Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
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Case Report

Volume 16, Number 1, January 2025, pages 6-10

Prolonged SARS-CoV-2 Viremia in an Immunocompromised Patient

Figures

Figure 1.
Figure 1. (a) HRCT of chest (March 28, 2023) done for follow-up purposes with small right-sided apical traction bronchiectasis (and slightly in left upper lobe) with small cavity (not entirely visualised) and left lower lobe infiltrate (white arrows) which is considered as a rest after previous pulmonary involvement of GPA. (b, c) HRCT of chest (August 5, 2023) with increased consolidation in left upper and lower lobes mainly (white arrows) which may be consistent with infectious or inflammatory process. (d) HRCT of chest (August 30, 2023) with decreased left lower lobe infiltrates but persistence of upper lobe infiltrates (white arrows). GPA: granulomatosis with polyangiitis; HRCT: high-resolution computed tomography.
Figure 2.
Figure 2. (a, b) HRCT of chest (October 11, 2023) with increased consolidation in right lower lobe and decreased left lung infiltrates (white arrows). (c, d) HRCT of chest (December 11, 2023) post-treatment for SARS-CoV-2 with mainly older changes present and potentially a small remaining infiltrate in the right lower lobe (white arrows). HRCT: high-resolution computed tomography; SARS-CoV-2: severe acute respiratory syndrome coronavirus 2.

Table

Table 1. Selected Labs Including SARS-CoV-2 Testing During the Patient’s Illness
 
July 5, 2023August 3, 2023September 20, 2023September 25, 2023September 26, 2023October 16, 2023
BAL: bronchoalveolar lavage; PCR: polymerase chain reaction; SARS-CoV-2: severe acute respiratory syndrome coronavirus 2; WBC: white blood cell.
C-reactive protein (mg/L)-1145--55
WBC (× 109/L)-4.37.2--6.1
SARS-CoV-2 testingPositive (antigen test)Negative (nasopharynx PCR)Negative (nasopharynx PCR)Positive, Ct value 31 (BAL PCR)Negative (nasopharynx PCR)Positive (nasopharynx and plasma PCR)
Ct value 36 in plasma