Evidence map›Paper›PMID 33238410›Full record

ArticleLife (Basel, Switzerland)2020

Long-Term SARS-CoV-2 Infection Associated with Viral Dissemination in Different Body Fluids Including Bile in Two Patients with Acute Cholecystitis.

Rossana Scutari, Lorenzo Piermatteo, Matteo Ciancio Manuelli, Marco Iannetta, Romina Salpini, Ada Bertoli, Claudia Alteri, Patrizia Saccomandi, Maria Concetta Bellocchi, Vincenzo Malagnino and 8 more

Abstract readCase Reports
In one paragraph

Article in Life (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. Observational
  7. Article
  8. Review
  9. Review
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Rossana ScutariDepartment of Experimental Medicine, University of Rome "Tor Vergata", 00133 Rome, Italy.
Lorenzo PiermatteoDepartment of Experimental Medicine, University of Rome "Tor Vergata", 00133 Rome, Italy.ORCID 0000-0002-3500-0858
Matteo Ciancio ManuelliSurgical Emergency Unit, Emergency Department, Polyclinic Tor Vergata Foundation, 00133 Rome, Italy.
Marco IannettaDepartment of System Medicine, University of Rome "Tor Vergata", 00133 Rome, Italy.ORCID 0000-0002-6938-8627
Romina SalpiniDepartment of Experimental Medicine, University of Rome "Tor Vergata", 00133 Rome, Italy.ORCID 0000-0002-2488-2082
Ada BertoliDepartment of Experimental Medicine, University of Rome "Tor Vergata", 00133 Rome, Italy.
Claudia AlteriDepartment of Oncology and Hemato-oncology, University of Milan, 20122 Milan, Italy.
Patrizia SaccomandiDepartment of Experimental Medicine, University of Rome "Tor Vergata", 00133 Rome, Italy.
Maria Concetta BellocchiDepartment of Experimental Medicine, University of Rome "Tor Vergata", 00133 Rome, Italy.
Vincenzo MalagninoDepartment of System Medicine, University of Rome "Tor Vergata", 00133 Rome, Italy.ORCID 0000-0002-6561-5298
Elisabetta TetiDepartment of System Medicine, University of Rome "Tor Vergata", 00133 Rome, Italy.
Daniele SforzaSurgical Emergency Unit, Emergency Department, Polyclinic Tor Vergata Foundation, 00133 Rome, Italy.
Leandro SiragusaDepartment of Surgical Sciences, University of Rome "Tor Vergata", 00133 Rome, Italy.ORCID 0000-0001-9218-1176
Michele GrandeDepartment of Surgical Sciences, University of Rome "Tor Vergata", 00133 Rome, Italy.
Loredana SarmatiDepartment of System Medicine, University of Rome "Tor Vergata", 00133 Rome, Italy.ORCID 0000-0003-1452-0333
Valentina SvicherDepartment of Experimental Medicine, University of Rome "Tor Vergata", 00133 Rome, Italy.
Massimo AndreoniDepartment of System Medicine, University of Rome "Tor Vergata", 00133 Rome, Italy.
Francesca Ceccherini-SilbersteinDepartment of Experimental Medicine, University of Rome "Tor Vergata", 00133 Rome, Italy.

Funding

Aviralia Foundation n.a.Vironet C Foundation n.a.
6 · The paper itself

Abstract

Our study aimed to investigate the kinetics of SARS-CoV-2 RNA in bile and in different body fluids of two SARS-CoV-2 positive patients with acute cholecystitis by innovative droplet digital PCR (ddPCR) assays. For each patient, nasopharyngeal- and rectal swabs, bile, urine, and plasma samples were collected at different time points for SARS-CoV-2 RNA quantification by two ddPCR assays. For both patients, ddPCR revealed persistent and prolonged detection of viral RNA in the nasopharyngeal swab despite triple-negative or single-positive results by qRT-PCR. In Patient 1, SARS-CoV-2 RNA dropped more rapidly in bile and rectal-swab and declined slowly in nasopharyngeal swab and plasma, becoming undetectable in all compartments 97 days after symptoms started. Conversely, in patient 2, SARS-CoV-2 RNA was detected, even if at low copies, in all body samples (with the exception of urine) up to 75 days after the onset of symptoms. This study highlights that SARS-CoV-2 RNA can persist for a prolonged time in respiratory samples and in several biological samples despite negativity to qRT-PCR, supporting SARS-CoV-2's ability to provoke persistent and disseminated infection and therefore to contribute to extra-pulmonary clinical manifestations.

Indexed as

body compartmentDroplet Digital PCRRNA quantificationRT-PCRSARS-CoV-2

Identifiers

PMID33238410
PMCPMC7700357

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.