Reinfection with SARS-CoV-2 and Failure of Humoral Immunity: a case report

Autor: Samia N. Naccache, Shannon Fallen, Jennifer Hadlock, Kelly Chun, Katharina Röltgen, Kai Wang, Terri Wrin, Ji-Yeun Lee, Joshua Jeharajah, Ansuman T. Satpathy, Paula M Manner, Jared C. Roach, Yapeng Su, Sonam T Nyatsatsang, John S Pauk, Kim Murray, Heather A. Algren, James R. Heath, Kathryn E. Yost, Alexander L. Greninger, Christos J. Petropoulos, Jason D Goldman, Oliver F. Wirz, Julie A. Wallick, Scott D. Boyd, Inyou Lee, George P Pappas, William R. Berrington, Sandra C. A. Nielsen, Fan Yang
Rok vydání: 2020
Předmět:
Zdroj: medRxiv
Popis: Recovery from COVID-19 is associated with production of anti-SARS-CoV-2 antibodies, but it is uncertain whether these confer immunity. We describe viral RNA shedding duration in hospitalized patients and identify patients with recurrent shedding. We sequenced viruses from two distinct episodes of symptomatic COVID-19 separated by 140 days in a single patient, to conclusively describe reinfection with a new strain harboring the spike variant D614G. With antibody and B cell analytics, we show correlates of adaptive immunity, including a differential response to D614G. Finally, we discuss implications for vaccine programs and begin to define benchmarks for protection against reinfection from SARS-CoV-2.
Databáze: OpenAIRE