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. 2017 Aug 29;206(5):383–401. doi: 10.1007/s00430-017-0517-y

Table 3.

Oe of PFSMIA

Case Travel Known vaccinations Days post first symptom of sera Previous diagnostic evidence Dengue typea Main serological reactions (with activity changes), PFSMIA (steps 6 and 7)b Case judgement, PFSMIA (step 8)c Concordance
ZIKV disease
 Z1 Brazil, Sao Paulo 20,37,249 IgM M: ZIKV (zik §3/1 0.00). G: ZIKV, TBEV_vacc (zik !2/1 1.57) Primary: ZIKV, Previous: DENV?, TBEVACC? OK
 Z2 Brazil Sao, Paulo 20,37.249 IgM M: ZIKV? (zik §2/1 0.23) G: TBEV_vacc? Primary: ZIKV Previous: DENV OK
 Z3 Colombia 10,15,66,207,233 IgM M: ZIKV (zik §4/1 0.01), G: (zik !4/1 12) Primary: ZIKV OK
 Z4 Martinique 11,16,36 IgM M: ZIKV (zik !2/1 4.0, zik §3/2 0.48), G: (zik !3/1 > 100) Primary: ZIKV OK
 Z5 Martinique 2,7,27 IgM M: (zik !2/1 21, zik §3/2 0.37), G: (zik !3/1 > 100) Primary: ZIKV OK
 Z6 Mesoamerica TBEV 114 PCR/s, PCR/u, IgM, etc. G: ZIKV Previous: ZIKV OK
 Z51 Colombia 66,119,176,211,289, 309, 365, 408 IgM, NT M: ZIKV? (zik §6/1 0.00), G: ZIKV (zik §8/2 0.50) Primary: ZIKV OK
 Z52 Brazil, Sao Paolo TBEV 1994 39,248,435 IgM M: ZIKV? (zik §3/1 0.06), G: ZIKV, TBEV_vacc (zik §3/1 0.39, tbevacc §3/1 0.36) Primary: ZIKV, Previous: TBEVACC? OK
 Z53 Brazil, Sao Paolo TBEV 1994 403,246, 427 IgM M: ZIKV, G: ZIKV, TBEV_vacc, (tbevacc §3/1 0.49) Primary: ZIKV, Previous: TBEVACC? OK
 Z54 Martinique 12,17,38,53,116 PCR/u, IgM M: ZIKV, YFV? (zik §4/1 0.04, yfv §2/1 0.04) G: (zik !3/1 5.8) Primary: ZIKV, YFV OK
 Z55 Martinique 3,8,28,45,101 PCR/u, IgM, NT M: ZIKV (zik §4/1 0.00), G: (zik !4/1 7.6) Primary: ZIKV, DENV? OK
 Z56 Haiti, Porte au Prince YFV 2011, TBEV 2003 20 PCR/u, NT M: ZIKV, G: ZIKV, TBEV_vacc, YFV? Primary: ZIKV, Previous: TBEVACC OK
 Z57 The Netherlands, ABC islands YFV 1,8,23,56 PCR/u, IgM M: ZIKV, YFV? (zik §3/1 0.19). G: ZIKV, YFV? (zik !2/1 1.94, yfv §3/2 0.35) Primary: ZIKV, TBEVACC? OK
DENV fever
 D1 Myanmar 6,42 Ag DENV2 M: (den !2/1 5.3) Primary: DENV OK
 D2 Thailand 14,32 Ag DENV3 M: (den !2/1 > 100, yfv !2/1 > 100), G: TBEV_vacc? (den !2/1 11, yfv !2/1> 100, tbevacc !2/1 2.3) Primary: YFV, DENV OK?
 D3 Thailand 14,32 Ag DENV1 G: (den !2/1 8.2) Primary: DENV OK
 D30 Thailand 11 Ag DENV3 M: DENV Primary: DENV OK
 D31 Thailand 9 Ag DENV1 M: DENV G: TBEV_vacc? Primary: DENV OK
 D32 Thailand 40 Ag DENV1 M: DENV G: TBEV_vacc? Primary: DENV OK
 D35 Curacao 35 Ag DENV3 M: DENV G: DENV?, TBEV_vacc? Primary: DENV OK
 D38 Thailand 47 Ag DENV4 M: DENV G: DENV, TBEV_vacc? Primary: DENV OK
 D39 Philippines U Ag DENV1 M: DENV G: TBEV_vacc Primary: DENV, Previous: TBEVACC? OK
 D40 Thailand U Ag DENV1 M: DENV, TBEV_vacc? G: DENV Primary: DENV OK
 D43 Thailand 13 Ag DENV1 M: DENV Primary: DENV OK
 D45 Bolivia 14 Ag DENV4 M: DENV, TBEV_vacc? G: TBEV_vacc? Primary: DENV, TBEVACC? OK
