Trump and first lady test positive for the virus.

President Trump said early Friday that he and his wife, Melania, had tested positive for the coronavirus, throwing the nation’s leadership into uncertainty and escalating the crisis posed by a pandemic that has already killed more than 207,000 Americans and devastated the economy.

“Tonight, @FLOTUS and I tested positive for COVID-19,” Mr. Trump wrote on Twitter. “We will begin our quarantine and recovery process immediately. We will get through this TOGETHER!”

Dr. Sean P. Conley, the White House physician, said in a statement that the president and first lady were both doing well. Although people at the White House noticed that his voice sounded raspy on Thursday, it was not clear that that was abnormal for him, especially given the number of campaign rallies he has held lately.

Mr. Trump received the test results after one of his closest advisers, Hope Hicks, became infected, bringing the virus into his inner circle and underscoring the difficulty of containing it even with the resources of a president. Mr. Trump has for months played down the severity of the virus and told a political dinner just Thursday night that “the end of the pandemic is in sight.”

Mr. Trump’s positive test result could pose immediate difficulties for the future of his campaign against former Vice President Joseph R. Biden Jr., his Democratic challenger, with just 33 days before the election on Nov. 3.

Even if Mr. Trump, 74, is asymptomatic, he will have to withdraw from the campaign trail and stay isolated in the White House for an unknown period of time. If he is sick or becomes ill, it could raise questions about whether he should remain on the ballot.

Even if he does not become seriously ill, the positive test could prove devastating to his political fortunes given his months of diminishing the seriousness of the pandemic even as the virus was still ravaging the country and killing about 1,000 more Americans every day.

He has repeatedly predicted the virus “is going to disappear,” asserted that it was under control and insisted that the country was “rounding the corner” to the end of the crisis. He has scorned scientists, saying they were mistaken on the severity of the situation.

Mr. Trump has refused for months to wear a mask in public on all but a few occasions and repeatedly questioned their effectiveness while mocking Mr. Biden for wearing one. Trailing in the polls, the president in recent weeks increasingly held crowded campaign events in defiance of public health guidelines and sometimes state and local governments.

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