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Objectives Residents in nursing homes represent a frail population of patients, and SARS-CoV-2 infection can spread easily in this setting. Despite a frequent severe evolution of the disease, these patients often present an atypical course with mild initial symptoms. Thus, the aim of this study was to assess the occurrence of fever in elderly SARS-CoV-2 positive patients residing in nursing homes. Methods 231 elderly patients from three nursing homes of Pavia and its Province were enrolled in April-May 2020. Diagnosis of SARS-CoV-2 infection was performed using real-time RT-PCR on nasopharyngeal swab and/or serological assay (LIAISON® SARS-CoV-2 S1/S2 IgG). Positive patients were defined by positivity at nasopharyngeal swab and/or at serology. Results 170 patients (74%) were SARS-CoV-2-positive, 61 subjects (26%) resulted negative at both tests. Fever (T > 37,5 °C) was observed only in four patients (1,7%), three in the SARS-CoV-2-positive group (1,7%) and one in the SARS-CoV-2-negative one (1,6%). Conclusions The prevalence of fever was extremely low in our population of nursing home SARS-CoV-2-positive patients. Thus, this finding must be taken into consideration when screening patients without fever in nursing homes.
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10.1016/j.ijid.2020.12.052
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document_parses/pdf_json/7b21995f6312be728277ec457b7e4d7bc5645207.json
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Looking for fever in Covid-19 nursing home residents: a false friend?
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