PMID- 1309393 OWN - NLM STAT- MEDLINE DCOM- 19920130 LR - 20041117 IS - 0031-4005 (Print) IS - 0031-4005 (Linking) VI - 89 IP - 1 DP - 1992 Jan TI - Serology versus clinical signs or symptoms and main laboratory findings in the diagnosis of exanthema subitum (roseola infantum). PG - 103-6 AB - Twenty-five patients with clinical exanthema subitum (roseola infantum) were enrolled into a study, where acute-phase and convalescent sera were examined for antibodies to human herpesvirus 6 (HHV-6), several other viruses, and other microbes. In addition, an acute-phase fecal specimen was examined for viruses by electron microscopy. Confirmative or suggestive serologic evidence for recent HHV-6 infection was obtained in 23 (92%) cases. Conversion to HHV-6 was found in 19 (76%), a diagnostic (greater than or equal to 4-fold) titer rise in 2, a twofold titer rise in 1, and a stable relatively high titer in 1 of the patients; only 2 (8%) individuals remained negative. The other microbial assays produced only two slight mycoplasma antibody rises and one rotavirus identification in the fecal specimen. It is concluded that if the clinical diagnosis of exanthema subitum is deemed doubtful, HHV-6 infection is verifiable in about 75% of the cases by serology. FAU - Linnavuori, K AU - Linnavuori K AD - Department of Virology, University of Helsinki, Finland. FAU - Peltola, H AU - Peltola H FAU - Hovi, T AU - Hovi T LA - eng PT - Journal Article PL - United States TA - Pediatrics JT - Pediatrics JID - 0376422 RN - 0 (Antibodies, Viral) SB - IM MH - Antibodies, Viral/analysis MH - Exanthema Subitum/diagnosis/*microbiology MH - Female MH - Fluorescent Antibody Technique MH - Herpesviridae Infections/*diagnosis MH - Herpesvirus 6, Human/isolation & purification MH - Humans MH - Infant MH - Male EDAT- 1992/01/01 00:00 MHDA- 1992/01/01 00:01 CRDT- 1992/01/01 00:00 PHST- 1992/01/01 00:00 [pubmed] PHST- 1992/01/01 00:01 [medline] PHST- 1992/01/01 00:00 [entrez] PST - ppublish SO - Pediatrics. 1992 Jan;89(1):103-6.