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新冠康复后临床复发的 COVID-19 症状:病毒复发、再感染还是炎症反弹?

Clinical recurrences of COVID-19 symptoms after recovery: Viral relapse, reinfection or inflammatory rebound?

机构信息

Service de Medecine interne, Maladies Infectieuses, hematologie, Centre Hospitalier Bretagne Atlantique, 20, boulevard Maurice Guillaudot, 56000 Vannes, France.

Hôpital intercommunal André Grégoire, groupement hospitalier Grand Paris Nord Est, 56, boulevard de la Boissière, 93100 Montreuil, France.

出版信息

J Infect. 2020 Nov;81(5):816-846. doi: 10.1016/j.jinf.2020.06.073. Epub 2020 Jun 30.

Abstract

For the first 3 months of COVID-19 pandemic, COVID-19 was expected to be an immunizing non-relapsing disease. We report a national case series of 11 virologically-confirmed COVID-19 patients having experienced a second clinically- and virologically-confirmed acute COVID-19 episode. According to the clinical history, we discuss either re-infection or reactivation hypothesis. Larger studies including further virological, immunological and epidemiologic data are needed to understand the mechanisms of these recurrences.

摘要

在 COVID-19 大流行的前 3 个月,预计 COVID-19 将是一种具有免疫性的非复发性疾病。我们报告了 11 例经病毒学确诊的 COVID-19 患者的全国性病例系列,这些患者经历了第二次临床和病毒学确诊的急性 COVID-19 发作。根据临床病史,我们讨论了再感染或再激活的假说。需要进行更大规模的研究,包括进一步的病毒学、免疫学和流行病学数据,以了解这些复发的机制。

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