TABLE 1.
Patient no. | Age | Sample | Result by:
|
CSF profile | Culture result | Clinical findings | |||
---|---|---|---|---|---|---|---|---|---|
NASBA-ECLa
|
NASBA-beacon
|
||||||||
Initial | Repeat | Initial | Repeat | ||||||
1 | 6 yr | CSF | 7,959 | 6,691 | Indeterminate | Positive | Abnormal | Negative | Aseptic meningitis |
2 | 10 wk | CSF | 3,701 | Not done | Indeterminate | Positive | Normal | Negative | Fever, irritability |
3 | 15 yr | Stool | 1,179,369 | 26,863 | Indeterminate | Indeterminate | Not done | Negativeb | Fever, cough, rhinorrhea, vomiting, dizziness |
4 | 17 yr | CSF | Invalid | 1,271 | Indeterminate | Negative | Abnormalc | Negative | Fever, headache, neck stiffness, photophobia |
5 | 9 wk | CSF | 2,937 | 651 | Negative | Negative | Abnormal | EV isolated from CSF and rectal swab | Fever, vomiting, loose stools |
Expressed in ECL units, with ≥650 considered positive.
The stool sample was also positive for EV by nested RT-PCR at CDC; the amplicon sequenced as coxsackievirus A1.
CSF profile: 940 nucleated cells, 13% granulocytes, 72% lymphocytes, 4% monocytes; protein, 103 mg/dl; glucose, 64 mg/dl; sample collected on day 5 of illness.