Frequent detection of human coronaviruses in clinical specimens from patients with respiratory tract infection by use of a novel real-time reverse-transcriptase polymerase chain reaction

J Infect Dis. 2004 Feb 15;189(4):652-7. doi: 10.1086/381207. Epub 2004 Jan 28.

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.

MeSH terms

  • Base Sequence
  • Coronavirus / genetics
  • Coronavirus / isolation & purification*
  • Coronavirus 229E, Human / classification*
  • Coronavirus 229E, Human / isolation & purification
  • Coronavirus Infections / virology*
  • Coronavirus OC43, Human / classification*
  • Coronavirus OC43, Human / isolation & purification
  • DNA Primers
  • Humans
  • Pneumonia / complications
  • Polymerase Chain Reaction / methods
  • Reference Values
  • Respiratory Tract Infections / complications*

Substances

  • DNA Primers