Table 4.
Detection of MERS-CoV by RT-iiPCR and RT-qPCR in Sputum Samples Collected from Patients Infected with MERS-CoV
| Patient's ID | Age | Sex | Date of onset | Outcome | No. of samples | Collection date∗ | Initial laboratory testing (RT-PCR)† | MERS-CoV RT-iiPCR |
MERS-CoV RT-qPCR |
Estimated viral load‡ (log10 [copies]) |
Internal control (CT)§ |
|||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ORF1a | upE | ORF1a | upE | ORF1a | upE | RNase P | ||||||||
| P016 | 40 | M | 05-19-2015 | Recovered | 8 | 06-09-2015 | + | + | + | + | + | 3.906 | 4.195 | 35.8 |
| 06-10-2015 | + | + | + | + | + | 2.681 | 3.111 | 32.8 | ||||||
| 06-10-2015′ | + | + | + | + | + | 3.507 | 3.289 | 32.2 | ||||||
| 06-11-2015 | + | + | + | + | + | 6.024 | 6.482 | 30.9 | ||||||
| 06-11-2015′ | + | + | + | + | + | 5.779 | 6.224 | 32.1 | ||||||
| 06-13-2015 | + | + | + | + | + | 5.266 | 5.837 | 31.9 | ||||||
| 06-14-2015 | + | + | + | + | + | 2.363 | 2.846 | 32.3 | ||||||
| 06-14-2015′ | + | + | + | + | + | 2.478 | 3.128 | 32.7 | ||||||
| P030 | 60 | M | 05-30-2015 | Recovered | 6 | 06-08-2015 | + | + | + | + | + | 6.527 | 7.049 | 29.7 |
| 06-09-2015 | + | + | + | + | + | 4.936 | 5.132 | 28.4 | ||||||
| 06-09-2015′ | + | + | + | + | + | 4.917 | 5.243 | 29.7 | ||||||
| 06-11-2015 | + | + | + | + | + | 6.017 | 6.406 | 27.4 | ||||||
| 06-11-2015′ | + | + | + | + | + | 5.986 | 6.360 | 28.4 | ||||||
| 06-11-2015″ | + | + | + | + | + | 6.238 | 6.521 | 24.9 | ||||||
| P031 | 69 | M | 05-30-2015 | Fatal | 5 | 06-08-2015 | + | + | + | + | + | 6.821 | 6.864 | 27.8 |
| 06-11-2015 | + | + | + | + | + | 7.878 | 8.242 | 28.2 | ||||||
| 06-12-2015 | + | + | + | + | + | 5.996 | 6.416 | 34.1 | ||||||
| 06-15-2015 | + | + | + | + | + | 6.478 | 6.125 | 25.3 | ||||||
| 06-17-2015 | + | + | + | + | + | 5.322 | 5.003 | 24.6 | ||||||
| P054 | 62 | F | 05-31-2015 | Recovered | 4 | 06-12-2015 | + | + | + | + | + | 6.306 | 6.447 | 31.4 |
| 06-14-2015 | + | + | + | + | + | 6.701 | 7.025 | 28.4 | ||||||
| 06-15-2015 | + | + | + | + | + | 5.672 | 5.700 | 27.1 | ||||||
| 06-16-2015 | + | + | + | + | + | 5.983 | 5.812 | 31.9 | ||||||
| P082 | 82 | F | 06-04-2015 | Fatal | 3 | 06-11-2015 | + | + | + | + | + | 2.716 | 4.159 | 31.0 |
| 06-13-2015 | + | + | + | + | + | 6.146 | 6.719 | 26.3 | ||||||
| 06-14-2015 | + | + | + | + | + | 3.756 | 4.600 | 27.9 | ||||||
| P085 | 65 | F | 06-06-2015 | Recovered | 5 | 06-10-2015 | + | + | + | + | + | 4.347 | 4.100 | 26.6 |
| 06-13-2015 | + | + | + | + | + | 5.049 | 5.138 | 35.0 | ||||||
| 06-14-2015 | + | ND | + | ND | ND | ND | ND | 27.3 | ||||||
