Zhuang Shu-Fan, Hu Jia, Qiao Nan, Lan Zhi-Hui, Lai Jun-Yu, Wu Jian-Guang, Wu Xiao-Yong
Department of Gastroenterology, The Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, Nanchang 330006, Jiangxi Province, China.
Department of Student Affairs, Jiangxi Institute of Economic Administrators, Nanchang 330088, Jiangxi Province, China.
World J Clin Cases. 2020 Jun 26;8(12):2655-2661. doi: 10.12998/wjcc.v8.i12.2655.
Low-grade fever during convalescence is an atypical symptom of coronavirus disease 2019 (COVID-19). Reports of such cases are rare, and the mechanism and outcome of low-grade fever during COVID-19 convalescence are not completely clear. We report 3 cases with low-grade fever during COVID-19 convalescence and highlight the main clinical, radiographic, and laboratory characteristics, thereby increasing the level of expertise in the clinical management of COVID-19 during convalescence and facilitating individualized decision-making.
We describe 3 patients with COVID-19, two females aged 62 and 66 years and a male 55 years, who had low-grade fever during COVID-19 convalescence. All 3 patients had no other discomfort or comorbidities during low-grade process. Lesions on computed tomography in all 3 patients had resolved during this period. Two patients tested negative on two consecutive severe acute respiratory syndrome coronavirus 2 tests with an interval of at least 24 h between tests. Body temperature in all 3 patients returned to normal after several days without treatment, and fever recurrence was not observed.
Enhancing the knowledge of low-grade fever during COVID-19 convalescence may increase the expertise in the delivery of optimal healthcare services.
新型冠状病毒肺炎（COVID-19）恢复期低热是一种非典型症状。此类病例报告罕见，COVID-19恢复期低热的机制及转归尚不完全明确。我们报告3例COVID-19恢复期低热病例，并突出其主要临床、影像学及实验室特征，从而提高COVID-19恢复期临床管理的专业水平并促进个体化决策。
我们描述3例COVID-19患者，两名女性分别为62岁和66岁，一名男性为55岁，他们在COVID-19恢复期出现低热。所有3例患者在低热过程中均无其他不适或合并症。在此期间，所有3例患者的计算机断层扫描病变均已消退。两名患者在连续两次严重急性呼吸综合征冠状病毒2检测中呈阴性，两次检测间隔至少24小时。所有3例患者未经治疗数天后体温恢复正常，且未观察到发热复发。
加强对COVID-19恢复期低热的认识可能会提高提供最佳医疗服务的专业水平。
