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拉沙热的实验室诊断

Laboratory Diagnosis of Lassa Fever.

作者信息

Raabe Vanessa, Koehler Jeffrey

机构信息

Divisions of Adult and Pediatric Infectious Diseases, Emory University, Atlanta, Georgia, USA

Diagnostic Systems Division, United States Army Medical Research Institute of Infectious Diseases, Fort Detrick, Maryland, USA.

出版信息

J Clin Microbiol. 2017 Jun;55(6):1629-1637. doi: 10.1128/JCM.00170-17. Epub 2017 Apr 12.

Abstract

Lassa virus remains an important cause of illness in West Africa and among the travelers returning from this region with an acute febrile illness. The symptoms of Lassa fever can be nonspecific and mimic those of other endemic infections, especially early in illness, making a clinical diagnosis difficult; therefore, laboratory testing is needed to confirm the diagnosis. An early identification of Lassa fever is crucial for maximizing the benefit of available antiviral therapy, as treatment efficacy rapidly decreases following the clinical onset of the disease. This minireview provides an overview of the currently available diagnostic tests for Lassa fever and their strengths and weaknesses.

摘要

拉沙病毒仍然是西非地区以及从该地区返回并患有急性发热疾病的旅行者患病的一个重要原因。拉沙热的症状可能不具有特异性,与其他地方性感染的症状相似,尤其是在疾病早期,这使得临床诊断困难;因此,需要进行实验室检测来确诊。早期识别拉沙热对于最大限度地发挥现有抗病毒治疗的益处至关重要,因为随着疾病临床发作后治疗效果会迅速下降。本综述概述了目前可用的拉沙热诊断检测方法及其优缺点。

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