Serologic responses of 42 MERS-coronavirus-infected patients according to the disease severity

被引:65
作者
Ko, Jae-Hoon [1 ,10 ]
Mueller, Marcel A. [2 ,3 ]
Seok, Hyeri [1 ]
Park, Ga Eun [1 ]
Lee, Ji Yeon [1 ]
Cho, Sun Young [1 ]
Ha, Young Eun [1 ]
Baek, Jin Yang [4 ]
Kim, So Hyun [4 ]
Kang, Ji-Man [5 ]
Kim, Yae-Jean [5 ]
Jo, Lk Joon [6 ]
Chung, Chi Ryang [7 ]
Hahn, Myong-Joon [8 ]
Drosten, Christian [2 ,3 ]
Kang, Cheol-In [1 ]
Chung, Doo Ryeon [1 ,4 ]
Song, Jae-Hoon [1 ,4 ]
Kang, Eun-Suk [9 ]
Peck, Kyong Ran [1 ]
机构
[1] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Div Infect Dis,Dept Med, 81 Irwon Ro, Seoul 06351, South Korea
[2] Charite, Inst Virol, Berlin, Germany
[3] German Ctr Infect Res, Braunschweig, Germany
[4] APFID, Seoul, South Korea
[5] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Div Infect Dis,Dept Pediat, Seoul, South Korea
[6] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Emergency Med, Seoul, South Korea
[7] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Crit Care Med, Seoul, South Korea
[8] Sungkyunkwan Univ, Sch Med, Samsung Biomed Res Inst, Dept Mol Cell Biol,Ctr Mol Med, Suwon 16419, South Korea
[9] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Lab Med & Genet, Seoul, South Korea
[10] Armed Forces Capital Hosp, Dept Internal Med, Div Infect Dis, Seongnam, South Korea
关键词
Middle East respiratory syndrome coronavirus; Prognosis; Antibody; Serologic response; EAST RESPIRATORY SYNDROME; ANTIBODIES; PNEUMONIA; OUTBREAK;
D O I
10.1016/j.diagmicrobio.2017.07.006
中图分类号
R51 [传染病];
学科分类号
100201 [内科学];
摘要
We evaluated serologic response of 42 Middle East respiratory syndrome coronavirus (MERS-CoV)-infected patients according to 4 severity groups: asymptomatic infection (Group 0), symptomatic infection without pneumonia (Group 1), pneumonia without respiratory failure (Group 2), and pneumonia progressing to respiratory failure (Group 3). None of the Group 0 patients showed seroconversion, while the seroconversion rate gradually increased with increasing disease severity (0.0%, 60.0%, 93.8%, and 100% in Group 0, 1, 2, 3, respectively; P = 0.001), Group 3 patients showed delayed increment of antibody titers during the fourth week, while Group 2 patients showed robust increment of antibody titer during the third week. Among patients having pneumonia, 75% of deceased patients did not show seroconversion by the third week, while 100% of the survived patients were seroconverted (P = 0.003). (C) 2017 Elsevier Inc. All rights reserved.
引用
收藏
页码:106 / 111
页数:6
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