Clinical relevance of polymerase chain reaction (PCR) assays and antigen-driven immunoblots for the diagnosis of neurological infectious diseases.

Abstract:

:Polymerase chain reaction assays are a powerful tool for detecting the presence of infectious genomes in the cerebrospinal fluid. Positive results always mean a current or pending infection of the central nervous system. Subacute (>7 days) or chronic infections induce an intrathecal humoral immune response and the appearance of oligoclonal IgG antibodies directed against the causal infectious agent. This local synthesis may be observed even in cases of severe systemic immunodeficiency. The use of polymerase chain reactions in combination with the detection of a specific intrathecal immune response should represent the most reliable strategy for the diagnosis of viral and chronic infections of the central nervous system. The authors describe their experience, using this approach, in herpetic encephalitis, acute and recurrent herpetic meningitis, varicella zoster-induced neurological diseases, cytomegalovirus encephalitis, progressive multifocal leukoencephalitis and tuberculous meningitis.

journal_name

Brain Res Bull

journal_title

Brain research bulletin

authors

Sindic CJ,Van Antwerpen MP,Goffette S

doi

10.1016/s0361-9230(03)00093-5

keywords:

subject

Has Abstract

pub_date

2003-08-15 00:00:00

pages

299-308

issue

3

eissn

0361-9230

issn

1873-2747

pii

S0361923003000935

journal_volume

61

pub_type

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