SARS-CoV-2 Reinfection in a Healthcare Worker Despite the Presence of Detectable Neutralizing Antibodies.
Thomas Theo BrehmSusanne PfefferleRonald von PosselRobin KobbeDominik NörzStefan SchmiedelAdam GrundhoffFlaminia OlearoPetra EmmerichAlexis RobitailleThomas GüntherPlaton BraunGabriele AndersenJohannes Karl-Mark KnoblochMarylyn Martina AddoAnsgar W LohseMartin AepfelbacherNicole FischerJulian Schulze Zur-WieschMarc LütgehetmannPublished in: Viruses (2021)
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.