{"doi":"10.1093/infdis/jiae132","title":"Patient and Immunological Factors Associated With Delayed Clearance of Mucosal Severe Acute Respiratory Syndrome Coronavirus 2 RNA and Symptom Persistence","abstract":"Serial blood and mucosal samples were characterized for 102 participants enrolled a median of 7.0 days after coronavirus disease 2019 diagnosis. Mucosal RNA was detectable for a median of 31.5 (95% confidence interval [CI], 20.5-63.5) days, with persistence ≥1 month associated with obesity (body mass index [BMI] ≥30 kg/m2; odds ratio [OR], 3.9 [95% CI, 1.2-13.8]) but not age, sex, or chronic conditions. Fifteen participants had likely reinfection; lower serum anti-spike IgG levels were associated with reinfection risk. Nearly half of participants (47%) reported symptoms lasting ≥2-3 months; persistence ≥3 months was associated with BMI ≥30 kg/m2 (OR, 4.2 [95% CI, 1.1-12.8]) and peak anti-spike and anti-nucleocapsid antibody levels.","journal":"The Journal of Infectious Diseases","year":2024,"id":479648,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9441,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":381667,"name":"Bryan R. Spencer","orcid":"0000-0002-9008-9154","position":1,"is_corresponding":false},{"id":1318736,"name":"Donald Warden","orcid":"0009-0007-7844-7821","position":2,"is_corresponding":false},{"id":361801,"name":"Rebecca V. Fink","orcid":"0000-0003-3255-4756","position":3,"is_corresponding":false},{"id":775336,"name":"Paula Saá","orcid":"0000-0001-6077-4532","position":4,"is_corresponding":false},{"id":1319078,"name":"Jennifer Leddy","orcid":null,"position":5,"is_corresponding":false},{"id":1319079,"name":"Jackie Mulach-Vannoy","orcid":null,"position":6,"is_corresponding":false},{"id":1319080,"name":"Rebecca Townsend","orcid":null,"position":7,"is_corresponding":false},{"id":892837,"name":"David E. Krysztof","orcid":"0000-0003-4926-4675","position":8,"is_corresponding":false},{"id":659821,"name":"Alexandria Hughes","orcid":"0000-0003-3922-7045","position":9,"is_corresponding":false},{"id":258546,"name":"Clara Di Germanio","orcid":"0000-0002-6047-211X","position":10,"is_corresponding":false},{"id":271753,"name":"Debra Kessler","orcid":"0000-0001-5776-7497","position":11,"is_corresponding":false},{"id":260852,"name":"Steven Kleinman","orcid":null,"position":12,"is_corresponding":false},{"id":36841,"name":"Michael P. Busch","orcid":"0000-0002-1446-125X","position":13,"is_corresponding":false},{"id":284370,"name":"Philip J. Norris","orcid":"0000-0003-0526-2088","position":14,"is_corresponding":false},{"id":246884,"name":"Mars Stone","orcid":"0000-0001-5619-2767","position":0,"is_corresponding":true}],"reference_count":16,"raw_metadata":null,"created_at":"2026-07-19T02:06:54.284166Z","pmid":"38470857","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}