Symptomatic relapse and long-term sequelae of COVID-19 in a previously healthy 30-year-old man

被引:10
作者
Abdallah, Hatem [1 ]
Porterfield, Florence [1 ]
Fajgenbaum, David [1 ]
机构
[1] Univ Penn, Perelman Sch Med, Dept Internal Med, Philadelphia, PA 19104 USA
关键词
infectious diseases; public health; migration and health; TB and other respiratory infections;
D O I
10.1136/bcr-2020-239825
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Much has been reported on the clinical course of severe COVID-19, but less is known about the natural history and sequalae of mildly symptomatic cases and the prospects of reinfection or recurrence of symptoms. We report a case of a patient with mildly symptomatic PCR-confirmed COVID-19 who, after being symptom-free for 2 weeks, redeveloped symptoms and was found to be PCR-positive again >4 weeks from original testing. Surprisingly, IgG and IgM antibody testing was negative 2 months after reinfection. Although no negative testing was performed between the two symptomatic bouts, this case raises the possibility of reinfection after controlling the virus and highlights the long period with which a patient can shed virus and experience symptoms after initial infection. Characterising variations in clinical symptoms and length of viral shedding after improvement is essential for informing recommendations on patients safely resuming contact with others.
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页数:4
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