Viral kinetics of SARS-CoV-2 in asymptomatic carriers and presymptomatic patients

From a total of 71 laboratory-confirmed cases, three presymptomatic patients and 10 patients with entirely asymptomatic infections were identified. In two of the three incubation period patients, the viral titer in the presymptomatic period was very high (Ct value < 20). The median number of days...

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Main Authors: Seong Eun Kim, Hae Seong Jeong, Yohan Yu, Sung Un Shin, Soosung Kim, Tae Hoon Oh, Uh Jin Kim, Seung-Ji Kang, Hee-Chang Jang, Sook-In Jung, Kyung-Hwa Park
Format: Article
Language:English
Published: Elsevier 2020-06-01
Series:International Journal of Infectious Diseases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S120197122030299X
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author Seong Eun Kim
Hae Seong Jeong
Yohan Yu
Sung Un Shin
Soosung Kim
Tae Hoon Oh
Uh Jin Kim
Seung-Ji Kang
Hee-Chang Jang
Sook-In Jung
Kyung-Hwa Park
author_facet Seong Eun Kim
Hae Seong Jeong
Yohan Yu
Sung Un Shin
Soosung Kim
Tae Hoon Oh
Uh Jin Kim
Seung-Ji Kang
Hee-Chang Jang
Sook-In Jung
Kyung-Hwa Park
author_sort Seong Eun Kim
collection DOAJ
description From a total of 71 laboratory-confirmed cases, three presymptomatic patients and 10 patients with entirely asymptomatic infections were identified. In two of the three incubation period patients, the viral titer in the presymptomatic period was very high (Ct value < 20). The median number of days to first negative RT-PCR in the asymptomatic carriers was 4.5 (range 2.5–9), and all asymptomatic carriers reached a first RT-PCR Ct > 35 within 14 days after diagnosis. Patients who have COVID-19 may already be infectious before there are symptoms, and 14 days of isolation after diagnosis may be sufficient in entirely asymptomatic cases.
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spelling doaj.art-06763e75098e4cbc884321fb66ee78142022-12-21T18:58:51ZengElsevierInternational Journal of Infectious Diseases1201-97122020-06-0195441443Viral kinetics of SARS-CoV-2 in asymptomatic carriers and presymptomatic patientsSeong Eun Kim0Hae Seong Jeong1Yohan Yu2Sung Un Shin3Soosung Kim4Tae Hoon Oh5Uh Jin Kim6Seung-Ji Kang7Hee-Chang Jang8Sook-In Jung9Kyung-Hwa Park10Department of Infectious Diseases, Chonnam National University Hospital, Gwangju, South KoreaDepartment of Infectious Diseases, Chonnam National University Hospital, Gwangju, South KoreaDepartment of Infectious Diseases, Chonnam National University Hospital, Gwangju, South KoreaDepartment of Infectious Diseases, Chonnam National University Hospital, Gwangju, South KoreaDepartment of Infectious Diseases, Chonnam National University Hospital, Gwangju, South KoreaDepartment of Infectious Diseases, Chonnam National University Hospital, Gwangju, South KoreaDepartment of Infectious Diseases, Chonnam National University Hospital, Gwangju, South Korea; Chonnam National University Medical School, Gwangju, South KoreaDepartment of Infectious Diseases, Chonnam National University Hospital, Gwangju, South Korea; Chonnam National University Medical School, Gwangju, South KoreaDepartment of Infectious Diseases, Chonnam National University Hospital, Gwangju, South Korea; Chonnam National University Medical School, Gwangju, South KoreaDepartment of Infectious Diseases, Chonnam National University Hospital, Gwangju, South Korea; Chonnam National University Medical School, Gwangju, South Korea; Corresponding author. Department of Infectious Diseases, Chonnam National University Medical School, 42 Jebong-ro, Dong-gu, Gwangju 61469, South Korea. Tel: +82 62 220 6502, Fax: +82 62 225 8578.Department of Infectious Diseases, Chonnam National University Hospital, Gwangju, South Korea; Chonnam National University Medical School, Gwangju, South Korea; Corresponding author. Department of Infectious Diseases, Chonnam National University Medical School, 42 Jebong-ro, Dong-gu, Gwangju 61469, South Korea. Tel.: +82 62 220 6296, Fax: +82 62 225 8578.From a total of 71 laboratory-confirmed cases, three presymptomatic patients and 10 patients with entirely asymptomatic infections were identified. In two of the three incubation period patients, the viral titer in the presymptomatic period was very high (Ct value < 20). The median number of days to first negative RT-PCR in the asymptomatic carriers was 4.5 (range 2.5–9), and all asymptomatic carriers reached a first RT-PCR Ct > 35 within 14 days after diagnosis. Patients who have COVID-19 may already be infectious before there are symptoms, and 14 days of isolation after diagnosis may be sufficient in entirely asymptomatic cases.http://www.sciencedirect.com/science/article/pii/S120197122030299XCOVID-19Asymptomatic carrierPresymptomaticViral kineticsIsolation
spellingShingle Seong Eun Kim
Hae Seong Jeong
Yohan Yu
Sung Un Shin
Soosung Kim
Tae Hoon Oh
Uh Jin Kim
Seung-Ji Kang
Hee-Chang Jang
Sook-In Jung
Kyung-Hwa Park
Viral kinetics of SARS-CoV-2 in asymptomatic carriers and presymptomatic patients
International Journal of Infectious Diseases
COVID-19
Asymptomatic carrier
Presymptomatic
Viral kinetics
Isolation
title Viral kinetics of SARS-CoV-2 in asymptomatic carriers and presymptomatic patients
title_full Viral kinetics of SARS-CoV-2 in asymptomatic carriers and presymptomatic patients
title_fullStr Viral kinetics of SARS-CoV-2 in asymptomatic carriers and presymptomatic patients
title_full_unstemmed Viral kinetics of SARS-CoV-2 in asymptomatic carriers and presymptomatic patients
title_short Viral kinetics of SARS-CoV-2 in asymptomatic carriers and presymptomatic patients
title_sort viral kinetics of sars cov 2 in asymptomatic carriers and presymptomatic patients
topic COVID-19
Asymptomatic carrier
Presymptomatic
Viral kinetics
Isolation
url http://www.sciencedirect.com/science/article/pii/S120197122030299X
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