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Severe Acute Respiratory Syndrome Coronavirus 2 P.2 Lineage Associated with Reinfection Case, Brazil, June-October 2020.


ABSTRACT: A 37-year-old healthcare worker from the northeastern region of Brazil experienced 2 clinical episodes of coronavirus disease. Infection with severe acute respiratory syndrome coronavirus 2 was confirmed by reverse transcription PCR in samples collected 116 days apart. Whole-genome sequencing revealed that the 2 infections were caused by the most prevalent lineage in Brazil, B.1.1.33, and the emerging lineage P.2. The first infection occurred in June 2020; Bayesian analysis suggests reinfection at some point during September 14-October 11, 2020, a few days before the second episode of coronavirus disease. Of note, P.2 corresponds to an emergent viral lineage in Brazil that contains the mutation E484K in the spike protein. The P.2 lineage was initially detected in the state of Rio de Janeiro, and since then it has been found throughout the country. Our findings suggest not only a reinfection case but also geographic dissemination of the emerging Brazil clade P.2.

SUBMITTER: Resende PC 

PROVIDER: S-EPMC8237896 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature

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Severe Acute Respiratory Syndrome Coronavirus 2 P.2 Lineage Associated with Reinfection Case, Brazil, June-October 2020.

Resende Paola Cristina PC   Bezerra João Felipe JF   Teixeira Vasconcelos Romero Henrique RH   Arantes Ighor I   Appolinario Luciana L   Mendonça Ana Carolina AC   Paixao Anna Carolina AC   Duarte Ana Carolina AC   Silva Thauane T   Rocha Alice Sampaio AS   Lima Ana Beatriz Machado ABM   Pauvolid-Corrêa Alex A   Motta Fernando Couto FC   Teixeira Dalane Loudal Florentino DLF   de Oliveira Carneiro Thiago Franco TF   Neto Francisco Paulo Freire FPF   Herbster Isabel Diniz ID   Leite Anderson Brandao AB   Riediger Irina Nastassja IN   do Carmo Debur Maria M   Naveca Felipe Gomes FG   Almeida Walquiria W   Livorati Mirian M   Bello Gonzalo G   Siqueira Marilda M MM  

Emerging infectious diseases 20210422 7


A 37-year-old healthcare worker from the northeastern region of Brazil experienced 2 clinical episodes of coronavirus disease. Infection with severe acute respiratory syndrome coronavirus 2 was confirmed by reverse transcription PCR in samples collected 116 days apart. Whole-genome sequencing revealed that the 2 infections were caused by the most prevalent lineage in Brazil, B.1.1.33, and the emerging lineage P.2. The first infection occurred in June 2020; Bayesian analysis suggests reinfection  ...[more]

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