Monkeypox laboratory tests: Difference between revisions
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====Polymerase chain reaction (PCR)==== | ====Polymerase chain reaction (PCR)==== | ||
*Confirmation of monkeypox virus (MPXV) infection is based on nucleic acid amplification testing, using real-time or conventional PCR, for detection of unique sequences of viral DNA. PCR can be used alone, or in combination with sequencing. | *Confirmation of monkeypox virus (MPXV) infection is based on nucleic acid amplification testing, using real-time or conventional PCR, for detection of unique sequences of viral DNA. PCR can be used alone, or in combination with sequencing. | ||
*PCR kits detecting MPXV are under development but no commercial validated PCR kits are currently available widely. | *PCR kits detecting MPXV are under development but no commercial validated PCR kits are currently available widely. | ||
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*[[Virus|Viral]] detection is done by finding [[Varicella zoster virus|VZV]] in a [[blood]], [[vesicle]] [[fluid]], or [[tissue]] sample. Detection is done by culturing the [[virus]] or by detecting its [[genetic material]] ([[Varicella zoster virus|VZV]] [[DNA]]). | *[[Virus|Viral]] detection is done by finding [[Varicella zoster virus|VZV]] in a [[blood]], [[vesicle]] [[fluid]], or [[tissue]] sample. Detection is done by culturing the [[virus]] or by detecting its [[genetic material]] ([[Varicella zoster virus|VZV]] [[DNA]]). | ||
*[[File:MPXV Molecular detection, Algorithm, PAHO.png|thumb]]<br /> | |||
==References== | ==References== |
Revision as of 15:39, 15 June 2022
Monkeypox Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Bassel Almarie, M.D.
Overview
The laboratory findings of chickenpox include blood tests that can be done to identify the response to acute infection (IgM) or previous infection and subsequent immunity (IgG). Prenatal diagnosis of fetal varicella infection can be performed using ultrasound at 5 weeks following primary maternal infection. A PCR test of the mother's amniotic fluid can also be performed, though the risk of spontaneous abortion due to the amniocentesis procedure is higher than the risk of the baby developing fetal varicella syndrome.
Laboratory Findings
Molecular Methods
Polymerase chain reaction (PCR)
- Confirmation of monkeypox virus (MPXV) infection is based on nucleic acid amplification testing, using real-time or conventional PCR, for detection of unique sequences of viral DNA. PCR can be used alone, or in combination with sequencing.
- PCR kits detecting MPXV are under development but no commercial validated PCR kits are currently available widely.
DNA extraction
- DNA can be extracted from samples using any standard extraction protocols or kits.
- Sample lysis in DNA extraction inactivates live virus. Therefore, sample lysis should be performed under a biosafety cabinet.
- For crust samples, DNA extraction kit for tissue samples should be used to insure appropriate sample lysis.
Molecular detection
- Viral detection is done by finding VZV in a blood, vesicle fluid, or tissue sample. Detection is done by culturing the virus or by detecting its genetic material (VZV DNA).