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SARS-CoV-2 再感染,尽管存在可检测的中和抗体。

SARS-CoV-2 Reinfection in a Healthcare Worker Despite the Presence of Detectable Neutralizing Antibodies.

机构信息

I.Department of Internal Medicine, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246 Hamburg, Germany.

German Center for Infection Research (DZIF), Partner Site Hamburg-Lübeck-Borstel-Riems, Germany.

出版信息

Viruses. 2021 Apr 12;13(4):661. doi: 10.3390/v13040661.

Abstract

So far, only a few reports about reinfections with SARS-CoV-2 have been published, and they often lack detailed immunological and virological data. We report about a SARS-CoV-2 reinfection with a genetically distinct SARS-CoV-2 variant in an immunocompetent female healthcare worker that has led to a mild disease course. No obvious viral escape mutations were observed in the second virus variant. The infectious virus was shed from the patient during the second infection episode despite the presence of neutralizing antibodies in her blood. Our data indicate that a moderate immune response after the first infection, but not a viral escape, did allow for reinfection and live virus shedding.

摘要

迄今为止,仅有少数关于 SARS-CoV-2 再感染的报告,且这些报告往往缺乏详细的免疫学和病毒学数据。我们报告了一例免疫功能正常的女性医护人员发生的 SARS-CoV-2 再感染,其感染的是一种具有独特遗传特征的 SARS-CoV-2 变异株,导致疾病过程较轻。在第二个病毒变异株中未观察到明显的病毒逃逸突变。尽管患者血液中存在中和抗体,但在第二次感染期间仍有传染性病毒从患者体内排出。我们的数据表明,初次感染后产生的适度免疫应答,而非病毒逃逸,确实允许再次感染和活病毒排出。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/557f/8070424/ca238f98f802/viruses-13-00661-g001.jpg

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