Isolation of Viable SARS-CoV-2 Virus from Feces of an Immunocompromised Patient Suggesting a Possible Fecal Mode of Transmission

(1) Background: Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) excretion in stools is well documented by RT-PCR, but evidences that stools contain infectious particles are scarce. (2) Methods: After observing a Corona Virus 2019 Disease (COVID-19) epidemic cluster associated with a rup...

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Main Authors: Julie Dergham, Jeremy Delerce, Marielle Bedotto, Bernard La Scola, Valérie Moal
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/10/12/2696
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author Julie Dergham
Jeremy Delerce
Marielle Bedotto
Bernard La Scola
Valérie Moal
author_facet Julie Dergham
Jeremy Delerce
Marielle Bedotto
Bernard La Scola
Valérie Moal
author_sort Julie Dergham
collection DOAJ
description (1) Background: Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) excretion in stools is well documented by RT-PCR, but evidences that stools contain infectious particles are scarce. (2) Methods: After observing a Corona Virus 2019 Disease (COVID-19) epidemic cluster associated with a ruptured sewage pipe, we search for such a viable SARS-CoV-2 particle in stool by inoculating 106 samples from 46 patients. (3) Results: We successfully obtained two isolates from a unique patient with kidney transplantation under immunosuppressive therapy who was admitted for severe diarrhea. (4) Conclusions: This report emphasizes that SARS-CoV-2 is an enteric virus, and infectious virus particles can be isolated from the stool of immune-compromised patients like, in our case, kidney transplant recipient. Immune-compromised patients are likely to have massive multiplication of the virus in the gastrointestinal tract and this report suggests possible fecal transmission of SARS-CoV-2.
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spelling doaj.art-efd18388ec0b464f94d009c8eab153b42023-11-22T00:44:25ZengMDPI AGJournal of Clinical Medicine2077-03832021-06-011012269610.3390/jcm10122696Isolation of Viable SARS-CoV-2 Virus from Feces of an Immunocompromised Patient Suggesting a Possible Fecal Mode of TransmissionJulie Dergham0Jeremy Delerce1Marielle Bedotto2Bernard La Scola3Valérie Moal4IHU-Méditerranée Infection, 13005 Marseille, FranceIHU-Méditerranée Infection, 13005 Marseille, FranceIHU-Méditerranée Infection, 13005 Marseille, FranceIHU-Méditerranée Infection, 13005 Marseille, FranceInstitut de Recherche pour le Développement (IRD), Assistance Publique Hôpitaux de Marseille, Microbes Evolution Phylogeny and Infections (MEPHI), Aix Marseille Université, 13005 Marseille, France(1) Background: Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) excretion in stools is well documented by RT-PCR, but evidences that stools contain infectious particles are scarce. (2) Methods: After observing a Corona Virus 2019 Disease (COVID-19) epidemic cluster associated with a ruptured sewage pipe, we search for such a viable SARS-CoV-2 particle in stool by inoculating 106 samples from 46 patients. (3) Results: We successfully obtained two isolates from a unique patient with kidney transplantation under immunosuppressive therapy who was admitted for severe diarrhea. (4) Conclusions: This report emphasizes that SARS-CoV-2 is an enteric virus, and infectious virus particles can be isolated from the stool of immune-compromised patients like, in our case, kidney transplant recipient. Immune-compromised patients are likely to have massive multiplication of the virus in the gastrointestinal tract and this report suggests possible fecal transmission of SARS-CoV-2.https://www.mdpi.com/2077-0383/10/12/2696SARS-CoV-2stoolscell cultureCovid-19organ transplantation
spellingShingle Julie Dergham
Jeremy Delerce
Marielle Bedotto
Bernard La Scola
Valérie Moal
Isolation of Viable SARS-CoV-2 Virus from Feces of an Immunocompromised Patient Suggesting a Possible Fecal Mode of Transmission
Journal of Clinical Medicine
SARS-CoV-2
stools
cell culture
Covid-19
organ transplantation
title Isolation of Viable SARS-CoV-2 Virus from Feces of an Immunocompromised Patient Suggesting a Possible Fecal Mode of Transmission
title_full Isolation of Viable SARS-CoV-2 Virus from Feces of an Immunocompromised Patient Suggesting a Possible Fecal Mode of Transmission
title_fullStr Isolation of Viable SARS-CoV-2 Virus from Feces of an Immunocompromised Patient Suggesting a Possible Fecal Mode of Transmission
title_full_unstemmed Isolation of Viable SARS-CoV-2 Virus from Feces of an Immunocompromised Patient Suggesting a Possible Fecal Mode of Transmission
title_short Isolation of Viable SARS-CoV-2 Virus from Feces of an Immunocompromised Patient Suggesting a Possible Fecal Mode of Transmission
title_sort isolation of viable sars cov 2 virus from feces of an immunocompromised patient suggesting a possible fecal mode of transmission
topic SARS-CoV-2
stools
cell culture
Covid-19
organ transplantation
url https://www.mdpi.com/2077-0383/10/12/2696
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