| 06-15-2015 | + | + | + | + | + | 4.376 | 4.590 | 29.5 | ||||||
| 06-16-2015 | + | + | + | + | + | 3.842 | 4.241 | 31.8 | ||||||
| P110 | 57 | F | 06-02-2015 | Recovered | 2 | 06-13-2015 | + | + | + | + | + | 5.538 | 5.491 | 29.7 |
| 06-13-2015′ | + | + | + | + | + | 5.040 | 5.411 | 27.5 | ||||||
| P122 | 55 | F | 06-06-2015 | Recovered | 6 | 06-10-2015 | + | + | + | + | + | 6.168 | 6.731 | 29.2 |
| 06-12-2015 | + | + | + | + | + | 5.075 | 5.221 | 34.5 | ||||||
| 06-13-2015 | + | + | + | + | + | 5.218 | 5.750 | 31.7 | ||||||
| 06-14-2015 | + | + | + | + | + | 4.866 | 5.177 | 29.5 | ||||||
| 06-15-2015 | + | + | + | + | + | 3.100 | 3.401 | 29.8 | ||||||
| 06-16-2015 | + | + | + | + | + | 3.702 | 3.789 | 33.2 | ||||||
| P130 | 65 | F | 06-12-2015 | Recovered | 2 | 06-14-2015 | + | + | + | ND | + | ND | 2.672 | 30.2 |
| 06-16-2015 | + | + | + | + | + | 2.160 | 2.604 | 30.2 | ||||||
| P148 | 38 | F | 06-06-2015 | Recovered | 4 | 06-15-2015 | + | + | + | + | + | 3.564 | 3.678 | 35.8 |
| 06-17-2015 | + | + | + | + | + | 5.781 | 6.081 | 33.1 | ||||||
| 06-18-2015 | + | + | + | + | + | 5.516 | 5.843 | 31.3 | ||||||
| 06-21-2015 | + | + | + | ND | + | ND | 2.743 | 38.5 | ||||||
| P172 | 60 | F | 06-15-2015 | Recovered | 10 | 06-22-2015 | + | + | + | + | + | 5.359 | 5.812 | 29.8 |
| 06-25-2015 | + | + | + | + | + | 3.936 | 4.074 | 28.0 | ||||||
| 06-25-2015 | + | + | + | + | + | 4.614 | 4.722 | 28.3 | ||||||
| 06-27-2015 | + | + | + | + | + | 3.133 | 3.007 | 28.0 | ||||||
| 06-28-2015 | + | + | + | + | + | 4.949 | 5.153 | 26.0 | ||||||
| 06-28-2015′ | + | + | + | + | + | 4.559 | 4.922 | 26.4 | ||||||
| 06-29-2015 | + | + | + | + | + | 3.961 | 4.157 | 28.2 | ||||||
| 06-29-2015′ | + | + | + | + | + | 2.923 | 3.328 | 26.9 | ||||||
| 06-29-2015″ | + | + | + | + | + | 2.710 | 3.308 | 25.8 | ||||||
| 06-30-2015 | + | + | + | + | + | 5.497 | 5.791 | 27.8 | ||||||
F, female; M, male; +, positive; MERS-CoV, Middle East respiratory syndrome–coronavirus; ND, not detected; RT-iiPCR, reverse transcription-insulated isothermal PCR.
Dates indicated with (′) and (′′) indicate sample replicate.
Patients were confirmed positive by real-time RT-qPCR at the Korean Center for Disease Control laboratory during the 2015 outbreak.
Viral loads (Log10 copies) were quantified by using in vitro transcribed RNA derived from the amplicon region of each assay.
All specimens were tested for the human RNase P gene to monitor nucleic acid extraction efficiency and the presence of PCR inhibitors as described in Lu et al.34