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10.1016/j.jiac.2021.05.001

http://scihub22266oqcxt.onion/10.1016/j.jiac.2021.05.001
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33994323!8106895!33994323
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suck abstract from ncbi


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pmid33994323      J+Infect+Chemother 2021 ; 27 (7): 1126-1128
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  • A patient with human coronavirus NL63 falsely diagnosed with COVID-19; Lesson learned for the importance of definitive diagnosis #MMPMID33994323
  • Otsuka Y; Hagiya H; Nakano Y; Omura D; Hasegawa K; Yamada H; Iio K; Honda T; Otsuka F
  • J Infect Chemother 2021[Jul]; 27 (7): 1126-1128 PMID33994323show ga
  • The gold standard for the diagnosis of coronavirus disease 2019 (COVID-19) is a nucleic acid detection test for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which may occasionally reveal false-positive or false-negative results. Herein, we describe a case of a patient infected with human coronavirus NL63 (HCoV-NL63) who was falsely diagnosed with COVID-19 using the Ampdirect 2019-nCoV detection kit (Shimadzu Corporation, Japan) and SARS-CoV-2 Detection Kit (TOYOBO co., ltd.), and was admitted to a COVID-19 hospital ward. We suspected a cross-reaction between HCoV-NL63 and SARS-CoV-2; however, the reported genome sequences of HCoV-NL63 and N1/N2 primers for SARS-CoV-2 do not correspond. Thus, the PCR result was supposed to be a false positive possibly due to contamination or human error. Although the issue of a false-negative result has been the focus of much attention to prevent the spread of the disease, a false positive is fraught with problems as well. Physicians should recognize that unnecessary isolation violates human rights and a careful diagnosis is indispensable when the results of laboratory testing for COVID-19 are unclear. Generally, in cases such as a duplicate PCR test was partially positive, either N1 or N2 alone was positive, PCR testing for two or more target regions resulted in a positive only for single region, a high cycle threshold >35 was obtained, a false positive should be suspected. Especially, when these conditions coincide, we should recognize the high likelihood of a false positive.
  • |*COVID-19[MESH]
  • |*Coronavirus NL63, Human/genetics[MESH]
  • |COVID-19 Testing[MESH]
  • |Humans[MESH]
  • |Japan[MESH]


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