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A 63-Year-Old Man with a Diagnosis of Re-Infection with SARS-CoV-2 Nine Weeks After an Initial Hospital Admission with COVID-19 Pneumonia.
Dudek, Ilona; Jesiotr, Marzena; Rzeszotarska, Agnieszka; Klos, Krzysztof; Chcialowski, Andrzej; Nowak, Monika; Korsak, Jolanta.
  • Dudek I; Department of Clinical Transfusiology, Military Institute of Medicine, Warsaw, Poland.
  • Jesiotr M; Department of Clinical Transfusiology, Military Institute of Medicine, Warsaw, Poland.
  • Rzeszotarska A; Department of Clinical Transfusiology, Military Institute of Medicine, Warsaw, Poland.
  • Klos K; Department of Infectious Diseases and Allergology, Military Institute of Medicine, Warsaw, Poland.
  • Chcialowski A; Department of Infectious Diseases and Allergology, Military Institute of Medicine, Warsaw, Poland.
  • Nowak M; Department of Clinical Transfusiology, Military Institute of Medicine, Warsaw, Poland.
  • Korsak J; Department of Clinical Transfusiology, Military Institute of Medicine, Warsaw, Poland.
Am J Case Rep ; 23: e932999, 2022 Jan 24.
Article in English | MEDLINE | ID: covidwho-1648164
ABSTRACT
BACKGROUND This report describes a 63-year-old Polish man presenting with COVID-19 (Coronavirus Disease 2019) pneumonia in early 2020, before vaccines to prevent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection were available. Nine weeks following recovery from the initial infection, he tested positive again for SARS-CoV-2. CASE REPORT Man, age 63, was admitted to the Military Institute of Medicine on March 12, 2020, with body temperature 40°C, a cough, and breathlessness. On March 12, 2020, SARS-CoV-2 RNA was found in a nasopharynx smear. A chest X-ray (RTG) showed discrete areas of interstitial densities. On June 13, 2020, after 32 days of hospitalization and 2 negative real-time polymerase chain rection (RT-PCR) test results, patient was released home in good general condition. On July 23, 2020 he reported to the emergency room with fever of 39°C and general weakness. A nasopharynx smear confirmed SARS-CoV-2 infection. On admission, the patient was in moderately good condition with auscultatory changes typical for pneumonia on both sides of the chest. On the seventh day of hospitalization, the patient was transported to the Intensive Care Unit (ICU) due to drastic deterioration in respiratory function. Respiratory support with non-invasive high-flow oxygen therapy (Opti-Flow) was used. On August 20, 2020, after negative RT-PCR test results, he was discharged in good general condition. CONCLUSIONS This case of COVID-19 pneumonia presented early in the COVID-19 pandemic of 2020, and the laboratory diagnosis of the initial and subsequent SARS-CoV-2 infection relied on the laboratory methods available at that time. However, several cases of repeat SARS-CoV-2 infection have been described before the development of vaccines in late 2020.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia / COVID-19 Type of study: Case report / Diagnostic study Topics: Long Covid / Vaccines Limits: Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: Am J Case Rep Year: 2022 Document Type: Article Affiliation country: AJCR.932999

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia / COVID-19 Type of study: Case report / Diagnostic study Topics: Long Covid / Vaccines Limits: Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: Am J Case Rep Year: 2022 Document Type: Article Affiliation country: AJCR.932999