101. COVID-19 reinfection in the presence of neutralizing antibodies
- Author
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Fengting Yu, Nan Ding, Angela Ruohao Wu, Yuhai Bi, Shan Cen, Yangzi Song, Hui Zeng, Zhihai Chen, Chen Chen, Ju Zhang, Junyan Han, Ruming Xie, Jiarui Li, Fujie Zhang, Kai Han, Danying Chen, Jingyuan Liu, Lili Ren, Wen Xie, Rui Song, Budong Chen, Xuesen Zhao, and Lin Di
- Subjects
0301 basic medicine ,2019-20 coronavirus outbreak ,medicine.medical_specialty ,Coronavirus disease 2019 (COVID-19) ,AcademicSubjects/SCI00010 ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,Brief Communication ,reinfection ,03 medical and health sciences ,Recovery period ,0302 clinical medicine ,Medicine ,030212 general & internal medicine ,Neutralizing antibody ,Multidisciplinary ,biology ,SARS-CoV-2 ,business.industry ,Public health ,COVID-19 ,neutralizing antibody ,Virology ,Vaccination ,030104 developmental biology ,biology.protein ,Antibody ,AcademicSubjects/MED00010 ,business - Abstract
In the face of the coronavirus disease 2019 (COVID-19), strong and long-lasting immunity is required to protect the host from secondary infections. Recent studies revealed potential inadequacy of antibodies against SARS-CoV-2 in some convalescent patients, raising serious concerns about COVID-19 reinfection. Here, from 273 COVID-19 patients, we identified six reinfections based on clinical, phylogenetic, virological, serological, and epidemiological data. During the second episode, we observed re-emergence of COVID-19 symptoms, new pulmonary lesions on CT images, increased viral load, and secondary humoral immune responses. The interval between the two episodes ranged from 19 to 57 days, indicating COVID-19 reinfections could occur after a short recovery period in convalescent patients. More importantly, reinfection occurred not only in patients with inadequate immunity after the primary infection, but also in patients with measurable levels of neutralizing antibodies. This information will aid the implementation of appropriate public health and social measures to control COVID-19, as well as inform vaccine development.
- Published
- 2020