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Sorted By Test Name - Mayo Medical Laboratories

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FENTQ<br />

91312<br />

LENT<br />

80066<br />

INTERPRETIVE CRITERIA for Coxsackie A, B and Echovirus:<br />

< 1:8 Antibody Not Detected<br />

> or = 1:8 Antibody Detected<br />

Single titers > or = 1:32 are indicative of recent infection. Titers of<br />

1:8 and 1:16 may be indicative of either past or recent infection,<br />

since CF antibody levels persist for only a few months. A four-fold<br />

or greater increase in titer between acute and convalescent<br />

specimens confirms the diagnosis. There is considerable<br />

crossreactivity among enteroviruses; however, the highest titer<br />

is usually associated with the infecting serotype.<br />

INTERPRETIVE CRITERIA for Poliovirus:<br />

< 1:8 Antibody Not Detected<br />

> or = 1:8 Antibody Detected<br />

Because CF antibody levels usually persist for only a few months,<br />

any measurable titer may indicate recent exposure. Single titers<br />

> or = 1:32 provide strong evidence for recent exposure. A four-fold<br />

or greater increase in titer between acute and convalescent specimens<br />

confirms recent exposure or infection.<br />

<strong>Test</strong> Performed by: Focus Diagnostics, Inc.<br />

5785 Corporate Avenue<br />

Cypress, CA 90630-4750<br />

Enterovirus RNA, Qualitative, RT-PCR<br />

Reference Values:<br />

REFERENCE RANGE: NOT DETECTED<br />

This test was developed and its performance characteristics have<br />

been determined by Focus Diagnostics. Performance characteristics<br />

refer to the analytical performance of the test. This test is performed<br />

pursuant to a license agreement with Roche Molecular Systems, Inc.<br />

<strong>Test</strong> Performed <strong>By</strong>: Focus Diagnostics, Inc.<br />

5785 Corporate Ave.<br />

Cypress, CA 90630-4750<br />

Enterovirus, Molecular Detection, PCR<br />

Clinical Information: Enteroviruses are positive-sense RNA viruses in the Picornaviridae family.<br />

These viruses were initially classified by serotype as polioviruses (3 types), echoviruses (31 types,<br />

including types 22 and 23, which are now classified as parechoviruses), coxsackievirus A (23 types) and<br />

coxsackievirus B (6 types). However, genomic studies have demonstrated that there is significant overlap<br />

in the biological characteristics of different serotypes and more recently isolated enteroviruses are now<br />

named with consecutive numbers (eg, EV68, EV69). The normal site of enterovirus replication is the<br />

gastrointestinal tract where the infection is typically subclinical. However, in a proportion of cases, the<br />

virus spreads to other organs, causing systemic manifestations, including mild respiratory disease (eg, the<br />

common cold); conjunctivitis; hand, foot, and mouth disease; aseptic meningitis; myocarditis; and acute<br />

flaccid paralysis. Collectively, enteroviruses are the most common cause of upper respiratory tract disease<br />

in children. In addition, the enteroviruses are the most common cause of central nervous system (CNS)<br />

disease; they account for almost all viruses recovered in culture from spinal fluid. Differentiation of<br />

enteroviruses from other viruses and bacteria that cause CNS disease is important for the appropriate<br />

Current as of January 4, 2013 7:15 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong><strong>Laboratories</strong>.com Page 672

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