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首页> 外文期刊>Cureus. >Re-Positive SARS-CoV-2 With Respiratory Failure and Cerebrovascular Accident: Is This a Reinfection?
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Re-Positive SARS-CoV-2 With Respiratory Failure and Cerebrovascular Accident: Is This a Reinfection?

机译：重新阳性的SARS-COV-2，呼吸衰竭和脑血管事故：这是一种重新感染吗？

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The coronavirus disease 2019 ( COVID-19) pandemic is a global pandemic where healthcare providers are concerned about the reinfection of recovered patients. The reinfection with COVID-19 is not common and considered less likely, but as time passes by, there are reports of patients becoming positive after having tested negative previously. Here, we report a case of a 28-year-old male with diabetes mellitus type 1, hypertension, and end-stage renal disease on hemodialysis who presented initially in April 2020 with nausea, vomiting, and dyspnea. His severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) polymerase chain reaction (PCR) came back positive. He left against medical advice but was followed as an outpatient in the dialysis unit where he continued with dialysis in isolation for positive COVID-19 as per the dialysis unit guidelines. He presented three months later with altered level of consciousness in the setting of diabetic ketoacidosis. He also had gastrointestinal bleed and cerebrovascular accident. There was a strong possibility of reinfection in this patient as he was tested negative after the initial infection and then tested positive three months later, presenting with a different set of symptoms and more severe disease on his second admission.
机译：2019年冠状病毒疾病（Covid-19）大流行是一个全球化的大流行，医疗保健提供者担心恢复患者的重新感染。与Covid-19的重生是不常见的，并且被认为不太可能，但随着时间的推移，有报道患者在先前进行了测试后患者成为积极的报道。在这里，我们举报了一个28岁的男性，糖尿病患者1型，高血压和血液透析的末期肾病，最初在4月2020年4月与恶心，呕吐和呼吸困难提出。他的严重急性呼吸综合征冠状病毒2（SARS-COV-2）聚合酶链反应（PCR）回来阳性。他留下了医疗建议，但随后是透析单元的门诊，在透析透析单位指南，他继续透析透析。他在三个月后呈现，在糖尿病酮症中的环境中改变了意识水平。他还有胃肠道出血和脑血管事故。在初始感染后，在初始感染后，在初始感染后，在这名患者中恢复有强烈的可能性，然后在三个月后测试阳性，并在其第二次入场上呈现出不同的症状和更严重的疾病。

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