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Patients with COVID-19 and neurological manifestations show undetectable SARS-CoV-2 RNA levels in the cerebrospinal fluid

Otávio de Melo Espíndola, Marilda Mendonça Siqueira, Cristiane Soares, Marco Antônio Lima, Ana Claúdia Celestino Bezerra Leite, Abelardo Araújo, Carlos Otávio Brandão, Marcus Tulius T. Silva

2020International Journal of Infectious Diseases86 citationsDOIOpen Access PDF

Abstract

We report that patients with COVID-19 displaying distinct neurological disorders have undetectable or extremely low levels of SARS-CoV-2 RNA in the cerebrospinal fluid, indicating that viral clearance precede the neurological involvement. This finding points to the need for the development of more sensitive molecular tests and the investigation of other neurotropic pathogens to exclude concurrent neuroinfection.

Topics & Concepts

Cerebrospinal fluidCoronavirus disease 2019 (COVID-19)Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)VirologyMedicine2019-20 coronavirus outbreakRNAPathologyBiologyGeneticsOutbreakGeneInfectious disease (medical specialty)DiseaseLong-Term Effects of COVID-19COVID-19 Clinical Research StudiesMultiple Sclerosis Research Studies