Y. Ogawa, S. Yoshihara, Toshihiko Nagata, Taisuke Akiyama, J. Kumasawa, M. Kono, H. Kohata, K. Nishida, I. Gohma
{"title":"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","authors":"Y. Ogawa, S. Yoshihara, Toshihiko Nagata, Taisuke Akiyama, J. Kumasawa, M. Kono, H. Kohata, K. Nishida, I. Gohma","doi":"10.11150/KANSENSHOGAKUZASSHI.94.542","DOIUrl":null,"url":null,"abstract":"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","PeriodicalId":17724,"journal":{"name":"Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2020-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"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\",\"authors\":\"Y. Ogawa, S. Yoshihara, Toshihiko Nagata, Taisuke Akiyama, J. Kumasawa, M. Kono, H. Kohata, K. Nishida, I. Gohma\",\"doi\":\"10.11150/KANSENSHOGAKUZASSHI.94.542\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"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\",\"PeriodicalId\":17724,\"journal\":{\"name\":\"Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2020-07-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.11150/KANSENSHOGAKUZASSHI.94.542\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.11150/KANSENSHOGAKUZASSHI.94.542","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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