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Volume 22, Number 6—June 2016
Dispatch

Antibody Response and Disease Severity in Healthcare Worker MERS Survivors

Abeer N. AlshukairiComments to Author , Imran Khalid, Waleed A. Ahmed, Ashraf M. Dada, Daniyah T. Bayumi, Laut S. Malic, Sahar Althawadi, Kim Ignacio, Hanadi S. Alsalmi, Hail M. Al-Abdely, Ghassan Y. Wali, Ismael A. Qushmaq, Basem M. Alraddadi, and Stanley Perlman
Author affiliations: King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia (A.N. Alshukairi, I. Khalid, W.A. Ahmed, A.M. Dada, D.T. Bayumi, L.S. Malic, H.S. Alsalmi, G.Y. Wali, I.A. Qushmaq, B.M. Alraddadi); King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia (S. Althawadi, K. Ignacio); General Directorate of Infection Prevention and Control, Ministry of Health, Riyadh (H.M. Al-Abdely); University of Iowa Department of Microbiology, Iowa City, Iowa, USA (S. Perlman)

Main Article

Table

Antibody response in 9 confirmed survivors of MERS-CoV infection, by selected demographic and clinical characteristics, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia, 2014*

Patient no.
Age, y/sex
Clinical presentation
Test results
PCR, Ct

Serology at 3 mo

Serology at 10 mo

Serology at 18 mo
NPS
BAL
ELlSA†
IFA‡
ELISA†
IFA‡
ELISA†
IFA‡
1 49/M Severe pneumonia 28 26 + (3.17) + + (2.99) + + (3.3) +
2 33/F Severe pneumonia 31 26 + (2.7) + + (2.09) + + (2.9) +
3 54/F Pneumonia 34 ND + (2.91) + + (1.9) + ND ND
4 40/M Pneumonia 32 ND + (1.29) + – (0.65) ND ND
5 37/M Pneumonia 35 ND + (3.2) + + (1.2) ND ND
6 36/M URTI 32 ND – (0.07) – (0.07) ND ND
7 27/F Asymptomatic 33 ND – (0.046) – (0.04) ND ND
8 28/F Asymptomatic 32 ND – (0.12) – (0.06) ND ND
9 35/M Asymptomatic 33 ND – (0.07) – (0.04) ND ND

*+, positive; –, negative; BAL, broncholaveolar lavage; Ct, cycle threshold; IFA, indirect-immunofluorescence assay; MERS-CoV, Middle East respiratory syndrome coronavirus; ND, not done; NPS, nasopharyngeal swab; URTI, upper respiratory tract infection.
†ELISA for MERS-CoV S gene antibody; positive defined as a value >1.1, negative as <0.8, and borderline as between 0.8 and 1.1.
‡IFA for MERS-CoV IgG; endpoint titers not done.

Main Article

Page created: May 16, 2016
Page updated: May 16, 2016
Page reviewed: May 16, 2016
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