Clinical characteristics of patients with COVID-19 harboring detectable intracellular SARS-CoV-2 RNA in peripheral blood cells

Objectives: Although SARS-CoV-2 RNAemia has been reported to strongly impact patients with severe COVID-19, the clinical characteristics of patients with COVID-19 harboring detectable intracellular SARS-CoV-2 RNA remain unknown. Methods: We included adult patients who had developed COVID-19 between February and September 2020. Total white blood cells derived from the buffy coat of peripheral whole blood were used to detect SARS-CoV-2 RNA using the Illumina COVIDSeq test. We compared the clinical characteristics between patients with and without detected viral RNA (detected and undetected groups). Results: Among the 390 patients included, 17 harbored SARS-CoV-2 RNA in peripheral white blood cells. All 17 patients required oxygen support during the disease course and had higher intensive care unit admission (52.9% vs 28.9%, P = 0.035), mortality (17.7% vs 3.5%, P = 0.004), kidney dysfunction (severe, 23.5% vs 6.4%, P = 0.029), and corticosteroid treatment rates (76.5% vs 46.5%, P = 0.016) than those of patients in the undetected group. Conclusion: We propose that patients with circulating intracellular SARS-CoV-2 RNA in the peripheral blood exhibited the most severe disease course..

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:135

Enthalten in:

International Journal of Infectious Diseases - 135(2023), Seite 41-44

Sprache:

Englisch

Beteiligte Personen:

Hiromu Tanaka [VerfasserIn]
Ho Namkoong [VerfasserIn]
Shotaro Chubachi [VerfasserIn]
Shinji Irie [VerfasserIn]
Yoshifumi Uwamino [VerfasserIn]
Ho Lee [VerfasserIn]
Shuhei Azekawa [VerfasserIn]
Shiro Otake [VerfasserIn]
Kensuke Nakagawara [VerfasserIn]
Takahiro Fukushima [VerfasserIn]
Mayuko Watase [VerfasserIn]
Tatsuya Kusumoto [VerfasserIn]
Katsunori Masaki [VerfasserIn]
Hirofumi Kamata [VerfasserIn]
Makoto Ishii [VerfasserIn]
Yukinori Okada [VerfasserIn]
Tomomi Takano [VerfasserIn]
Seiya Imoto [VerfasserIn]
Ryuji Koike [VerfasserIn]
Akinori Kimura [VerfasserIn]
Satoru Miyano [VerfasserIn]
Seishi Ogawa [VerfasserIn]
Takanori Kanai [VerfasserIn]
Taka-Aki Sato [VerfasserIn]
Koichi Fukunaga [VerfasserIn]

Links:

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

Themen:

COVID-19
Infectious and parasitic diseases
Intracellular SARS-CoV-2 RNA

doi:

10.1016/j.ijid.2023.07.030

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

DOAJ09074456X