Clinical and virologic characteristics of the first 12 patients with coronavirus disease 2019 (COVID-19) in the United States covid2020clinical

This study describes the first 12 COVID-19 patients identified in the United States, tracking their clinical progression and virological characteristics. SARS-CoV-2 was detected by real-time reverse transcriptase PCR in stool, urine, serum, sputum, oropharyngeal and nasopharyngeal swabs for 2 to 3 weeks after symptom onset. Results were reported in cycle threshold (Ct) values.

Analytes

Stool_SARSCoV2

SARS-CoV-2 RNA gene copy concentration in stool samples. The results were reported in cycle threshold numbers.

exponential for Stool_SARSCoV2

Fitted by censored maximum likelihood. The red line is the median individual; the shaded region is the full range of a simulated cohort drawn from the fitted population, so it shows what simulating from this dataset would produce rather than a confidence interval, with dashed lines at the central 95%. Open triangles are non-detects, drawn at the censoring limit and entering the fit as "below this value" rather than being dropped. See the modelling methods for what these estimates do and do not support.

Biomarker: SARS-CoV-2
Specimen: stool
Units: cycle threshold
Gene target: N
Participants: 10
Negative samples: 26
Positive samples (not quantifiable): 0
Quantifiable samples: 25
Limit of quantification: unknown
Limit of detection: 40

Serum_SARSCoV2

SARS-CoV-2 RNA gene copy concentration in serum samples. The results were reported in cycle threshold numbers.

observations for Serum_SARSCoV2

Measurements only — no shedding model is fitted to this analyte, usually because it is sampled once per participant, leaving no trajectory to fit, or because nothing was ever detected. Open triangles are non-detects, drawn at the assay's censoring limit. See the modelling methods for what these estimates do and do not support.

Biomarker: SARS-CoV-2
Specimen: serum
Units: cycle threshold
Gene target: N
Participants: 11
Negative samples: 66
Positive samples (not quantifiable): 0
Quantifiable samples: 6
Limit of quantification: unknown
Limit of detection: 40

Sputum_SARSCoV2

SARS-CoV-2 RNA gene copy concentration in sputum samples. The results were reported in cycle threshold numbers.

observations for Sputum_SARSCoV2

Measurements only — no shedding model is fitted to this analyte, usually because it is sampled once per participant, leaving no trajectory to fit, or because nothing was ever detected. Open triangles are non-detects, drawn at the assay's censoring limit. See the modelling methods for what these estimates do and do not support.

Biomarker: SARS-CoV-2
Specimen: sputum
Units: cycle threshold
Gene target: N
Participants: 6
Negative samples: 3
Positive samples (not quantifiable): 0
Quantifiable samples: 17
Limit of quantification: unknown
Limit of detection: 40

OPS_SARSCoV2

SARS-CoV-2 RNA gene copy concentration in oropharyngeal samples. The results were reported in cycle threshold numbers.

exponential for OPS_SARSCoV2

Fitted by censored maximum likelihood. The red line is the median individual; the shaded region is the full range of a simulated cohort drawn from the fitted population, so it shows what simulating from this dataset would produce rather than a confidence interval, with dashed lines at the central 95%. Open triangles are non-detects, drawn at the censoring limit and entering the fit as "below this value" rather than being dropped. See the modelling methods for what these estimates do and do not support.

Biomarker: SARS-CoV-2
Specimen: oropharyngeal swab
Units: cycle threshold
Gene target: N
Participants: 12
Negative samples: 73
Positive samples (not quantifiable): 0
Quantifiable samples: 46
Limit of quantification: unknown
Limit of detection: 40

NPS_SARSCoV2

SARS-CoV-2 RNA gene copy concentration in nasopharyngeal samples. The results were reported in cycle threshold numbers.

exponential for NPS_SARSCoV2

Fitted by censored maximum likelihood. The red line is the median individual; the shaded region is the full range of a simulated cohort drawn from the fitted population, so it shows what simulating from this dataset would produce rather than a confidence interval, with dashed lines at the central 95%. Open triangles are non-detects, drawn at the censoring limit and entering the fit as "below this value" rather than being dropped. See the modelling methods for what these estimates do and do not support.

Biomarker: SARS-CoV-2
Specimen: nasopharyngeal swab
Units: cycle threshold
Gene target: N
Participants: 12
Negative samples: 58
Positive samples (not quantifiable): 0
Quantifiable samples: 63
Limit of quantification: unknown
Limit of detection: 40

Urine_SARSCoV2

SARS-CoV-2 RNA gene copy concentration in urine samples. The results were reported in cycle threshold numbers.

observations for Urine_SARSCoV2

Measurements only — no shedding model is fitted to this analyte, usually because it is sampled once per participant, leaving no trajectory to fit, or because nothing was ever detected. Open triangles are non-detects, drawn at the assay's censoring limit. See the modelling methods for what these estimates do and do not support.

Biomarker: SARS-CoV-2
Specimen: urine
Units: cycle threshold
Gene target: N
Participants: 10
Negative samples: 59
Positive samples (not quantifiable): 0
Quantifiable samples: 0
Limit of quantification: unknown
Limit of detection: 40