「Scrub typhus」の版間の差分

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(ページの作成:「==non-malarial fever== *in Asia **dengue **leptospirosis **scrub typhus **typhoid **JEV **influenza **still 30-50% undifferentiated/undiagnosed」)
 
3行目: 3行目:
 
**dengue
 
**dengue
 
**leptospirosis
 
**leptospirosis
**scrub typhus
+
**'''scrub typhus'''
 
**typhoid
 
**typhoid
 
**JEV
 
**JEV
 
**influenza
 
**influenza
 
**still 30-50% undifferentiated/undiagnosed
 
**still 30-50% undifferentiated/undiagnosed
 +
 +
==diagnosis/test==
 +
*reason of difficulty of lab test
 +
**obligate intracellular organism
 +
**very diverse stains (i.e., antigens) of ''Orientia''
 +
**limited lab resources and experties
 +
 +
===Indirect immunofluorescent assay (IFA)===
 +
*''Orientia'' antigen - anti-''Orientia'' antibody (primary) - anti- antibody-antigen complex (secondary) labelled by fluorescent
 +
*serial dilution
 +
*microscopic observation
 +
*uses 3 or more primary antibodies (primary antibodies against antigens derived from 3 or more stains)
 +
**genotypes: Karp_A, Karp_B, Saitama, Gilliam, Kato, ....
 +
 +
===ELISA===
 +
*''Orientia'' antigen - anti-''Orientia'' antibody (primary) - anti- antibody-antigen complex (secondary) labelled by fluorescent
 +
*serial dilution
 +
*machinery measurement of luminescence

2021年4月15日 (木) 11:05時点における版

non-malarial fever

  • in Asia
    • dengue
    • leptospirosis
    • scrub typhus
    • typhoid
    • JEV
    • influenza
    • still 30-50% undifferentiated/undiagnosed

diagnosis/test

  • reason of difficulty of lab test
    • obligate intracellular organism
    • very diverse stains (i.e., antigens) of Orientia
    • limited lab resources and experties

Indirect immunofluorescent assay (IFA)

  • Orientia antigen - anti-Orientia antibody (primary) - anti- antibody-antigen complex (secondary) labelled by fluorescent
  • serial dilution
  • microscopic observation
  • uses 3 or more primary antibodies (primary antibodies against antigens derived from 3 or more stains)
    • genotypes: Karp_A, Karp_B, Saitama, Gilliam, Kato, ....

ELISA

  • Orientia antigen - anti-Orientia antibody (primary) - anti- antibody-antigen complex (secondary) labelled by fluorescent
  • serial dilution
  • machinery measurement of luminescence