Integration of IgM ELISA and 56 kDa gene PCR in management of pediatric acute encephalitis syndrome associated with scrub typhus

Copyright © 2024 Elsevier Masson SAS. All rights reserved..

OBJECTIVES: To identify the potential target genes for detection of Orientia tsutsugamushi (OT) in pediatric acute encephalitis syndrome (pAES).

METHODS: DNA was extracted from whole blood of 100 pAES cases having tested positive (n = 41) and negative (n = 59) for scrub typhus (ST) by IgM ELISA. These samples were subjected to standard PCR for 56 kDa, 47 kDa, 16 s rRNA, groEL, traD genes and the newly identified 27 kDa gene.

RESULTS: Among the selected gene targets, 56 kDa demonstrated its superiority for OT detection over the other tested genes. The presence of OT was confirmed via PCR targeting 56 kDa gene in 17 out of the 41 (41.4 %) IgM-positive ST AES cases and 38 out of the 59 (64.4 %) ST IgM negative cases. None of the other gene targets were amplified.

CONCLUSION: Integration of serological diagnosis with molecular diagnostics targeting the 56 kDa gene for routine testing of AES patients would facilitate detection of OT in AES endemic regions.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:54

Enthalten in:

Infectious diseases now - 54(2024), 2 vom: 27. März, Seite 104865

Sprache:

Englisch

Beteiligte Personen:

Bhardwaj, Pooja [VerfasserIn]
Yadav, Vishal [VerfasserIn]
Sharma, Alok [VerfasserIn]
Gulafshan, Shahzadi [VerfasserIn]
Pragnya Behera, Sthita [VerfasserIn]
Raj Dwivedi, Gaurav [VerfasserIn]
Deval, Hirawati [VerfasserIn]
Paluru, Vijayachari [VerfasserIn]
Murhekar, Manoj [VerfasserIn]
Singh, Rajeev [VerfasserIn]

Links:

Volltext

Themen:

56 kDa
Acute encephalitis syndrome
Eastern-Uttar Pradesh
Immunoglobulin M
Journal Article
Orientia tsutsugamushi
Scrub typhus

Anmerkungen:

Date Completed 04.03.2024

Date Revised 04.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.idnow.2024.104865

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368406687