TABLE 1.
Results of follow-up surveys of the patient and the donor
| Sample source and date (yr-mo-day) | Detection of parasites
|
Reciprocal IFA titers
|
|||
|---|---|---|---|---|---|
| Microscopya | PCRb | Inoculationc | IgM | IgG | |
| Patient | |||||
| 1998-12-28d | NDe | − | ND | <100 | <100 |
| 1999-05-24 | + | + | + | 12,800 | 1,600 |
| 1999-06-25 | − | + | ND | 12,800 | 800 |
| 1999-07-27 | − | + | + | 3,200 | 1,600 |
| 1999-08-31 | + | + | + | 12,800 | 102,400 |
| 1999-10-02 | − | + | ND | 12,800 | 51,200 |
| 1999-11-01 | ND | − | ND | 1,600 | 25,600 |
| 1999-11-29 | ND | − | ND | 800 | 25,600 |
| 1999-12-27 | ND | − | ND | 400 | 6,400 |
| 2000-01-29 | ND | ND | ND | 200 | 3,200 |
| 2000-03-08 | ND | − | ND | 200 | 3,200 |
| 2000-05-22 | − | − | − | 200 | 1,600 |
| 2000-07-19 | − | − | − | 100 | 800 |
| Donor | |||||
| 1998-12-22 | ND | + | ND | 200 | 25,600 |
| 1999-06-26 | ND | − | ND | 100 | 25,600 |
| 1999-07-27 | − | − | + | 50 | 25,600 |
| 1999-08-31 | − | + | + | 25 | 12,800 |
| 1999-10-02 | − | + | + | 50 | 25,600 |
| 1999-11-11 | − | − | + | 200 | 51,200 |
| 1999-12-20 | − | − | − | 100 | 51,200 |
| 2000-01-31 | − | − | + | 50 | 25,600 |
| 2000-03-06 | − | − | + | 100 | 25,600 |
| 2000-04-24 | ND | + | ND | ND | ND |
Giemsa-stained thin-smeared blood films were microscopically observed; +, parasitemia detectable; −, not detectable.
Amplification by nested PCR. Results were confirmed in different laboratories by independent tests with different primers sets; +, amplification positive; −, negative.
Inoculation into splenectomized hamster. Blood samples from the animals were observed for 2 months; +, parasitemia detected; −, not detected.
Because a blood sample from the patient was not available on this day, the results were estimated with extracts from the cross-match test papers made prior to blood transfusion.
ND, not done.