Fecal Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-Cov-2) RNA Is Associated With Decreased Coronavirus Disease 2019 (COVID-19) Survival

Author:

Das Adhikari Upasana12,Eng George234,Farcasanu Mara12,Avena Laura E5,Choudhary Manish C6,Triant Virginia A7,Flagg Meaghan1,Schiff Abigail E12,Gomez Isabella1,Froehle Leah M1,Diefenbach Thomas J1,Ronsard Larance1,Lingwood Daniel1,Lee Grace C8,Rabi Seyed Alireza8,Erstad Derek8,Velmahos George8,Li Jonathan Z26,Hodin Richard8,Stone James R23ORCID,Honko Anna N5,Griffiths Anthony5,Yilmaz Ömer H234,Kwon Douglas S127ORCID

Affiliation:

1. Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology, and Harvard, Cambridge, Massachusetts, USA

2. Harvard Medical School, Boston, Massachusetts, USA

3. Department of Pathology, Massachusetts General Hospital, Boston, Massachusetts, USA

4. Koch Institute, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA

5. Department of Microbiology and National Emerging Infectious Diseases Laboratories, Boston University School of Medicine, Boston, Massachusetts, USA

6. Division of Infectious Diseases, Brigham and Women’s Hospital, Boston, Massachusetts, USA

7. Division of Infectious Diseases, Massachusetts General Hospital, Boston, Massachusetts, USA

8. Division of Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA

Abstract

Abstract The clinical significance of severe acute respiratory syndrome coronavirus 2 (SARS CoV-2) RNA in stool remains uncertain. We found that extrapulmonary dissemination of infection to the gastrointestinal tract, assessed by the presence of SARS-CoV-2 RNA in stool, is associated with decreased coronavirus disease 2019 (COVID-19) survival. Measurement of SARS-CoV-2 RNA in stool may have utility for clinical risk assessment.

Funder

National Institutes of Health

Ragon Insitute of MGH, MIT and Harvard

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Microbiology (medical)

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