一名与疑似SARS-CoV-2携带者生活在一起的83岁妇女的COVID-19肺炎病例,其PCR检测多次呈阴性

Y. Ogawa, S. Yoshihara, Toshihiko Nagata, Taisuke Akiyama, J. Kumasawa, M. Kono, H. Kohata, K. Nishida, I. Gohma
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引用次数: 1

摘要

患者是一名83岁的女性,她和女儿住在一起,女儿的工作单位有一个人被诊断为COVID-19,女儿因肺炎住院,但两次进行SARS-CoV-2 PCR检测结果为阴性。几天后,患者出现发烧,并前往有发烧和国外旅行史的患者门诊,鼻拭子PCR检测结果为阴性。患者发热逐渐消退,开始出现呼吸困难,再次到门诊复查鼻拭子检查,同时呼吸困难严重,入院后立即插管,开始机械通气,提交鼻拭子及下呼吸道分泌物标本PCR检测COVID-19。密切接触者或强烈疑似病例需注意PCR检测可能出现假阴性,对疑似病例可能需要进行下呼吸道分泌物标本PCR检测
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Case of COVID-19 Pneumonia in an 83-year-old Woman Living with a Suspected SARS-CoV-2 Carrier, Who Repeatedly Tested Negative by the PCR Test
The patient, an 83-year-old woman, lived with her daughter, at whose workplace, a person had been diagnosed as having COVID-19 The daughter was admitted to the hospital for pneumonia, however, the results of the PCR test for SARS-CoV-2 performed twice were negative The patient developed fever a few days later, and visited an outpatient clinic for patients with fever and a history of travel abroad The result of a nasal swab PCR test was negative, and antibiotics were prescribed While the fever gradually subsided, the patient began to experience dyspnea Therefore, she visited the outpatient clinic again for a repeat nasal swab test Meanwhile, the dyspnea became severe and she was transported to our hospital Immediately after admission, she was intubated and initiated on mechanical ventilation A nasal swab and a specimen of lower respiratory tract secretions were submitted for COVID-19 testing by PCR, and while the nasal swab test result was negative again, the lower respiratory tract specimen yielded a positive result�E�EThe possibility of false-negative results of PCR testing for SARS-CoV-2 should be borne in mind in close contacts or strongly suspected cases of COVID-19 PCR testing of specimens of lower respiratory tract secretions might be necessary for suspected cases of COVID-19 pneumonia
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