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Open Forum Infect Dis . Rapid Emergence of Potentially Transmissible Severe Acute Respiratory Syndrome Coronavirus 2 With Resistance to Combination

tetano

Editor, Senior Moderator
Open Forum Infect Dis


. 2023 May 17;10(5):ofad278.
doi: 10.1093/ofid/ofad278. eCollection 2023 May. Rapid Emergence of Potentially Transmissible Severe Acute Respiratory Syndrome Coronavirus 2 With Resistance to Combination Monoclonal Antibody Therapy

Jana L Jacobs[SUP] 1 [/SUP], Ghady Haidar[SUP] 1 [/SUP], Asma Naqvi[SUP] 1 [/SUP], Kevin D McCormick[SUP] 1 [/SUP], Michele Sobolewski[SUP] 1 [/SUP], Benjamin R Treat[SUP] 2 [/SUP], Amy L Heaps[SUP] 1 [/SUP], Jordan Simpson[SUP] 1 [/SUP], Kailey Hughes Kramer[SUP] 1 [/SUP], Erin McCreary[SUP] 1 [/SUP], J Ryan Bariola[SUP] 1 [/SUP], Cynthia Klamar-Blain[SUP] 1 [/SUP], Bernard J C Macatangay[SUP] 1 [/SUP], Dimiter Dimitrov[SUP] 1 [/SUP], Wei Li[SUP] 1 [/SUP], Christopher C Marino[SUP] 3 [/SUP], Anastasios Raptis[SUP] 3 [/SUP], Rahil Sethi[SUP] 4 [/SUP], Uma Chandran[SUP] 4 [/SUP], Simon Barratt-Boyes[SUP] 2 [/SUP], Urvi M Parikh[SUP] 1 [/SUP], John W Mellors[SUP] 1 [/SUP]



Affiliations
Abstract

Prolonged coronavirus disease 2019 may generate new viral variants. We report an immunocompromised patient treated with monoclonal antibodies who experienced rebound of viral RNA and emergence of an antibody-resistant (>1000-fold) variant containing 5 mutations in the spike gene. The mutant virus was isolated from respiratory secretions, suggesting the potential for secondary transmission.


 
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