Evaluation of Diagnostic Modalities for SARS-Cov-۲: A Review Study

Background and aims: In late December ۲۰۱۹, a cluster of progressive pneumonia-like respiratory syndromes broke out in Wuhan, China. As the number of cases continued to rise, the ۲۰۱۹ coronavirus disease (COVID-۱۹) has been declared a global public health emergency. The causative agent, i.e., SARS-CoV-۲, is a highly contagious strain, which has resulted in the rapid worldwide outbreak of COVID-۱۹. COVID-۱۹ is an overwhelmingly transmissible disease that requires early and accurate diagnosis for proper and timely treatment of suspected cases. Materials and Methods: In order to access the scientific documentation and evidence related to the subject published during ۲۰۱۹ to ۲۰۲۱, English keywords including “COVID-۱۹”, “SARS-CoV-۲”, “Diagnosis”, “Immunoglobulin G (IgG)”, “Immunoglobulin M (IgM)”, and ‘Polymerase Chain Reaction (PCR)” were searched in Medline, PubMed, and Google Scholar databases and Persian versions of these keywords were also looked for in Jihad-e Daneshgahi’s Scientific Information Database (SID) and Iranian Journals database (Magiran) Results: With respect to diagnosis, serum antibody assays, nucleic acid sequencing, and radiologic evaluation are among the most reliable methods to rule out the disease in suspicious cases. This review is a synopsis of the pathogenesis of coronavirus, which will mainly focus on the diagnostic methods, as well as laboratory changes in immunoglobulins, polymerase chain reaction results, and computed tomography (CT) findings. Conclusion: Early diagnosis matters in that it not only contributes to the prevention of further transmission of the virus by asymptomatic carriers but also paves the way for clinicians to accurately choose the best therapeutic approach depending on the status of the patients.

Keywords:

COVID-۱۹ , SARS-CoV-۲ , Diagnosis , Immunoglobulin G (IgG) , Immunoglobulin M (IgM) , Polymerase chain reaction (PCR)