Zika Virus IgM Detection and Neutralizing Antibody Profiles 12-19 Months after Illness Onset.

Autor: Griffin, Isabel, Martin, Stacey W., Fischer, Marcs, Chambers, Trudy V., Kosoy, Olga, Falise, Alyssa, Ponomareva, Olga, Gillis, Leah D., Blackmore, Carina, Jean, Reynald, Fischer, Marc
Předmět:
Zdroj: Emerging Infectious Diseases; Feb2019, Vol. 25 Issue 2, p299-303, 5p
Abstrakt: Data on the duration of detectable Zika virus-specific IgM in infected persons are limited. Neutralizing antibody cross-reactivity occurs between Zika virus and related flaviviruses, but the degree to which this confounds diagnosis is uncertain. We tested serum specimens collected 12-19 months after illness onset from patients with confirmed Zika virus disease for Zika virus IgM and Zika virus and dengue virus neutralizing antibodies. Among 62 participants, 45 (73%) had detectable Zika virus IgM and 12 (19%) had an equivocal result. Although all patients tested had Zika virus neutralizing antibodies, 39 (63%) also had neutralizing antibodies against dengue virus; of those, 12 (19%) had <4-fold difference between Zika virus and dengue virus titers, and 5 (8%) had dengue virus titer >4-fold higher than Zika virus titer. Prolonged detection of IgM and neutralizing antibody cross-reactivity make it difficult to determine the timing of Zika virus infection and differentiate between related flaviviruses. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index