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About:
Clinical, immunological and virological characterization of COVID-19 patients that test re-positive for SARS-CoV-2 by RT-PCR
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schema:ScholarlyArticle
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wasabi.inria.fr
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Type:
Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
has title
Clinical, immunological and virological characterization of COVID-19 patients that test re-positive for SARS-CoV-2 by RT-PCR
Creator
Ke, Changwen
Kang, Min
Lu, Jing
Yi, Lina
Ma, Wenjun
Sun, Jiufeng
Yuan, Runyu
Liu, Zhe
Pybus, Oliver
Tan, Xiaohua
Du Plessis, Louis
Lin, Huifang
Zeng, Lilian
Zhou, Pingping
Liang, Chumin
Peng, Jinju
Xiong, Qianling
Source
Elsevier; Medline; PMC
abstract
BACKGROUND: Some COVID-19 cases test positive again for SARS-CoV-2 RNA following negative test results and discharge, raising questions about the meaning of virus detection. Better characterization of re-positive cases is urgently needed. METHODS: Clinical data were obtained through Guangdong's COVID-19 surveillance network. Neutralization antibody titre was determined using microneutralization assays. Potential infectivity of clinical samples was evaluated by cell inoculation. SARS-CoV-2 RNA was detected using three different RT-PCR kits and multiplex PCR with nanopore sequencing. FINDINGS: Among 619 discharged COVID-19 cases, 87 re-tested as SARS-CoV-2 positive in circumstances of social isolation. All re-positive cases had mild or moderate symptoms at initial diagnosis and were younger on average (median, 28). Re-positive cases (n = 59) exhibited similar neutralization antibodies (NAbs) titre distributions to other COVID-19 cases (n = 218) tested here. No infectious strain could be obtained by culture and no full-length viral genomes could be sequenced from re-positive cases. INTERPRETATION: Re-positive SARS-CoV-2 cases do not appear to be caused by active reinfection and were identified in ~14% of discharged cases. A robust NAb response and potential virus genome degradation were detected in almost all re-positive cases, suggesting a substantially lower transmission risk, especially through respiratory routes.
has issue date
2020-08-24
(
xsd:dateTime
)
bibo:doi
10.1016/j.ebiom.2020.102960
bibo:pmid
32853988
has license
no-cc
sha1sum (hex)
3e71f58471da312f4d3d2901ec9c02bd6a81d432
schema:url
https://doi.org/10.1016/j.ebiom.2020.102960
resource representing a document's title
Clinical, immunological and virological characterization of COVID-19 patients that test re-positive for SARS-CoV-2 by RT-PCR
has PubMed Central identifier
PMC7444471
has PubMed identifier
32853988
schema:publication
EBioMedicine
resource representing a document's body
covid:3e71f58471da312f4d3d2901ec9c02bd6a81d432#body_text
is
schema:about
of
named entity 'Clinical'
named entity 'caused'
named entity 'cases'
named entity 'COVID-19'
named entity 'discharge'
named entity 'cases'
named entity 'determined'
named entity 'infectivity'
named entity 'immunological'
named entity 'RISK'
named entity 'NEUTRALIZATION'
named entity 'CAUSED BY'
named entity 'DISTRIBUTIONS'
named entity 'IDENTIFIED'
named entity 'EVALUATED'
named entity 'INFECTIOUS'
named entity '27S'
named entity 'CLINICAL DATA'
named entity 'GENOMES'
named entity 'MEANING'
named entity 'ROUTES'
named entity 'ANTIBODY TITRE'
named entity 'MODERATE'
named entity 'SURVEILLANCE'
named entity 'Guangdong'
named entity 'discharged'
named entity 'surveillance'
named entity 'active'
named entity 'COVID-19'
named entity 'test'
named entity 'Potential'
named entity 'nanopore sequencing'
named entity 'cases'
named entity 'discharged'
named entity 'response'
named entity 'risk'
named entity 'Neutralization'
named entity 'diagnosis'
named entity 'cases'
named entity 'license'
named entity 'RT-PCR'
named entity 'nanopore sequencing'
named entity 'SARS-CoV-2'
named entity 'inoculation'
named entity 'COVID-19'
named entity 'SARS-CoV-2'
named entity 'RT-PCR'
named entity 'SARS-CoV-2'
named entity 'molecular testing'
named entity '28 days'
named entity 'genome sequencing'
named entity 'COVID'
named entity 'Guangdong'
named entity 'tested positive'
named entity 'primers'
named entity 'dry cough'
named entity 'COVID-19 infection'
named entity 'demographic characteristics'
named entity 'nasopharyngeal swabs'
named entity 'inflammation'
named entity 'RNA'
named entity 'multiplex PCR'
named entity 'RNA'
named entity 'RT-PCR'
named entity 'serum'
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