Norwalk Virus Shedding after Experimental Human Infection

Autor: Robert L. Atmar, Antone R. Opekun, Mark A. Gilger, Mary K. Estes, Sue E. Crawford, Frederick H. Neill, David Y. Graham
Jazyk: angličtina
Rok vydání: 2008
Předmět:
Zdroj: Emerging Infectious Diseases, Vol 14, Iss 10, Pp 1553-1557 (2008)
Druh dokumentu: article
ISSN: 1080-6040
1080-6059
DOI: 10.3201/eid1410.080117
Popis: Noroviruses are the most common cause of viral gastroenteritis in the United States. To determine the magnitude and duration of virus shedding in feces, we evaluated persons who had been experimentally infected with Norwalk virus. Of 16 persons, clinical gastroenteritis (watery diarrhea and/or vomiting) developed in 11; symptomatic illness lasted 1–2 days. Virus shedding was first detected by reverse transcription–PCR (RT-PCR) 18 hours after participant inoculation and lasted a median of 28 days after inoculation (range 13–56 days). The median peak amount of virus shedding was 95 × 109 (range 0.5–1,640 ×109) genomic copies/g feces as measured by quantitative RT-PCR. Virus shedding was first detected by antigen ELISA ≈33 hours (median 42 hours) after inoculation and lasted 10 days (median 7 days) after inoculation. Understanding of the relevance of prolonged fecal norovirus excretion must await the development of sensitive methods to measure virus infectivity.
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