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Covid-19 Patient Dies Days After Being Declared Recovered
Published on: 2020-03-06
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Medical staff members bring a patient to the Wuhan Red Cross HospitalMedical staff members bring a patient to the Wuhan Red Cross Hospital

A 36-year-old man died of Covid-19 just five days after being declared recovered from the disease and discharged from a hospital, raising fresh questions about the risk of recurrence and the criteria used by hospitals to define recovery.
 

The patient, Li Liang, died Monday during post-recovery quarantine at a designated hotel in Wuhan, the epicenter of the outbreak. He was supposed to be fully released March 10 after 14 days of further observation.

A recovered COVID 19 patient donates plasma at a hospital in Hengyang Hunan ProvinceA recovered COVID-19 patient donates plasma at a hospital in Hengyang, Hunan Province

But Li started feeling sick again two days after he was discharged from the hospital and moved into the quarantine hotel, according to Li’s wife Wang Mei (a pseudonym). His condition deteriorated suddenly Monday, and he died in the afternoon. Doctors attributed his death to Covid-19, respiratory tract obstruction and respiratory failure.
 

It is unclear whether Li died after a recurrence of the disease. But his death fueled concerns over whether the current diagnosis criteria are accurate enough for determining Covid-19 patients’ recovery. The case also followed reports that a number of recovered patients across China later tested positive again, raising puzzling questions whether such patients could still be infectious.

an isolation ward in WuhanAn isolation ward in Wuhan

Under the current national treatment plan, patients can be declared recovered if their body temperature remains normal for more than three days and if they display clear improvements in respiratory symptoms, show recovery from lung infections in CT scans, and more importantly, test negative on two consecutive nucleic acid tests.
 

When Li was declared recovered, he met the official diagnostic standard of recovery and had twice tested negative for the virus. But two days before his discharge, CT scans of his lungs still showed symptoms of viral pneumonia. Some medical experts suggested Li may have been released too soon.

CTMedical workers are checking a patient's CT image with a movable CT machine at the "Wuhan Livingroom" makeshift hospital in Wuhan

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