Abstract
A 33-year-old woman with a fever, cough, and pharyngitis was admitted after left-sided pleural effusion was detected. The fever and upper respiratory symptoms were confirmed, and she was diagnosed with coronavirus disease (COVID-19) after showing a positive polymerase chain reaction (PCR) test. After thoracentesis, pleural fluid revealed elevated adenosine deaminase values and a positive QuantiFeron test; tuberculous pleurisy was thus suspected. Subsequent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) PCR and anti-SARS-CoV-2 Spike IgG tests were negative, suggesting that the initial PCR result had been erroneous. However, we were unable to confirm this. Data concerning COVID-19 diagnostics are insufficient at present. It is important to make comprehensive judgments regarding the diagnosis and treatment of patients as well as public health.
Keywords: COVID-19; SARS-CoV-2; tuberculous pleurisy.
【저자키워드】 COVID-19, SARS-CoV-2, tuberculous pleurisy., 【초록키워드】 Treatment, coronavirus disease, public health, coronavirus, spike, Diagnosis, cough, anti-SARS-CoV-2, diagnostics, polymerase chain reaction, PCR, Fever, Patient, adenosine, pleural fluid, pleural effusion, Chain Reaction, adenosine deaminase, upper respiratory symptoms, Tuberculous Pleurisy, IgG test, acute respiratory syndrome, acute respiratory syndrome coronavirus, acute respiratory syndrome coronavirus 2, positive, pleurisy, pharyngitis, polymerase chain, initial, thoracentesis, diagnosed, elevated, concerning, tuberculous, upper respiratory symptom, 【제목키워드】 Suspected,