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https://twitter.com/aliostad/status/1285701000607793153
Twitter link listing probable reinfections, including severe and fatal reinfections, in Iran.
Another case of reinfection after recovery from COVID-19 has been reported, this time in a healthy young military healthcare provider at a U.S. Department of Defense hospital in Virginia. He was first infected by a patient in March. He recovered within 10 days and "returned ... to excellent health," his doctors reported on Saturday in Clinical Infectious Diseases. Fifty-one days later, he was reinfected by a household member. Genetic studies showed the first and second infections to be from slightly different strains of the virus. The reinfection made him sicker, perhaps because the second strain was more potent, or the household contact infected him with a higher load of virus, doctors said. It was also possible antibodies from the first infection may have triggered his immune system to respond more strongly to the virus the second time his body encountered it.
JJackson commented
September 23, 2020, 07:36 AM
I would be shocked if the reason the reinfection was not as mild was due to either higher initial viral load or a different phenotype. The viral load generated by in host replication will quickly swamp what ever viral load there was at infection and there is no record of any other circulating phenotype.
Does Virus Dose or Load Predict How Sick You Get With COVID-19?
— Initial exposure, strength of virus infection both seen as contributors to illness severity
by Amanda D'Ambrosio, Staff Writer, MedPage Today September 18, 2020