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Recurrence or Relapse of COVID-19 in Older Patients: A Description of Three Cases
Ludovic Lafaie1, Thomas Célarier1,2,3, Luc Goethals2,4
1Department of Clinical Gerontology, University Hospital of Saint-Etienne, Saint-Etienne, France.
Background:
COVID-19 has infected millions of people worldwide, particularly in older adults. The first cases of possible reinfection by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) were reported in April 2020 among older adults.
Design/Setting:
In this brief report, we present three geriatric cases with two episodes of SARS-CoV-2 infection separated by a symptom-free interval.
Participants:
The participants of this brief report are three cases of hospitalized geriatric women.
Measurements/Results:
We note clinical and biological worsening during the second episode of COVID-19 for all three patients. Also, there is a radiological aggravation. The second episode of COVID-19 was fatal in all three cases.
Conclusion:
This series of three geriatric cases with COVID-19 diagnosed two times apart for several weeks questions the possibility of reinfection with SARS-CoV-2. It raises questions in clinical practice about the value of testing for SARS-CoV-2 infection again in the event of symptomatic reoccurrence. J Am Geriatr Soc 68:2179-2183, 2020.
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