Table 2. Serologic and molecular diagnosis of scrub typhus cases in continental Chile, 2016–2018*.
Case no. | Serologic testing results |
|||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
IFA IgG† |
ELISA IgG‡ |
ELISA IgM‡ |
Eschar molecular testing results |
|||||||||
Acute | Conv | Acute | Conv | Acute | Conv | PCR rrs | PCR 47kDa | qPCR rrs | ||||
1 | 256 | 256 | + | + | + | – | + | + | + | |||
2 | <32 | 128 | – | – | – | – | + | + | + | |||
3 | 64 | 512 | – | + | + | – | + | + | + | |||
4 | 128 | 256 | – | – | – | – | + | + | + | |||
5 | 128 | NA | + | NA | + | NA | + | + | + | |||
6 | 128 | NA | – | NA | – | NA | + | + | + | |||
7 | 128 | 256 | – | + | + | + | + | + | + | |||
8 | <32 | NA | + | NA | + | NA | + | + | + | |||
9 | 64 | 256 | – | + | – | + | + | + | + |
*Acute, acute-phase; conv, convalescent-phase; NA, not available; qPCR, quantitative PCR; +, positive; –, negative. †Highest titer among 4 antigens. ‡Cutoff values calculated as mean optical density of negative local population + 3 SD.