Detection of SARS Coronavirus in Patients with Suspected SARS

Cases of severe acute respiratory syndrome (SARS) were investigated for SARS coronavirus (SARS-CoV) through RNA tests, serologic response, and viral culture. Of 537 specimens from patients in whom SARS was clinically diagnosed, 332 (60%) had SARS-CoV RNA in one or more clinical specimens, compared w...

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Main Authors: Kwok H. Chan, Leo L.L.M. Poon, V.C.C. Cheng, Yi Guan, I.F.N. Hung, Joseph S.M. Peiris, Loretta Y.C. Yam, Wing H. Seto, Kwok Y. Yuen, Joseph S. Malik Peiris
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2004-02-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/10/2/03-0610_article
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author Kwok H. Chan
Leo L.L.M. Poon
V.C.C. Cheng
Yi Guan
I.F.N. Hung
Joseph S.M. Peiris
Loretta Y.C. Yam
Wing H. Seto
Kwok Y. Yuen
Joseph S. Malik Peiris
author_facet Kwok H. Chan
Leo L.L.M. Poon
V.C.C. Cheng
Yi Guan
I.F.N. Hung
Joseph S.M. Peiris
Loretta Y.C. Yam
Wing H. Seto
Kwok Y. Yuen
Joseph S. Malik Peiris
author_sort Kwok H. Chan
collection DOAJ
description Cases of severe acute respiratory syndrome (SARS) were investigated for SARS coronavirus (SARS-CoV) through RNA tests, serologic response, and viral culture. Of 537 specimens from patients in whom SARS was clinically diagnosed, 332 (60%) had SARS-CoV RNA in one or more clinical specimens, compared with 1 (0.3%) of 332 samples from controls. Of 417 patients with clinical SARS from whom paired serum samples were available, 92% had an antibody response. Rates of viral RNA positivity increased progressively and peaked at day 11 after onset of illness. Although viral RNA remained detectable in respiratory secretions and stool and urine specimens for >30 days in some patients, virus could not be cultured after week 3 of illness. Nasopharyngeal aspirates, throat swabs, or sputum samples were the most useful clinical specimens in the first 5 days of illness, but later in the illness viral RNA could be detected more readily in stool specimens.
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spelling doaj.art-4055efb2b24a4cd89d2442b9d820860b2022-12-22T00:55:21ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592004-02-0110229429910.3201/eid1002.030610Detection of SARS Coronavirus in Patients with Suspected SARSKwok H. ChanLeo L.L.M. PoonV.C.C. ChengYi GuanI.F.N. HungJoseph S.M. PeirisLoretta Y.C. YamWing H. SetoKwok Y. YuenJoseph S. Malik PeirisCases of severe acute respiratory syndrome (SARS) were investigated for SARS coronavirus (SARS-CoV) through RNA tests, serologic response, and viral culture. Of 537 specimens from patients in whom SARS was clinically diagnosed, 332 (60%) had SARS-CoV RNA in one or more clinical specimens, compared with 1 (0.3%) of 332 samples from controls. Of 417 patients with clinical SARS from whom paired serum samples were available, 92% had an antibody response. Rates of viral RNA positivity increased progressively and peaked at day 11 after onset of illness. Although viral RNA remained detectable in respiratory secretions and stool and urine specimens for >30 days in some patients, virus could not be cultured after week 3 of illness. Nasopharyngeal aspirates, throat swabs, or sputum samples were the most useful clinical specimens in the first 5 days of illness, but later in the illness viral RNA could be detected more readily in stool specimens.https://wwwnc.cdc.gov/eid/article/10/2/03-0610_articleSARSsevere acute respiratory syndromeSARS coronavirusvirusepidemiologytransmission
spellingShingle Kwok H. Chan
Leo L.L.M. Poon
V.C.C. Cheng
Yi Guan
I.F.N. Hung
Joseph S.M. Peiris
Loretta Y.C. Yam
Wing H. Seto
Kwok Y. Yuen
Joseph S. Malik Peiris
Detection of SARS Coronavirus in Patients with Suspected SARS
Emerging Infectious Diseases
SARS
severe acute respiratory syndrome
SARS coronavirus
virus
epidemiology
transmission
title Detection of SARS Coronavirus in Patients with Suspected SARS
title_full Detection of SARS Coronavirus in Patients with Suspected SARS
title_fullStr Detection of SARS Coronavirus in Patients with Suspected SARS
title_full_unstemmed Detection of SARS Coronavirus in Patients with Suspected SARS
title_short Detection of SARS Coronavirus in Patients with Suspected SARS
title_sort detection of sars coronavirus in patients with suspected sars
topic SARS
severe acute respiratory syndrome
SARS coronavirus
virus
epidemiology
transmission
url https://wwwnc.cdc.gov/eid/article/10/2/03-0610_article
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