Table 2. Testing results performed at the Armed Forces Research Institute of Medical Sciences.
IIPa | IFAb | ELISAc | ||
---|---|---|---|---|
IgM (+) |
14 |
15 |
14 |
|
IgG (+) |
24 |
24 |
24 |
|
IgM (+) + IgG (+) |
14 |
15 |
14 |
|
Total samples tested |
28 |
28 |
28 |
|
PCRe and agarose gel electrophoresis positive results: | 2 of 4 |
aIndirect immunoperoxidase test (positive if titer was ≥1:400) (15). b Indirect immunofluorescent antibody test (positive if titer was ≥1:50) (15). cEnzyme-linked immunosorbent assay (positive if PanBio units >11) (15). dPositive immunoglobulin (Ig) M plus IgG results indicate active Orientia tsustugamushi infection. IgG without IgM indicates the persistence of IgG after a primary infection but with no active infection. The absence of both IgG and IgM indicates no exposure or a very early stage of infection (15). ePolymerase chain reaction for O. tsustugamushi DNA (13).