A case report of hypersensitivity pneumonitis versus COVID-19 reactivation
Maan Alharbi, Amal Shilash, Zubair Ahmed, Donya Alhassan, Khaled Omar Abdallah, Salma Albahrani.
Abstract
Background: An outbreak of respiratory illness that was first reported in Wuhan, China, in later 2019 was caused by a novel coronavirus, officially named coronavirus disease 2019 (COVID-19). This study reports a case of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) reactivation in Saudi Arabia.
Case Presentation: A 61-year-old male who was a known case of bronchial asthma and was also a confirmed case of SARS-CoV-2 presented at the emergency department. The patient was discharged after 3 days with marked improvement. After 14 days of discharge, the patient presented again as a case of reactivation with COVID symptoms, which was controlled with nebulization, anticoagulant, and antibiotics.
Conclusion: The present case proves that those with asymptomatic infection may still carry the virus, which means that there is a risk of reactivation. This presents a new challenge for the management of home isolation and quarantine period.
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