Viral RNA persistence in sheep tissues following acute Crimean-Congo hemorrhagic fever virus infection

Crimean-Congo hemorrhagic fever orthonairovirus (CCHFV) is a tick-borne RNA virus that can cause a severe hemorrhagic disease in humans. In animals, CCHFV infection is known to produce a transient viremia followed by host recovery and thus a short window in which animals can serve as potential intermediate hosts. Here we report that, in domestic sheep experimentally infected with CCHFV Kosovo Hoti, viral whole genome sequences were recovered from tissues long after the clearance of viremia. While viral RNA persistence in tissues was largely characterized by a lack of continuous and extensive viral replication, the sporadic presence of replication products (RNA transcripts and proteins) was detected. These findings suggest that the biology of CCHFV in animals goes far beyond an acute infection. A possibility of viral reactivation from a dormant state, akin to that observed in other RNA viruses, warrants further investigation.