Long-term positive severe acute respiratory syndrome coronavirus 2 ribonucleic acid and therapeutic effect of antivirals in patients with coronavirus disease: Case reports

Abstract Coronavirus disease (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has been declared a pandemic. We herein report four COVID-19 cases with long-term positive viral ribonucleic acid (RNA) for about 61 days. Despite treatment with recombinant human int...

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Main Authors: Bo Wei, Xiaofeng Hang, Ying Xie, Yuanjing Zhang, Jianrong Wang, Xinghao Cao, Jinzi J. Wu, Junxue Wang
Format: Article
Language:English
Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2020-07-01
Series:Revista da Sociedade Brasileira de Medicina Tropical
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100720&tlng=en
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author Bo Wei
Xiaofeng Hang
Ying Xie
Yuanjing Zhang
Jianrong Wang
Xinghao Cao
Jinzi J. Wu
Junxue Wang
author_facet Bo Wei
Xiaofeng Hang
Ying Xie
Yuanjing Zhang
Jianrong Wang
Xinghao Cao
Jinzi J. Wu
Junxue Wang
author_sort Bo Wei
collection DOAJ
description Abstract Coronavirus disease (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has been declared a pandemic. We herein report four COVID-19 cases with long-term positive viral ribonucleic acid (RNA) for about 61 days. Despite treatment with recombinant human interferon, convalescent plasma from COVID-19 patients, arbidol, etc., nucleic acid results were still positive for SARS-CoV-2. After treatment with ritonavir-boosted danoprevir (DNVr, 100/100 mg, once daily), all four patients showed two to three consecutive negative SARS-CoV-2 RNA and were thus discharged from hospital. Therefore, DNVr may be a potentially effective antiviral for COVID-19 patients with long-term positive SARS-CoV-2 RNA.
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spelling doaj.art-6631c346ed8846cab025d83e8852e38c2022-12-22T02:26:49ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-98492020-07-015310.1590/0037-8682-0372-2020Long-term positive severe acute respiratory syndrome coronavirus 2 ribonucleic acid and therapeutic effect of antivirals in patients with coronavirus disease: Case reportsBo WeiXiaofeng HangYing XieYuanjing ZhangJianrong WangXinghao CaoJinzi J. WuJunxue Wanghttps://orcid.org/0000-0002-9127-0422Abstract Coronavirus disease (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has been declared a pandemic. We herein report four COVID-19 cases with long-term positive viral ribonucleic acid (RNA) for about 61 days. Despite treatment with recombinant human interferon, convalescent plasma from COVID-19 patients, arbidol, etc., nucleic acid results were still positive for SARS-CoV-2. After treatment with ritonavir-boosted danoprevir (DNVr, 100/100 mg, once daily), all four patients showed two to three consecutive negative SARS-CoV-2 RNA and were thus discharged from hospital. Therefore, DNVr may be a potentially effective antiviral for COVID-19 patients with long-term positive SARS-CoV-2 RNA.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100720&tlng=enCOVID-19AntiviralsLong-term positive SARS-CoV-2
spellingShingle Bo Wei
Xiaofeng Hang
Ying Xie
Yuanjing Zhang
Jianrong Wang
Xinghao Cao
Jinzi J. Wu
Junxue Wang
Long-term positive severe acute respiratory syndrome coronavirus 2 ribonucleic acid and therapeutic effect of antivirals in patients with coronavirus disease: Case reports
Revista da Sociedade Brasileira de Medicina Tropical
COVID-19
Antivirals
Long-term positive SARS-CoV-2
title Long-term positive severe acute respiratory syndrome coronavirus 2 ribonucleic acid and therapeutic effect of antivirals in patients with coronavirus disease: Case reports
title_full Long-term positive severe acute respiratory syndrome coronavirus 2 ribonucleic acid and therapeutic effect of antivirals in patients with coronavirus disease: Case reports
title_fullStr Long-term positive severe acute respiratory syndrome coronavirus 2 ribonucleic acid and therapeutic effect of antivirals in patients with coronavirus disease: Case reports
title_full_unstemmed Long-term positive severe acute respiratory syndrome coronavirus 2 ribonucleic acid and therapeutic effect of antivirals in patients with coronavirus disease: Case reports
title_short Long-term positive severe acute respiratory syndrome coronavirus 2 ribonucleic acid and therapeutic effect of antivirals in patients with coronavirus disease: Case reports
title_sort long term positive severe acute respiratory syndrome coronavirus 2 ribonucleic acid and therapeutic effect of antivirals in patients with coronavirus disease case reports
topic COVID-19
Antivirals
Long-term positive SARS-CoV-2
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100720&tlng=en
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