PMID- 25462438 OWN - NLM STAT- MEDLINE DCOM- 20150804 LR - 20181113 IS - 1879-6265 (Electronic) IS - 1879-6257 (Print) IS - 1879-6257 (Linking) VI - 9 DP - 2014 Dec TI - Past, present, and future perspectives on the diagnosis of Roseolovirus infections. PG - 84-90 LID - S1879-6257(14)00194-1 [pii] LID - 10.1016/j.coviro.2014.09.014 [doi] AB - Diagnosis of Roseolovirus infections mandates careful selection of patients, samples, and testing methods. We review advances in the field and highlight research priorities. Quantitative (q)PCR can accurately identify and distinguish between human herpesvirus 6 (HHV-6) species A and B. Whether screening of high-risk patients improves outcomes is unclear. Chromosomally integrated (ci)HHV-6 confounds test interpretation but can be ruled out with digital PCR. Reverse transcription qPCR may be a more specific and clinically applicable test for actively replicating Roseoloviruses, particularly among patients with ciHHV-6. Interpretation of Roseolovirus test results faces many challenges. However, careful application of refined and emerging diagnostic techniques will allow for increasingly accurate diagnosis of clinically significant infections and disease associations. CI - Copyright (c) 2014 Elsevier B.V. All rights reserved. FAU - Hill, Joshua A AU - Hill JA AD - Department of Medicine, University of Washington, Seattle, WA, United States; Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, United States. FAU - Sedlak, Ruth Hall AU - Sedlak RH AD - Department of Laboratory Medicine, University of Washington, Seattle, WA, United States. FAU - Jerome, Keith R AU - Jerome KR AD - Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, United States; Department of Laboratory Medicine, University of Washington, Seattle, WA, United States. Electronic address: kjerome@u.washington.edu. LA - eng GR - T32 AI007044/AI/NIAID NIH HHS/United States PT - Journal Article PT - Review DEP - 20141014 PL - Netherlands TA - Curr Opin Virol JT - Current opinion in virology JID - 101560941 SB - IM MH - Diagnostic Tests, Routine/*methods/trends MH - Humans MH - Molecular Diagnostic Techniques/*methods/trends MH - Real-Time Polymerase Chain Reaction/methods MH - Reverse Transcriptase Polymerase Chain Reaction/methods MH - Roseolovirus/genetics/*isolation & purification MH - Roseolovirus Infections/*diagnosis MH - Virology/*methods/trends PMC - PMC4573551 MID - NIHMS721612 EDAT- 2014/12/03 06:00 MHDA- 2015/08/05 06:00 PMCR- 2015/09/17 CRDT- 2014/12/03 06:00 PHST- 2014/08/14 00:00 [received] PHST- 2014/09/22 00:00 [revised] PHST- 2014/09/22 00:00 [accepted] PHST- 2014/12/03 06:00 [entrez] PHST- 2014/12/03 06:00 [pubmed] PHST- 2015/08/05 06:00 [medline] PHST- 2015/09/17 00:00 [pmc-release] AID - S1879-6257(14)00194-1 [pii] AID - 10.1016/j.coviro.2014.09.014 [doi] PST - ppublish SO - Curr Opin Virol. 2014 Dec;9:84-90. doi: 10.1016/j.coviro.2014.09.014. Epub 2014 Oct 14.