Frequent Detection of Human Coronaviruses in Clinical Specimens from Patients with Respiratory Tract Infection by Use of a Novel Real-Time Reverse-Transciptase Polymerase Chain Reaction

Leontine J.R. Van Elden*, Anton M. Van Loon, Floris Van Alphen, Karin A.W. Hendriksen, Andy I.M. Hoepelman, Marian G.J. Van Kraaij, Jan Jelrik Oosterheert, Pauline Schipper, Rob Schuurman, Monique Nijhuis

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

113 Citations (Scopus)

Abstract

During the past years, human coronaviruses (HCoVs) have been increasingly identified as pathogens associated with more-severe respiratory tract infection (RTI). Diagnostic tests for HCoVs are not frequently used in the routine setting. It is likely that, as a result, the precise role that HCoVs play in RTIs is greatly underestimated. We describe a rapid, sensitive, and highly specific quantitative real-time reverse-transcriptase polymerase chain reaction (RT-PCR) for the detection of HCoV that can easily be implemented in the routine diagnostic setting. HCoV was detected in 28 (11%) of the 261 clinical specimens obtained from patients presenting with symptoms of RTI ranging from common cold to severe pneumonia. Only 1 (0.4%) of the 243 control specimens obtained from patients without symptoms of RTI showed the presence of HCoV. We conclude that HCoVs can be frequently detected in patients presenting with RTI. Real-time RT-PCR provides a tool for large-scale epidemiological studies to further clarify the role that coronavirus infection plays in RTI in humans.

Original languageEnglish
Pages (from-to)652-657
Number of pages6
JournalJournal of Infectious Diseases
Volume189
Issue number4
DOIs
Publication statusPublished - 15 Feb 2004

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