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一名免疫功能正常的新冠肺炎患者出现病毒长期脱落。

Prolonged viral shedding in an immunocompetent patient with COVID-19.

作者信息

McKie Anthony Michael, Jones Timothy Peter Wynne, Sykes Catriona

机构信息

Infectious Diseases, Monklands Hospital, Airdrie, UK

Infectious Diseases, Monklands Hospital, Airdrie, UK.

出版信息

BMJ Case Rep. 2020 Oct 4;13(10):e237357. doi: 10.1136/bcr-2020-237357.

Abstract

We present a case of COVID-19 in an immunocompetent patient with risk factors for severe disease who recovered after prolonged swab positivity of 61 days postsymptom onset without significant respiratory and organ dysfunction. We discuss the reasons behind her prolonged swab positivity in the context of current SARS-CoV-2 knowledge, document the trend in her inflammatory response and swab results, and discuss the implications swab positivity had on her isolation and recovery.

摘要

我们报告了一例免疫功能正常但有重症风险因素的COVID-19患者,该患者在症状出现后61天拭子检测持续呈阳性,最终康复,期间未出现明显的呼吸和器官功能障碍。我们结合当前对严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的认识,探讨了她拭子检测持续阳性的原因,记录了她炎症反应和拭子检测结果的变化趋势,并讨论了拭子检测阳性对其隔离和康复的影响。

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