期刊
BMJ CASE REPORTS
卷 14, 期 7, 页码 -出版社
BMJ PUBLISHING GROUP
DOI: 10.1136/bcr-2021-243692
关键词
infectious diseases; haematology (incl blood transfusion)
This case highlights the challenge of distinguishing between reinfections and prolonged shedding of the virus in patients who repeatedly test positive for COVID-19 PCR testing, emphasizing the importance of understanding and using cycle threshold values to discern these etiologies.
We describe the case of a 26-year-old man who presented to an outside hospital with concerns of blurred vision. He subsequently tested positive for COVID-19 and his lab work suggested acute leukaemia. The patient was admitted to our hospital and completed a course of remdesivir. He eventually tested negative for COVID-19 before initiating chemotherapy. Two days after starting chemotherapy, he developed a neutropenic fever and tested positive for COVID-19. Through this case, we aim to bring attention to patients who recurrently test positive with COVID-19 PCR testing, thereby causing a dilemma of differentiating between reinfections and prolonged shedding of the virus, as well as understand and use cycle threshold values to discern these aetiologies.
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