Detection of SARS-associated Coronavirus in Throat Wash and Saliva in Early Diagnosis

نویسندگان

  • Wei-Kung Wang
  • Shey-Ying Chen
  • I-Jung Liu
  • Yee-Chun Chen
  • Hui-Ling Chen
  • Chao-Fu Yang
  • Pei-Jer Chen
  • Shiou-Hwei Yeh
  • Chuan-Liang Kao
  • Li-Min Huang
  • Po-Ren Hsueh
  • Jann-Tay Wang
  • Wang-Hwei Sheng
  • Chi-Tai Fang
  • Chien-Ching Hung
  • Szu-Min Hsieh
  • Chan-Ping Su
  • Wen-Chu Chiang
  • Jyh-Yuan Yang
  • Jih-Hui Lin
  • Szu-Chia Hsieh
  • Hsien-Ping Hu
  • Yu-Ping Chiang
  • Jin-Town Wang
  • Pan-Chyr Yang
  • Shan-Chwen Chang
چکیده

The severe acute respiratory syndrome-associated coronavirus (SARS-CoV) is thought to be transmitted primarily through dispersal of droplets, but little is known about the load of SARS-CoV in oral droplets. We examined oral specimens, including throat wash and saliva, and found large amounts of SARS-CoV RNA in both throat wash (9.58 x 10(2) to 5.93 x 10(6) copies/mL) and saliva (7.08 x 10(3) to 6.38 x 10(8) copies/mL) from all specimens of 17 consecutive probable SARS case-patients, supporting the possibility of transmission through oral droplets. Immunofluorescence study showed replication of SARS-CoV in the cells derived from throat wash, demonstrating the possibility of developing a convenient antigen detection assay. This finding, with the high detection rate a median of 4 days after disease onset and before the development of lung lesions in four patients, suggests that throat wash and saliva should be included in sample collection guidelines for SARS diagnosis.

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عنوان ژورنال:

دوره 10  شماره 

صفحات  -

تاریخ انتشار 2004