Table 3. . Serological and molecular tests used to rule out other pathogens.
| Organism | Serology | Molecular targets, test performed | Ref. |
|---|---|---|---|
| Rickettsia spotted fever and typhus group | IgM IFA (Fuller Laboratories, CA, USA) cut-off 1:64 | gltA gene, real-time PCR | [26] |
| Leptospira spp. | IgM ELISA (Panbio Pty., Queensland, Australia) cut-off >11 | 16s rRNA, conventional PCR | [27] |
|
Atypical bacteria
Mycoplasma pneumoniae |
IgM ELISA (NovaTec Immundiagnostica GmbH, Dietzenbach, Germany) cut-off >11 |
CARDS toxin gene, real-time PCR |
[28] |
| Chlamydia pneumoniae | IgM ELISA (NovaTec Immundiagnostica GmbH, Dietzenbach, Germany) cut-off >11 | Not done | |
| Legionella pneumophila | IgM ELISA (NovaTec Immundiagnostica GmbH, Dietzenbach, Germany) cut off >11 | ssrA gene, real-time PCR | [29] |
ELISA: Enzyme-linked immunosorbent assay; IFA: Indirect immunofluorescence assay.