Anti-TBE Intrathecal Synthesis as a Prediction Marker in TBE Patients

Autor: Agnieszka Siemieniako-Werszko, Piotr Czupryna, Anna Moniuszko-Malinowska, Justyna Dunaj-Małyszko, Sławomir Pancewicz, Sambor Grygorczuk, Joanna Zajkowska
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Pathogens, Vol 11, Iss 4, p 416 (2022)
Druh dokumentu: article
ISSN: 11040416
2076-0817
DOI: 10.3390/pathogens11040416
Popis: Tick-borne encephalitis (TBE) is an emerging vector-borne disease in Europe caused by tick-borne encephalitis virus (TBEV), which belongs to Flaviviridae. Although most of the patients quickly recover from TBE, some require further neurological and psychiatric treatment due to persistent symptoms. The aim of the study was to evaluate the usefulness of an antibodies index for predicting the course of the disease and potential persistent sequalae. Sixty-six patients (49 males and 17 females, mean age 45.97 ± 13.69 years) with TBE hospitalized in the Department of Infectious Diseases and Neuroinfections, Medical University of Bialystok, Poland, in years 2016–2019 were included to the study. TBE antibodies titer in serum and CSF samples were measured with an Anti-TBEV ELISA (IgM, IgG) EUROIMMUN test. Patients who developed persistent sequelae after TBE had significantly lower IgG intrathecal index at admission. Additionally, IgG2/IgG1was significantly higher in patients who developed sequelae. IgG intrathecal index might be a useful tool for the prediction of TBE sequelae development.
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