{"pk":905,"title":"Prolonged Duration of Viral Shedding of SARS-CoV-2: A Case Report","subtitle":null,"abstract":"Introduction:\n The literature on the clinical course of severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) suggests patients continue shedding viral particles typically for an average of 20 days until the body builds immunity against the infection. However, a few cases have shown prolonged duration in viral shedding and highlight the significant increased mortality in these patients. It has also been suggested that multiple strains of SARS-COV-2 exist, keying the possibility to reinfection.\nCase Report:\n We present a case of a 57-year-old male who presented twice over 37 days with symptoms related to SARS-COV-2, and only on his second visit was found to be in hypoxemic respiratory failure and cardiogenic shock. He also reportedly had a period of convalescence in between presentations.\nDiscussion:\n This case highlights the still unclear disease course of SARS-COV-2 and the need for diligence in providing strong follow-up instructions and evaluation for sequelae of the infection.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"SARS-CoV-2"},{"word":"hypoxemic"},{"word":"respiratory failure"},{"word":"cardiogenic shock"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2wx2r63w","frozenauthors":[{"first_name":"Brandon","middle_name":"","last_name":"Fong","name_suffix":"","institution":"Thomas Jefferson University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"},{"first_name":"Kory","middle_name":"S.","last_name":"London","name_suffix":"","institution":"Thomas Jefferson University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"}],"date_submitted":"2020-08-08T18:54:13Z","date_accepted":"2020-08-08T18:54:13Z","date_published":"2020-08-08T18:56:15Z","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/905/galley/653/download/"}]}