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2020 ; 166
(ä): 108300
Nephropedia Template TP
gab.com Text
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English Wikipedia
A case presentation for positive SARS-CoV-2 RNA recurrence in a patient with a
history of type 2 diabetes that had recovered from severe COVID-19
#MMPMID32663490
Dou C
; Xie X
; Peng Z
; Tang H
; Jiang Z
; Zhong Z
; Tang J
Diabetes Res Clin Pract
2020[Aug]; 166
(ä): 108300
PMID32663490
show ga
Coronavirus disease 2019 (COVID-19) is considered to be spread primarily by
people who have tested positive for severe acute respiratory syndrome coronavirus
2 (SARS-CoV-2). Here, we discuss a patient with severe COVID-19 and a history of
type 2 diabetes who had a recurrence of positive SARS-CoV-2 ribonucleic acid
(RNA) after recovering. The patient was initially discharged after two
consecutive negative SARS-CoV-2 RNA tests and partially absorbed bilateral
lesions on chest computed tomography (CT). However, at his first follow-up,
reverse transcription-polymerase chain reaction (RT-PCR) assay with an
oropharyngeal swab sample was positive for SARS-CoV-2. Despite this, he displayed
no obvious clinical symptoms and improved chest CT. The patient was prescribed
anti-viral medication. Eight consecutive RT-PCR assays on oropharyngeal swab
specimens were conducted after he was re-admitted to our hospital. The results
tested positive on the 12th, 14th, 19th, 23rd and 26th of March and negative on
the 28th of March, and 6th and 12th of April. After his second discharge, he has
tested negative for 5 weeks. This case highlights the importance of active
surveillance of SARS-CoV-2 RNA during the follow-up period so that an infectivity
assessment can be made.