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New disease
Case report
Prolonged viral shedding in an immunocompetent patient with COVID-19
  1. Anthony Michael McKie,
  2. Timothy Peter Wynne Jones and
  3. Catriona Sykes
  1. Infectious Diseases, Monklands Hospital, Airdrie, UK
  1. Correspondence to Dr Anthony Michael McKie; anthony.mckie{at}nhs.net

Abstract

We present a case of COVID-19 in an immunocompetent patient with risk factors for severe disease who recovered after prolonged swab positivity of 61 days postsymptom onset without significant respiratory and organ dysfunction. We discuss the reasons behind her prolonged swab positivity in the context of current SARS-CoV-2 knowledge, document the trend in her inflammatory response and swab results, and discuss the implications swab positivity had on her isolation and recovery.

  • infections
  • long term care
  • infectious diseases
  • pneumonia (infectious disease)
  • infection control in hospital

This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.

https://bmj.com/coronavirus/usage

https://doi.org/10.1136/bcr-2020-237357

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    Footnotes

    • Contributors AMM and TPWJ provided equal contributorship in the research, documentation and authorship of this case report. CS provided educational oversight and support throughout the authorship.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.