 D46 Costa Rica U Ag DENV2 M: DENV G: TBEV_vacc? Primary: DENV OK
 D51 Sri Lanka 4,18,44,50,206,244,339 PCR/s, IgM, Ag DENV1 M: DENV(den !2/1 4.9,den §5/2 0.13) G: DENV (den !3/1 38, den §6/3 0.41) Primary: DENV OK
 D52 Bali 14 PCR/s, Ag DENV1 M: DENV G: TBEV_vacc Primary: DENV, Previous: TBEVACC OK
 D53 India, New Delhi 14 PCR/s, IgM DENV1 M: DENV G: DENV, TBEV_vacc? Primary: DENV OK
 D54 U U IgM DENV1 M: DENV, G: DENV Primary: DENV OK
 D55 Thailand 10,440 IgM DENV1 M: DENV, TBEV_vacc? (den §3/1 0.22, yfv !2/1 4.4, tbevacc §2/1 0.36 .00) G: TBEV_vacc (den !3/2 3.7) Primary: DENV, TBEVACC, YFV? OK
 D56 Thailand 21,262,634, PCR/s, IgM DENV2 M: DENV, ZIKV (den §3/1 0.19) G: DENV (den !2/1 3.0) Primary: DENV, ZIKV? OK?
 D57 Brazil 10,40 IgM DENV2 M: DENV, G: DENV, YFV?, USUV? (usu §2/1 0.40) Primary: DENV, Previous: YFV? OK
 D58 Thailand U IgM DENV2 M: DENV (den §3/1 0.11 .00) G: DENV, TBEV_vacc (den !2/1 2.6) Primary: DENV OK
 D59 U U Ag DENV2 G: DENV, TBEV_vacc? (den §3/1 0.34, tbevacc §3/1 0.34) Previous: DENV, TBEVACC? OK
 D60 U U IgM DENV2 G: DENV Previous: DENV OK
 D61 Thailand U Ag, IgM DENV3 M: DENV (den §3/2 0.30) G: (den !3/1 33) Primary: DENV OK
 D62 Malaysia, Bali TBEV as child 1,5,19,52 PCR/s, Ag, IgM DENV3 M: YFV?, DENV G: TBEV_inf (den !3/1 3.9) Primary: DENV, YFV?, Previous: TBEINF OK?
 D63 U 4 PCR/s, Ag, IgM DENV4 M: DENV Primary: DENV OK
 D64 U 6 PCR/s, Ag, IgM DENV2 M: DENV G: TBEV_vacc Primary: DENV, Previous: TBEVACC? OK
 D65 U 7 PCR/s, Ag, IgM DENV2 M: DENV G: TBEV_vacc Primary: DENV, Previous: TBEVACC? OK
 D66 U 16 PCR/s, Ag DENV4 M: DENV G: DENV, USUV? Primary: DENV OK
 D67 U 6 PCR/s, Ag, IgM DENV3 M: DENV Primary: DENV OK
 D68 U 4 PCR/s, Ag, IgM DENV4 M: DENV, ZIKV G: TBEV_vacc Primary: DENV, ZIKV?, Previous: TBEVACC OK
 D69 U 11 PCR/s, Ag, IgM DENV2 M: DENV? G: DENV Primary: DENV OK
 D70 U 8 PCR/s, Ag, IgM DENV1 M: DENV G: DENV Primary: DENV OK
 D71 U 12 PCR/s, Ag, IgM DENV2 M: DENV, G: TBEV_vacc Primary: DENV, Previous: TBEVACC OK
 D72 U U PCR/s, Ag, IgM DENV3.4 M: DENV, G: TBEV_vacc, DENV Primary: DENV, Previous: TBEVACC OK
 D73 U 8 PCR/s, Ag, IgM DENV1 M: DENV G: TBEV_vacc, DENV? Primary: DENV, Previous: TBEVACC OK
 D74 U 12 PCR/s, Ag, IgM DENV2 M: DENV G: TBEV_vacc? Primary: DENV OK

PCR/u PCR in urine, PCR/s PCR in serum, Ag DENV antigen detection, NT neutralization test, U unknown

aSamples from patient D72 were positive for both DENV3 and DENV4

bThis column summarizes all reactions of sera belonging to the patient at program steps 6 and 7 of Table 1. M IgM, G IgG. Activity changes are within brackets. ! = rise, § = decline, followed by High Serum nr/Low Serum nr and ratio. Abbreviations: zik = ZIKV, Zika, den = DENV, Dengue, usu = USUV, Usutu, TBE_vacc, tbevacc = TBE vaccination, TBE_inf = TBE infection

cThis column contains results of program step 8 of Table 1