Serveur d'exploration SRAS

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A novel coronavirus associated with severe acute respiratory syndrome.

Identifieur interne : 003333 ( PubMed/Checkpoint ); précédent : 003332; suivant : 003334

A novel coronavirus associated with severe acute respiratory syndrome.

Auteurs : Thomas G. Ksiazek [États-Unis] ; Dean Erdman ; Cynthia S. Goldsmith ; Sherif R. Zaki ; Teresa Peret ; Shannon Emery ; Suxiang Tong ; Carlo Urbani ; James A. Comer ; Wilina Lim ; Pierre E. Rollin ; Scott F. Dowell ; Ai-Ee Ling ; Charles D. Humphrey ; Wun-Ju Shieh ; Jeannette Guarner ; Christopher D. Paddock ; Paul Rota ; Barry Fields ; Joseph Derisi ; Jyh-Yuan Yang ; Nancy Cox ; James M. Hughes ; James W. Leduc ; William J. Bellini ; Larry J. Anderson

Source :

RBID : pubmed:12690092

Descripteurs français

English descriptors

Abstract

A worldwide outbreak of severe acute respiratory syndrome (SARS) has been associated with exposures originating from a single ill health care worker from Guangdong Province, China. We conducted studies to identify the etiologic agent of this outbreak.

DOI: 10.1056/NEJMoa030781
PubMed: 12690092


Affiliations:


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pubmed:12690092

Le document en format XML

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<term>SARS Virus</term>
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<front>
<div type="abstract" xml:lang="en">A worldwide outbreak of severe acute respiratory syndrome (SARS) has been associated with exposures originating from a single ill health care worker from Guangdong Province, China. We conducted studies to identify the etiologic agent of this outbreak.</div>
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<DateCompleted>
<Year>2003</Year>
<Month>05</Month>
<Day>21</Day>
</DateCompleted>
<DateRevised>
<Year>2004</Year>
<Month>11</Month>
<Day>17</Day>
</DateRevised>
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<ISSN IssnType="Electronic">1533-4406</ISSN>
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<Volume>348</Volume>
<Issue>20</Issue>
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<Year>2003</Year>
<Month>May</Month>
<Day>15</Day>
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<Title>The New England journal of medicine</Title>
<ISOAbbreviation>N. Engl. J. Med.</ISOAbbreviation>
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<ArticleTitle>A novel coronavirus associated with severe acute respiratory syndrome.</ArticleTitle>
<Pagination>
<MedlinePgn>1953-66</MedlinePgn>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">A worldwide outbreak of severe acute respiratory syndrome (SARS) has been associated with exposures originating from a single ill health care worker from Guangdong Province, China. We conducted studies to identify the etiologic agent of this outbreak.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We received clinical specimens from patients in seven countries and tested them, using virus-isolation techniques, electron-microscopical and histologic studies, and molecular and serologic assays, in an attempt to identify a wide range of potential pathogens.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">None of the previously described respiratory pathogens were consistently identified. However, a novel coronavirus was isolated from patients who met the case definition of SARS. Cytopathological features were noted in Vero E6 cells inoculated with a throat-swab specimen. Electron-microscopical examination revealed ultrastructural features characteristic of coronaviruses. Immunohistochemical and immunofluorescence staining revealed reactivity with group I coronavirus polyclonal antibodies. Consensus coronavirus primers designed to amplify a fragment of the polymerase gene by reverse transcription-polymerase chain reaction (RT-PCR) were used to obtain a sequence that clearly identified the isolate as a unique coronavirus only distantly related to previously sequenced coronaviruses. With specific diagnostic RT-PCR primers we identified several identical nucleotide sequences in 12 patients from several locations, a finding consistent with a point-source outbreak. Indirect fluorescence antibody tests and enzyme-linked immunosorbent assays made with the new isolate have been used to demonstrate a virus-specific serologic response. This virus may never before have circulated in the U.S. population.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">A novel coronavirus is associated with this outbreak, and the evidence indicates that this virus has an etiologic role in SARS. Because of the death of Dr. Carlo Urbani, we propose that our first isolate be named the Urbani strain of SARS-associated coronavirus.</AbstractText>
<CopyrightInformation>Copyright 2003 Massachusetts Medical Society</CopyrightInformation>
</Abstract>
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<LastName>Ksiazek</LastName>
<ForeName>Thomas G</ForeName>
<Initials>TG</Initials>
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</AffiliationInfo>
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<LastName>Erdman</LastName>
<ForeName>Dean</ForeName>
<Initials>D</Initials>
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<ForeName>Cynthia S</ForeName>
<Initials>CS</Initials>
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<LastName>Zaki</LastName>
<ForeName>Sherif R</ForeName>
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<ForeName>Teresa</ForeName>
<Initials>T</Initials>
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<LastName>Emery</LastName>
<ForeName>Shannon</ForeName>
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<ForeName>Jyh-Yuan</ForeName>
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<name sortKey="Leduc, James W" sort="Leduc, James W" uniqKey="Leduc J" first="James W" last="Leduc">James W. Leduc</name>
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<name sortKey="Shieh, Wun Ju" sort="Shieh, Wun Ju" uniqKey="Shieh W" first="Wun-Ju" last="Shieh">Wun-Ju Shieh</name>
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<name sortKey="Yang, Jyh Yuan" sort="Yang, Jyh Yuan" uniqKey="Yang J" first="Jyh-Yuan" last="Yang">Jyh-Yuan Yang</name>
<name sortKey="Zaki, Sherif R" sort="Zaki, Sherif R" uniqKey="Zaki S" first="Sherif R" last="Zaki">Sherif R. Zaki</name>
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<name sortKey="Ksiazek, Thomas G" sort="Ksiazek, Thomas G" uniqKey="Ksiazek T" first="Thomas G" last="Ksiazek">Thomas G. Ksiazek</name>
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