Case presentation with regard to the corona infection
After a business trip within Germany from February
19th – 21st, 2020, where he had a
conference and meals with an Italian man who later was tested positive
for COVID-19, Melina’s biological father developed first mild symptoms
(fatigue) on February 23rd. Melina, whose parents live
separately, visited her father from February 22nd and
returned to her mother in the evening of February
24th, on which Melina’s father developed significant
fatigue, fever, headache, aching limbs and cough.
On February 25th, the father was informed of the
Italian’s positive test and, due to his symptoms, was referred to a
university hospital on February 26th where he was also
tested for SARS-CoV-2. Three other attendees of the meeting, were also
positive. After the positive result was communicated on February
27th, Melina’s father remained in quarantine at the
university hospital until March 4th.
Melina developed her first symptoms on March 1st:
”dizzyness” with a slight headache. She quickly developed an elevated
body temperature of 38.1°C and was given a 400 mg ibuprofen tablet by
her mother. By the next morning Melina had no more symptoms. The mother
reported: ”It came as if by magic and disappeared just as quickly.” The
following symptoms from our COVID-19 symptom list were denied: cough,
rhinitis, irritability, fatigue, tearfulness, abdominal pain, vomiting,
diarrhoea, sore throat, aching limbs, disorders of the sense of smell or
taste, loss of appetite, sensitivity to light, pressure on the chest,
scratching of the throat.
On March 2nd, Melina, her half-brother, her mother and
her stepfather were also tested. On the same day, Melina’s mother had
diarrhea and a febrile feeling at a temperature of 37.6 °C. On March
3rd, the family received the results that Melina was
tested positive for SARS-CoV-2, but her mother, brother and stepfather
were negative. On March 4th, Melina returned to her
father, who was allowed to leave the hospital. Melina was tested
negative for SARS-CoV-2 on March 6th and
9th, the day Melina returned to her mother‘s family.
From March 3rd, Melina and her mother´s family
remained in quarantine for 2 weeks without further symptoms. Antibody
tests on April 13th on Melina, her mother, her
stepfather and half-brother showed IgG-positive results only for Melina
(Figure 1 and 2 ).