text: Longest reported case of symptomatic COVID 19 reporting positive for over 230 days in an immunocompromised patient in the United States Coronavirus 2019 COVID 19 pneumonia was first noted in Wuhan China Since the start of the pandemic there have been millions of cases diagnosed The average time from onset of symptoms to testing negative SARS CoV 2 via reverse transcription polymerase chain reaction is roughly 25 days In patients who continually test positive for COVID 19 it is essential to determine precisely which risk factors contribute to the increase in viral shedding duration We present a case about a 62 year old man who has persistently tested positive for COVID 19 for more than 230 days We followed his treatment course in which he had been hospitalized multiple times since the onset of symptoms back in April 2020 We have determined that patients with immunosuppression especially those taking corticosteroids are at increased risk of prolonged viral shedding It is essential to continually monitor these immunocompromised patients as they required a greater time period in order to have an appropriate immune response in which antibodies are created 