Evidence map›Paper›PMID 35240997›Full record

ArticleBMC infectious diseases2022

Post-COVID-19 syndrome. SARS-CoV-2 RNA detection in plasma, stool, and urine in patients with persistent symptoms after COVID-19.

Francisco Tejerina, Pilar Catalan, Cristina Rodriguez-Grande, Javier Adan, Carmen Rodriguez-Gonzalez, Patricia Muñoz, Teresa Aldamiz, Cristina Diez, Leire Perez, Chiara Fanciulli and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 2 pooled it
17.4field-weighted citation impact, top 1% of its field
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

75 citing papers in PubMed, 2 syntheses or guidelines pooled it, 142 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Long COVID After Bamlanivimab Treatment.The Journal of infectious diseases · 2023
    Trial
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Interventions for Long COVID: A Narrative Review.Journal of general internal medicine · 2025
    Review
  16. Article
  17. Observational
  18. Targeting the SARS-CoV-2 reservoir in long COVID.The Lancet. Infectious diseases · 2025
    Review
  19. Article
  20. Article

15 more citing papers are in PubMed but not listed here.

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

12 authors at 4 institutions in 1 country.

Francisco TejerinaClinical Microbiology and Infectious Diseases Department, Hospital General Universitario Gregorio Marañon, 46 C/ Doctor Esquerdo, 28009, Madrid, Spain. pacotejerina@gmail.com.ORCID http://orcid.org/0000-0002-4136-3575
Pilar CatalanClinical Microbiology and Infectious Diseases Department, Hospital General Universitario Gregorio Marañon, 46 C/ Doctor Esquerdo, 28009, Madrid, Spain.
Cristina Rodriguez-GrandeClinical Microbiology and Infectious Diseases Department, Hospital General Universitario Gregorio Marañon, 46 C/ Doctor Esquerdo, 28009, Madrid, Spain.
Javier AdanClinical Microbiology and Infectious Diseases Department, Hospital General Universitario Gregorio Marañon, 46 C/ Doctor Esquerdo, 28009, Madrid, Spain.
Carmen Rodriguez-GonzalezPharmacy Department, Hospital General Universitario Gregorio Marañón, 46 C/Dr Esquerdo, 28009, Madrid, Spain.
Patricia MuñozClinical Microbiology and Infectious Diseases Department, Hospital General Universitario Gregorio Marañon, 46 C/ Doctor Esquerdo, 28009, Madrid, Spain.
Teresa AldamizClinical Microbiology and Infectious Diseases Department, Hospital General Universitario Gregorio Marañon, 46 C/ Doctor Esquerdo, 28009, Madrid, Spain.
Cristina DiezClinical Microbiology and Infectious Diseases Department, Hospital General Universitario Gregorio Marañon, 46 C/ Doctor Esquerdo, 28009, Madrid, Spain.
Leire PerezClinical Microbiology and Infectious Diseases Department, Hospital General Universitario Gregorio Marañon, 46 C/ Doctor Esquerdo, 28009, Madrid, Spain.
Chiara FanciulliClinical Microbiology and Infectious Diseases Department, Hospital General Universitario Gregorio Marañon, 46 C/ Doctor Esquerdo, 28009, Madrid, Spain.
Dario Garcia de ViedmaClinical Microbiology and Infectious Diseases Department, Hospital General Universitario Gregorio Marañon, 46 C/ Doctor Esquerdo, 28009, Madrid, Spain.
Gregorio Marañon Microbiology ID COVID 19 Study Group
Hospital General Universitario Gregorio Marañón · ESInstituto de Salud Carlos III · ESUniversidad Complutense de Madrid · ESCentro de Investigación Biomédica en Red de Enfermedades Respiratorias · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a paucity of knowledge on the long-term outcome in patients diagnosed with COVID-19. We describe a cohort of patients with a constellation of symptoms occurring four weeks after diagnosis causing different degrees of reduced functional capacity. Although different hypothesis have been proposed to explain this condition like persistent immune activation or immunological dysfunction, to date, no physiopathological mechanism has been identified. Consequently, there are no therapeutic options besides symptomatic treatment and rehabilitation.

methodsWe evaluated patients with symptoms that persisted for at least 4 weeks after COVID-19. Epidemiological and clinical data were collected. Blood tests, including inflammatory markers, were conducted, and imaging studies made if deemed necessary. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) reverse transcription polymerase chain reaction (RT-PCR) in plasma, stool, and urine were performed. Patients were offered antiviral treatment (compassionate use).

resultsWe evaluated 29 patients who reported fatigue, muscle pain, dyspnea, inappropriate tachycardia, and low-grade fever. Median number of days from COVID-19 to positive RT-PCR in extra-respiratory samples was 55 (39-67). Previous COVID-19 was mild in 55% of the cases. Thirteen patients (45%) had positive plasma RT-PCR results and 51% were positive in at least one RT-PCR sample (plasma, urine, or stool). Functional status was severely reduced in 48% of the subjects. Eighteen patients (62%) received antiviral treatment. Improvement was seen in most patients (p = 0.000) and patients in the treatment group achieved better outcomes with significant differences (p = 0.01).

conclusionsIn a cohort of COVID-19 patients with persistent symptoms, 45% of them have detectable plasma SARS-CoV-2 RNA. Our results indicate possible systemic viral persistence in these patients, who may benefit of antiviral treatment strategies.

Indexed as

COVID-19HumansPost-Acute COVID-19 SyndromeRNA, ViralSARS-CoV-2Serologic TestsRNA, Viral

Identifiers

PMID35240997
PMCPMC8892394
OpenAlexW4214951573

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.