SARS-CoV-2 infection diagnosed only by cell culture isolation before the local outbreak in an Italian seven-week-old suckling baby

SARS-CoV-2 emerged in China in December 2019 and has now been declared a pandemic by the World Health Organization. This paper described the case of a 7-week-old suckling baby from Italy who was SARS-CoV-2-positive only by the cell culture method, with no clinical suspicion of and/or risk factors for SARS-CoV-2 infection. The baby was referred to hospital, with signs and symptoms of upper respiratory tract infection, before the virus had spread to the province. Nasal and pharyngeal swabs and a nasopharyngeal aspirate were used for conventional and molecular diagnostic assays not including the SARS-CoV-2 virus. Bacteria referred to the resident population were revealed in nasal and pharyngeal swabs. No viruses were detected using both immunofluorescence assay and nucleic acid amplification assays in the nasopharyngeal aspirate. The baby was discharged in good condition after 3 days of hospitalisation. Later, a cytopathic effect on the cell monolayers currently used for respiratory viruses was observed and the viral particles were identified as Coronaviridae by transmission electron microscopy. SARS-CoV-2 was identified by RT-PCR performed both on cell culture and on the stored aliquot of the original sample. The virus isolate was named SARS-Cov-2/human/Parma/1/2020. Cell culture still remains the only reference diagnostic method also for emerging viruses, allowing it to reveal cytopathogenic viruses and demonstrate their infectivity..

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:96

Enthalten in:

International Journal of Infectious Diseases - 96(2020), Seite 387-389

Sprache:

Englisch

Beteiligte Personen:

Adriana Calderaro [VerfasserIn]
Maria Cristina Arcangeletti [VerfasserIn]
Flora De Conto [VerfasserIn]
Mirko Buttrini [VerfasserIn]
Paolo Montagna [VerfasserIn]
Sara Montecchini [VerfasserIn]
Francesca Ferraglia [VerfasserIn]
Federica Pinardi [VerfasserIn]
Carlo Chezzi [VerfasserIn]

Links:

doi.org [kostenfrei]
doaj.org [kostenfrei]
www.sciencedirect.com [kostenfrei]
Journal toc [kostenfrei]

Themen:

COVID-19
Cell culture
Diagnosis
Infectious and parasitic diseases
SARS-CoV-2
Suckling baby

doi:

10.1016/j.ijid.2020.05.035

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

DOAJ044350198