Parliamentary aide Luciano Martins Lourenço, 53, who works in the Legislative Assembly, tested positive for the new coronavirus twice at different times. He had the disease in July and this month. The so-called reinfection is not only possible but is already occurring in the region, say infectologists.
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Infectologist Evaldo Stanislau explains that, among the criteria for diagnosis, reinfection happens with an interval of about 60 days between each other, tests well done, an exam between them that is negative and a sample of the virus in the first test and in the second.
Lourenço had his first positive test on July 9. The new contamination was confirmed yesterday. This time, however, he did two tests, the first of which had a result issued on Wednesday. At all times, he sought private laboratories in Santos, where he lives, and underwent RT-PCR tests, which infectologists consider the most reliable.
“This patient, it seems, fulfills all these requirements. However, this is nothing new among the medical profession. I have already treated cases like reinfections ”, says Stanislau.
Also infectious disease Ricardo Hayden says he has had at least two cases of proven reinfections. “A patient who had the disease in February and returned to test positive in May. Another in the month of May, which reported reinfection in August. This shows that you can’t let your guard down. ”
One of the explanations would have to do with the viral load, that is, the lack of a powerful immunity of the organism to resist the high amount of virus to which it is exposed when taking covid-19.
“The patient caught it the first time, developed a lower rate and is hit by a higher burden of exposure to the virus. This has been reported worldwide. So it’s perfectly reasonable, ”says Hayden.
He and Stanislau believe that taking samples of the first and second infections would be better for diagnosis.
The cases warn of the lack of care and the feeling of false security, especially for those who fall ill with mild symptoms. “(You shouldn’t) Wear a low-quality mask, forget about care, get crowded. We’ve seen party scenes. Care must be maintained until people are vaccinated, ”warns Hayden.
Now it was worse, describes the advisor
Luciano Lourenço says he took covid-19 for the first time about four months ago, but the symptoms were mild. He felt weak pain in his throat and fever, but because of his symptoms, he was instructed by the doctors to take the test, which was positive.
“Despite the worsening of the throat, I took medicine to improve the pain and I was fine. My saturation (of the blood, that is, the amount of oxygen transported in the bloodstream) was 98, 99%. I felt good, ”he says.
Two months ago, to have a hair implant surgery, he underwent a new test to make sure he was healthy. The PCR-type exam was performed in a laboratory different from the first and was negative.
Last week, everything changed again. He says he started to feel the symptoms of the flu, but he did not worry. In a matter of days, the disease worsened, and he began to experience a high fever.
On the third day of fever, he started taking antibiotics prescribed by a doctor, which lowered his temperature. However, his breathing began to become labored, and he felt pain in his lungs.
On Friday, the pains got worse. “On Saturday morning, I was in a lot of pain. I couldn’t walk a block, so I went straight to the hospital again. ”
Lourenço was released on Tuesday. On the same day, he underwent another test, in addition to the one performed at the hospital, in another laboratory. Both were positive for the disease again. “This second time, I was more weak, I think because of the diet to get back to the exercise routine, and I confess that I neglected it a little. But, if I took the second (time), I can take the third. The lesson I learn from all this is that the first was calmer, the second was stronger, and the third, I don’t want to see how it goes. ”
The advisor reinforces the need for care. Even though he has not seen his mother for six months and isolated from his daughters to avoid contamination, he describes that he saw people let their guard down.
“It is extremely delicate. It is an exaggeration that the closed places receive so many people, as I see my friends, who are over 40 years old, attend. This reinfection makes it clear that this will only end, or decrease, with the vaccine
“This second time, I was more weak, I think because of the diet to get back to the exercise routine, and I confess that I neglected it a little. But, if I took the second (time), I can take the third. The lesson from all this is that the first was calmer, the second was stronger, and the third, I don’t want to see how it goes. (…) This reinfection makes it clear to me that this will only end, or decrease, with the vaccine ”, says Luciano.
In a note, the Santos Department of Health reported that it had not been notified of the patient’s positive result in July, but received on the 17th of March a notification of covid-19 from the same patient regarding examination during hospitalization.
“The Department of Health Surveillance will ask the laboratory that carried out the examination in July for information on the result and will verify that the samples collected at the time are preserved. If so, they will be forwarded to the State Government’s Epidemiological Surveillance Group (GVE), so that genetic sequencing can be performed and (the strain) (strain) of the virus can be identified. In this way, it can be verified if there was reinfection or the persistence of the virus in the body. ”
What the municipal administration says
The City Hall says that, on average, laboratories store patient samples for up to ten days, due to limited physical space, which makes it impossible to confirm or discard a possible reinfection.
The protocol establishes that, when the patient has a new positive result, receive treatment and inform the GVE. Bertioga, Cubatão, Guarujá, Mongaguá, Praia Grande and São Vicente said they had no confirmed reinfections. Itanhaém and Peruíbe did not respond.