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10.1016/j.diagmicrobio.2020.115141

http://scihub22266oqcxt.onion/10.1016/j.diagmicrobio.2020.115141
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32795776!7366972!32795776
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suck abstract from ncbi


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pmid32795776      Diagn+Microbiol+Infect+Dis 2020 ; 98 (3): 115141
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  • False-positive SARS-CoV-2 serology in 3 children with Kawasaki disease #MMPMID32795776
  • To KK; Chua GT; Kwok KL; Wong JS; Au DCY; Lam YY; Wong WH; Ho MH; Chan GC; Chui CS; Li X; Tung KT; Wong RS; Tso WW; Wong IC; Wong CS; Fong CH; Chan KH; Yuen KY; Ip P; Kwan MY
  • Diagn Microbiol Infect Dis 2020[Nov]; 98 (3): 115141 PMID32795776show ga
  • BACKGROUND: Kawasaki disease (KD) is an acute febrile and eruptive disease with systemic vasculitis predominantly affecting young East Asian children. Recent reports showed that children with KD-like disease from KD low prevalence regions had positive SARS-CoV-2 serology despite a negative SARS-CoV-2 polymerase chain reaction (PCR) in respiratory samples. OBJECTIVES: To describe 3 pediatric Kawasaki Disease patients with false positive SARS-CoV-2 serology. STUDY DESIGN: We retrospectively recruited children with KD diagnosed during the COVID-19 outbreak in Hong Kong. Clinical characteristics and laboratory test results including SARS-CoV-2 PCR results were retrieved. We performed a microparticle-based immunoassay for the detection of IgG against nucleoprotein (NP) and spike protein receptor binding domain (RBD), and a microneutralization assay for the detection of neutralizing antibodies. RESULTS: Three Chinese children with typical KD were identified. They had no epidemiological links with COVID-19 patients and tested negative for SARS-CoV-2 NPA PCR. They were treated with IVIG and aspirin, and were discharged without complications. Subsequently 2 of them were tested positive against anti-RBD and anti-NP antibodies and 1 was tested positive against anti- RBD antibodies. However, microneutralization assay showed that neutralizing antibodies were absent, suggesting a false-positive IgG result. CONCLUSION: Detection of neutralizing antibodies is recommended to confirm previous SARS-CoV-2 infection in IgG-positive but PCR-negative patients.
  • |Antibodies, Neutralizing/*blood[MESH]
  • |Antibodies, Viral/*blood[MESH]
  • |Betacoronavirus/immunology[MESH]
  • |COVID-19[MESH]
  • |Child[MESH]
  • |Coronavirus Infections/*diagnosis[MESH]
  • |Coronavirus Nucleocapsid Proteins[MESH]
  • |False Positive Reactions[MESH]
  • |Hong Kong[MESH]
  • |Humans[MESH]
  • |Immunoassay/*methods[MESH]
  • |Molecular Diagnostic Techniques/methods[MESH]
  • |Mucocutaneous Lymph Node Syndrome/*pathology[MESH]
  • |Nucleocapsid Proteins/immunology[MESH]
  • |Pandemics[MESH]
  • |Phosphoproteins[MESH]
  • |Pneumonia, Viral/*diagnosis[MESH]
  • |Polymerase Chain Reaction/methods[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]
  • |Serologic Tests/*methods[MESH]


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