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A case report of moderate COVID-19 with an extremely long-term viral shedding period
International Journal of Clinical and Experimental Medicine ; 15(7):231-235, 2022.
Article in English | EMBASE | ID: covidwho-1976313
ABSTRACT

Background:

COVID-19 is caused by infection with a new form of coronavirus (SARS-CoV-2). The WHO raised the COVID-19 alert to the highest level. The virus is a highly contagious via human-to-human transmission. The median duration of viral shedding is 20.0 days. We report a long duration of viral shedding that was 32.0 days from illness onset in a patient with moderate COVID-19 admitted to Qianjiang Central Hospital. Case report A 37-year-old patient sought medical advice while suffering from fever, dry cough, fatigue, dizziness, runny nose and diarrhoea. Five days before the visit, he had a history of travel from affected geographic areas. The patient had a positive RT-PCR test, and chest CT images showed multiple nodules and mixed ground-glass opacification with consolidation in bilaterally in the lungs. Laboratory findings showed that the lymphocyte and CD4+ counts were below the normal range. The patient was given antiviral treatment, including arbidol, lopinavir, IFN-α, and traditional Chinese medicine, and other necessary supportive care. All clinical symptoms and CT imaging manifestation ab-normalities resolved during the course of therapy.

Conclusion:

Although the positive RT-PCR tests were verified in consecutive upper respiratory specimens, the patient’s clinical symptoms, CT imaging findings, CD4+ lymphocyte counts, and IgG antibody levels had obviously improved. Positive tests may be detecting pieces of inactive viruses, which would not be transmissible in individual cases.
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Collection: Databases of international organizations Database: EMBASE Type of study: Case report Topics: Long Covid Language: English Journal: International Journal of Clinical and Experimental Medicine Year: 2022 Document Type: Article

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Collection: Databases of international organizations Database: EMBASE Type of study: Case report Topics: Long Covid Language: English Journal: International Journal of Clinical and Experimental Medicine Year: 2022 Document Type: Article