Prolonged Duration of Viral Shedding of SARS-CoV-2: A Case Report

Autor: Brandon Fong, Kory S. London
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Clinical Practice and Cases in Emergency Medicine, Vol 4, Iss 4 (2020)
Druh dokumentu: article
ISSN: 2474-252X
DOI: 10.5811/cpcem.2020.7.49005
Popis: Introduction: The literature on the clinical course of severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) suggests patients continue shedding viral particles typically for an average of 20 days until the body builds immunity against the infection. However, a few cases have shown prolonged duration in viral shedding and highlight the significant increased mortality in these patients. It has also been suggested that multiple strains of SARS-COV-2 exist, keying the possibility to reinfection. Case Report: We present a case of a 57-year-old male who presented twice over 37 days with symptoms related to SARS-COV-2, and only on his second visit was found to be in hypoxemic respiratory failure and cardiogenic shock. He also reportedly had a period of convalescence in between presentations. Discussion: This case highlights the still unclear disease course of SARS-COV-2 and the need for diligence in providing strong follow-up instructions and evaluation for sequelae of the infection.
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