Isolation of Viable SARS-CoV-2 Virus from Feces of an Immunocompromised Patient Suggesting a Possible Fecal Mode of Transmission.
Julie DerghamJeremy DelerceMarielle BedottoBernard La ScolaValérie MoalPublished in: Journal of clinical medicine (2021)
(1) Background: Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) excretion in stools is well documented by RT-PCR, but evidences that stools contain infectious particles are scarce. (2) Methods: After observing a Corona Virus 2019 Disease (COVID-19) epidemic cluster associated with a ruptured sewage pipe, we search for such a viable SARS-CoV-2 particle in stool by inoculating 106 samples from 46 patients. (3) Results: We successfully obtained two isolates from a unique patient with kidney transplantation under immunosuppressive therapy who was admitted for severe diarrhea. (4) Conclusions: This report emphasizes that SARS-CoV-2 is an enteric virus, and infectious virus particles can be isolated from the stool of immune-compromised patients like, in our case, kidney transplant recipient. Immune-compromised patients are likely to have massive multiplication of the virus in the gastrointestinal tract and this report suggests possible fecal transmission of SARS-CoV-2.
Keyphrases
- sars cov
- respiratory syndrome coronavirus
- end stage renal disease
- ejection fraction
- newly diagnosed
- coronavirus disease
- kidney transplantation
- peritoneal dialysis
- prognostic factors
- early onset
- bone marrow
- case report
- patient reported outcomes
- microbial community
- replacement therapy
- clostridium difficile
- abdominal aortic aneurysm
- irritable bowel syndrome