Virologic and Immunologic Characterization of Coronavirus Disease 2019 Recrudescence After Nirmatrelvir/Ritonavir Treatment
Author(s) -
Aaron F. Carlin,
Alex E. Clark,
Antoine Chaillon,
Aaron F. Garretson,
William A. Bray,
Magali Porrachia,
AsherLev T Santos,
Tariq M. Rana,
Davey M. Smith
Publication year - 2022
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/ciac496
Subject(s) - medicine , virology , immunology , coronavirus , ritonavir , covid-19 , antibody , disease , virus , infectious disease (medical specialty) , viral load , outbreak , antiretroviral therapy
We isolated a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) BA.2 variant from a person with coronavirus disease 2019 recrudescence after nirmatrelvir/ritonavir treatment. Antiviral sensitivity and neutralizing antibody testing were performed with both parental SARS-CoV-2 and multiple variants of concern. We found that neither nirmatrelvir resistance nor absence of neutralizing immunity was a likely cause of the recrudescence.
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