SARS-CoV-2 Virologic and Immunologic Correlates in Patients with Olfactory and Taste Disorders

The main object of the study was to investigate the SARS-CoV-2 molecular and serological pattern in patients with mild symptoms including anosmia and ageusia. A cohort of 69 patients with olfactory and taste disorders (OTDs) were enrolled and prospectively monitored. Serological and molecular assays...

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Main Authors: Marco Benazzo, Irene Cassaniti, Eugenia Maiorano, Anna Calastri, Federica Novazzi, Alice Bonetti, Antonella Sarasini, Raffaele Bruno, Fausto Baldanti
Format: Article
Language:English
Published: MDPI AG 2020-07-01
Series:Microorganisms
Subjects:
Online Access:https://www.mdpi.com/2076-2607/8/7/1052
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author Marco Benazzo
Irene Cassaniti
Eugenia Maiorano
Anna Calastri
Federica Novazzi
Alice Bonetti
Antonella Sarasini
Raffaele Bruno
Fausto Baldanti
author_facet Marco Benazzo
Irene Cassaniti
Eugenia Maiorano
Anna Calastri
Federica Novazzi
Alice Bonetti
Antonella Sarasini
Raffaele Bruno
Fausto Baldanti
author_sort Marco Benazzo
collection DOAJ
description The main object of the study was to investigate the SARS-CoV-2 molecular and serological pattern in patients with mild symptoms including anosmia and ageusia. A cohort of 69 patients with olfactory and taste disorders (OTDs) were enrolled and prospectively monitored. Serological and molecular assays for the characterization of SARS-CoV-2 IgG and SARS-CoV-2 RNA, respectively, were performed at the time of enrolment and after 7 and 14 days. Patients were stratified according to the symptoms’ onset. A total of 52 patients (75.4%) were diagnosed as COVID-19 positive being SARS-CoV-2 RNA and/or SARS-CoV-2 IgG positive. The remaining 17 (24.6%) were negative for COVID-19 and excluded from the analysis. We reported that only 34 out of 52 patients (65.4%) were positive for SARS-CoV-2 RNA. Moreover, the median time from onset of symptoms and enrolment was significantly higher in those patients with negative SARS-CoV-2 RNA in nasal swabs, suggesting that symptoms might last longer than SARS-CoV-2 replication. The great majority of patients (80%) developed SARS-CoV-2 IgG at three weeks after symptoms’ onset while the detectability of SARS-CoV-2 RNA dramatically decreased over time, suggesting the crucial role of combination of molecular and serological assays for the diagnosis of COVID-19 in those patients reporting mild symptoms.
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spelling doaj.art-33b8e2cc9a694f7da224a97e83d997ec2023-11-20T06:53:29ZengMDPI AGMicroorganisms2076-26072020-07-0187105210.3390/microorganisms8071052SARS-CoV-2 Virologic and Immunologic Correlates in Patients with Olfactory and Taste DisordersMarco Benazzo0Irene Cassaniti1Eugenia Maiorano2Anna Calastri3Federica Novazzi4Alice Bonetti5Antonella Sarasini6Raffaele Bruno7Fausto Baldanti8Department of Otorhinolaryngology, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, ItalyMolecular Virology Unit, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, ItalyDepartment of Otorhinolaryngology, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, ItalyDepartment of Otorhinolaryngology, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, ItalyMolecular Virology Unit, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, ItalyMolecular Virology Unit, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, ItalyMolecular Virology Unit, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, ItalyDepartment of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, ItalyDepartment of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, ItalyThe main object of the study was to investigate the SARS-CoV-2 molecular and serological pattern in patients with mild symptoms including anosmia and ageusia. A cohort of 69 patients with olfactory and taste disorders (OTDs) were enrolled and prospectively monitored. Serological and molecular assays for the characterization of SARS-CoV-2 IgG and SARS-CoV-2 RNA, respectively, were performed at the time of enrolment and after 7 and 14 days. Patients were stratified according to the symptoms’ onset. A total of 52 patients (75.4%) were diagnosed as COVID-19 positive being SARS-CoV-2 RNA and/or SARS-CoV-2 IgG positive. The remaining 17 (24.6%) were negative for COVID-19 and excluded from the analysis. We reported that only 34 out of 52 patients (65.4%) were positive for SARS-CoV-2 RNA. Moreover, the median time from onset of symptoms and enrolment was significantly higher in those patients with negative SARS-CoV-2 RNA in nasal swabs, suggesting that symptoms might last longer than SARS-CoV-2 replication. The great majority of patients (80%) developed SARS-CoV-2 IgG at three weeks after symptoms’ onset while the detectability of SARS-CoV-2 RNA dramatically decreased over time, suggesting the crucial role of combination of molecular and serological assays for the diagnosis of COVID-19 in those patients reporting mild symptoms.https://www.mdpi.com/2076-2607/8/7/1052anosmiaageusiaSARS-CoV-2serology
spellingShingle Marco Benazzo
Irene Cassaniti
Eugenia Maiorano
Anna Calastri
Federica Novazzi
Alice Bonetti
Antonella Sarasini
Raffaele Bruno
Fausto Baldanti
SARS-CoV-2 Virologic and Immunologic Correlates in Patients with Olfactory and Taste Disorders
Microorganisms
anosmia
ageusia
SARS-CoV-2
serology
title SARS-CoV-2 Virologic and Immunologic Correlates in Patients with Olfactory and Taste Disorders
title_full SARS-CoV-2 Virologic and Immunologic Correlates in Patients with Olfactory and Taste Disorders
title_fullStr SARS-CoV-2 Virologic and Immunologic Correlates in Patients with Olfactory and Taste Disorders
title_full_unstemmed SARS-CoV-2 Virologic and Immunologic Correlates in Patients with Olfactory and Taste Disorders
title_short SARS-CoV-2 Virologic and Immunologic Correlates in Patients with Olfactory and Taste Disorders
title_sort sars cov 2 virologic and immunologic correlates in patients with olfactory and taste disorders
topic anosmia
ageusia
SARS-CoV-2
serology
url https://www.mdpi.com/2076-2607/8/7/1052
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