington, A Life." The president survived.
He is one of four US presidents murdered in office, all by gunfire. James A. Garfield died of infection two months after being gunned down in 1881 by a disgruntled public office seeker.
Anarchist Leon Czolgosz killed president William McKinley in 1901. And John F. Kennedy was famously shot while riding in an open-top convertible in Dallas in 1963.
In addition, Reagan was seriously wounded in a 1981 assassination attempt outside a Washington hotel by a deranged gunman.
Three other presidents have also died of natural causes while in office: William Henry Harrison, Warren G. Harding and Franklin D. Roosevelt.
Following his bout with the Spanish flu, Wilson had a near fatal stroke in October 1919, after which his wife, Edith, secretly served as de facto decision-maker for his administration's remaining 17 months.
Discover the latest Business News, Sensex, and Nifty updates. Obtain Personal Finance insights, tax queries, and expert opinions on Moneycontrol or download the Moneycontrol App to stay updated!
Find the best of Al News in one place, specially curated for you every weekend.
Stay on top of the latest tech trends and biggest startup news.