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Dynamic Monitoring of Seroconversion using a Multianalyte Immunobead Assay for Covid-19
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Prolonged Positive COVID-19 Test in Recovered Patient.
Christine X Q Pham1, Michelle Uttaburanont1,2, Maciej Witkos3
1Rancho Family Medical Group, Temecula, CA 92592, USA.
Journal of Medical Cases
|May 13, 2021
Summary
This case study highlights an atypical presentation of Coronavirus disease 2019 (COVID-19) in an elderly woman experiencing prolonged, recurrent positive tests for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) over seven weeks, despite initial symptom resolution.
Area of Science:
- Infectious Diseases
- Virology
- Public Health
Background:
- Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, is a global pandemic.
- Understanding diverse clinical presentations is crucial for managing the infection.
- Atypical cases offer valuable insights into disease progression and host response.
Observation:
- A 74-year-old female presented with recurrent low-grade fever, dyspnea, dry cough, and myalgias.
- She tested positive for SARS-CoV-2 multiple times over 7 weeks via telemedicine, despite symptom resolution.
- Her 78-year-old husband, a cohabitant, also contracted SARS-CoV-2.
Findings:
- The patient exhibited a prolonged and recurrent positive SARS-CoV-2 testing pattern.
- This suggests potential challenges in achieving complete viral clearance or intermittent shedding.
- The case underscores the variability in COVID-19 illness duration and detection.
Implications:
- Atypical COVID-19 presentations necessitate careful clinical monitoring and diagnostic approaches.
- Further research into prolonged viral shedding and testing variability in SARS-CoV-2 is warranted.
- Telemedicine can be a valuable tool for monitoring patients with suspected or confirmed COVID-19.
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