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On admission, the patient was afebrile and lacked subjective symptoms. A RNA reverse transcriptase PCR (RNA RT-PCR) test for COVID-19 was positive. A chest X-ray contained a small patchy opacity in the right middle lobe and another in the retrocardiac region concerning for pneumonia. Inflammatory markers were mildly elevated. He remained COVID-19 positive and asymptomatic for 36 days. This case details one asymptomatic carrier\u2019s course with persistently positive COVID-19 nasopharyngeal swabs. It demonstrates that a VP shunt could be a possible predisposition for prolonged viral shedding.<\/jats:p>","DOI":"10.1136\/bcr-2020-237720","type":"journal-article","created":{"date-parts":[[2020,9,14]],"date-time":"2020-09-14T17:17:12Z","timestamp":1600103832000},"page":"e237720","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Prolonged RNA shedding of the 2019 novel coronavirus in an asymptomatic patient with a VP shunt"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1750-0557","authenticated-orcid":false,"given":"Firas","family":"El-Baba","sequence":"first","affiliation":[{"name":"Internal Medicine and Pediatrics, Wayne State University School of Medicine, Detroit, Michigan, USA"},{"name":"Internal Medicine, Detroit Medical Center, Detroit, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle","family":"Gabe","sequence":"additional","affiliation":[{"name":"Internal Medicine, Wayne State University School of Medicine, Detroit, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allan","family":"Frank","sequence":"additional","affiliation":[{"name":"Internal Medicine, Detroit Medical Center, Detroit, Michigan, USA"},{"name":"Internal Medicine, Wayne State University School of Medicine, Detroit, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,9,14]]},"reference":[{"key":"2025082709544449000_13.9.e237720.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2020.01.009"},{"key":"2025082709544449000_13.9.e237720.2","doi-asserted-by":"publisher","DOI":"10.1007\/s11427-020-1637-5"},{"key":"2025082709544449000_13.9.e237720.3","doi-asserted-by":"publisher","DOI":"10.1038\/s41586-020-2012-7"},{"key":"2025082709544449000_13.9.e237720.4","unstructured":"World Health Organization . 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