Insight from a noticeable difference between two families infected with COVID-19

Abstract The outbreak of COVID-19 shows a high potent of person-to-person transmission and thus contributes to a large spread of infection sweeping the world. The family cluster of infection has been paid much more attention. We reported two different families infected by SARS-CoV-2 in the context of family clustering, one of which is a typical family cluster of infection with the transmission chain being an asymptomatic patient in the incubation period. However, the outcome of another family was exactly the opposite, in which the index patient was the only individual infected and complicated with fatal ischemic stroke. These two families highlight that more attention should be paid to the distinctions underlying the family cluster of infections and the possibility of COVID-19-related stroke.