PMID- 19249068 OWN - NLM STAT- MEDLINE DCOM- 20090727 LR - 20220321 IS - 1878-3503 (Electronic) IS - 0035-9203 (Linking) VI - 103 IP - 4 DP - 2009 Apr TI - Evaluation of reverse-transcriptase PCR as a diagnostic tool to confirm Japanese encephalitis virus infection. PG - 403-6 LID - 10.1016/j.trstmh.2009.01.021 [doi] AB - Japanese encephalitis (JE) is a serious central nervous system infection and major public health problem in several countries of Southeast Asia including India. This study evaluated the use of IgM ELISA and reverse-transcriptase (RT)-PCR in blood and cerebrospinal fluid (CSF) samples from acute encephalitis patients for the detection of Japanese encephalitis virus (JEV). Forty-four children suffering from acute encephalitis were enrolled, and 36 were selected from whom both CSF and serum samples were available. Twenty-two of the 36 CSF samples were positive for JEV by IgM ELISA and all were negative by RT-PCR. Twenty-three of the 36 serum samples were positive by IgM ELISA while 28 were positive by RT-PCR. Total positivity for JEV infection in CSF and serum samples was 66.7% (24/36) and 83.3% (30/36) respectively by one or both tests. The overall positivity for JEV infection was 86.1% (31/36). We suggest that the use of RT-PCR in serum samples during the early days of JEV infection may be helpful in confirming diagnosis in those cases which are negative for JEV-specific IgM antibodies in both serum and CSF samples. FAU - Saxena, Vandana AU - Saxena V AD - Department of Microbiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow 226 014, India. FAU - Mishra, Virendra K AU - Mishra VK FAU - Dhole, Tapan N AU - Dhole TN LA - eng PT - Evaluation Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090226 PL - England TA - Trans R Soc Trop Med Hyg JT - Transactions of the Royal Society of Tropical Medicine and Hygiene JID - 7506129 RN - 0 (Immunoglobulin M) RN - 0 (RNA, Viral) SB - IM MH - Adolescent MH - Child MH - Child, Preschool MH - Encephalitis Virus, Japanese/*immunology MH - Encephalitis, Japanese/*diagnosis/immunology MH - Enzyme-Linked Immunosorbent Assay/methods/standards MH - Humans MH - Immunoglobulin M/blood/*cerebrospinal fluid MH - India MH - Infant MH - RNA, Viral/blood/cerebrospinal fluid MH - Reverse Transcriptase Polymerase Chain Reaction/methods/standards MH - Sensitivity and Specificity EDAT- 2009/03/03 09:00 MHDA- 2009/07/28 09:00 CRDT- 2009/03/03 09:00 PHST- 2006/10/08 00:00 [received] PHST- 2009/01/22 00:00 [revised] PHST- 2009/01/22 00:00 [accepted] PHST- 2009/03/03 09:00 [entrez] PHST- 2009/03/03 09:00 [pubmed] PHST- 2009/07/28 09:00 [medline] AID - S0035-9203(09)00022-4 [pii] AID - 10.1016/j.trstmh.2009.01.021 [doi] PST - ppublish SO - Trans R Soc Trop Med Hyg. 2009 Apr;103(4):403-6. doi: 10.1016/j.trstmh.2009.01.021. Epub 2009 Feb 26.