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.
【저자키워드】 COVID-19, stroke, COVID-2019, COVID, COVID-19 reinfection, clinical case report, covid reactivation, 【초록키워드】 coronavirus disease, SARS-CoV-2, coronavirus, pandemic, Infection, Diabetes Mellitus, Symptom, hypertension, dialysis, global pandemic, Reinfection, Hemodialysis, PCR, Dyspnea, male, Patient, Isolation, End-stage renal disease, recovered patients, Admission, severe disease, Diabetic, acute respiratory syndrome, Healthcare provider, cerebrovascular accident, nausea, vomiting, positive, positive COVID-19, polymerase chain, initial, tested, less, presenting, was tested, with COVID-19, 【제목키워드】 SARS-CoV-2, respiratory, cerebrovascular, failure,