Norwalk Virus Shedding after Experimental Human Infection

Noroviruses are the most common cause of viral gastroenteritis in the United States. To determine the magnitude and duration of virus shedding in feces, we evaluated persons who had been experimentally infected with Norwalk virus. Of 16 persons, clinical gastroenteritis (watery diarrhea and/or vomit...

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Main Authors: Robert L. Atmar, Antone R. Opekun, Mark A. Gilger, Mary K. Estes, Sue E. Crawford, Frederick H. Neill, David Y. Graham
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2008-10-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/14/10/08-0117_article
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author Robert L. Atmar
Antone R. Opekun
Mark A. Gilger
Mary K. Estes
Sue E. Crawford
Frederick H. Neill
David Y. Graham
author_facet Robert L. Atmar
Antone R. Opekun
Mark A. Gilger
Mary K. Estes
Sue E. Crawford
Frederick H. Neill
David Y. Graham
author_sort Robert L. Atmar
collection DOAJ
description Noroviruses are the most common cause of viral gastroenteritis in the United States. To determine the magnitude and duration of virus shedding in feces, we evaluated persons who had been experimentally infected with Norwalk virus. Of 16 persons, clinical gastroenteritis (watery diarrhea and/or vomiting) developed in 11; symptomatic illness lasted 1–2 days. Virus shedding was first detected by reverse transcription–PCR (RT-PCR) 18 hours after participant inoculation and lasted a median of 28 days after inoculation (range 13–56 days). The median peak amount of virus shedding was 95 × 109 (range 0.5–1,640 ×109) genomic copies/g feces as measured by quantitative RT-PCR. Virus shedding was first detected by antigen ELISA ≈33 hours (median 42 hours) after inoculation and lasted 10 days (median 7 days) after inoculation. Understanding of the relevance of prolonged fecal norovirus excretion must await the development of sensitive methods to measure virus infectivity.
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spelling doaj.art-72eaa773a32f4b568f0a79f01363e3aa2022-12-22T01:27:36ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592008-10-0114101553155710.3201/eid1410.080117Norwalk Virus Shedding after Experimental Human InfectionRobert L. AtmarAntone R. OpekunMark A. GilgerMary K. EstesSue E. CrawfordFrederick H. NeillDavid Y. GrahamNoroviruses are the most common cause of viral gastroenteritis in the United States. To determine the magnitude and duration of virus shedding in feces, we evaluated persons who had been experimentally infected with Norwalk virus. Of 16 persons, clinical gastroenteritis (watery diarrhea and/or vomiting) developed in 11; symptomatic illness lasted 1–2 days. Virus shedding was first detected by reverse transcription–PCR (RT-PCR) 18 hours after participant inoculation and lasted a median of 28 days after inoculation (range 13–56 days). The median peak amount of virus shedding was 95 × 109 (range 0.5–1,640 ×109) genomic copies/g feces as measured by quantitative RT-PCR. Virus shedding was first detected by antigen ELISA ≈33 hours (median 42 hours) after inoculation and lasted 10 days (median 7 days) after inoculation. Understanding of the relevance of prolonged fecal norovirus excretion must await the development of sensitive methods to measure virus infectivity.https://wwwnc.cdc.gov/eid/article/14/10/08-0117_articlenorovirusgastroenteritisRT-PCRNorwalk virusadulthuman
spellingShingle Robert L. Atmar
Antone R. Opekun
Mark A. Gilger
Mary K. Estes
Sue E. Crawford
Frederick H. Neill
David Y. Graham
Norwalk Virus Shedding after Experimental Human Infection
Emerging Infectious Diseases
norovirus
gastroenteritis
RT-PCR
Norwalk virus
adult
human
title Norwalk Virus Shedding after Experimental Human Infection
title_full Norwalk Virus Shedding after Experimental Human Infection
title_fullStr Norwalk Virus Shedding after Experimental Human Infection
title_full_unstemmed Norwalk Virus Shedding after Experimental Human Infection
title_short Norwalk Virus Shedding after Experimental Human Infection
title_sort norwalk virus shedding after experimental human infection
topic norovirus
gastroenteritis
RT-PCR
Norwalk virus
adult
human
url https://wwwnc.cdc.gov/eid/article/14/10/08-0117_article
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