Polymerase Chain Reaction with Double Primer Pairs for Detection of Human Parvovirus B19 Induced Aplastic Crises in Family Outbreaks

Autor: Britt-Marie Eriksson, Barbro Larsson, Eva Fridell, Albert N. Békássy
Rok vydání: 1992
Předmět:
Zdroj: Scandinavian Journal of Infectious Diseases. 24:275-282
ISSN: 1651-1980
0036-5548
Popis: Parvovirus B19 DNA can be detected by polymerase chain reaction with double primer pairs (nested PCR). Recent infection was documented by a retrospective serological study using Parvoscan-B19 enzyme linked immunosorbent assay (EIA) for detection of B19 human parvovirus IgM and IgG antibodies in serum or plasma specimens. In 3 families B19 outbreaks caused aplastic crises necessitating blood transfusion in 5 children and 1 adult with hereditary sphaerocytosis. Four members from 2 of the families had clinically overt haemolytic anaemia prior to the event. Two members in another family presented with an aplastic crisis disclosing the underlying chronic haemolytic disease. All 7 patients were identified as PCR positive in serum samples taken 3-14 days after the onset of symptoms. Comparison with dot blot hybridization revealed detectable DNA in only 2/3 PCR positive patients. Thus, nested PCR is more sensitive than the dot blot hybridization method and is therefore a suitable complement to the antibody assay for identifying recent B19 infection.
Databáze: OpenAIRE