[Etiological diagnostic methods and research progress of forest encephalitis].

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi

Department of Occupational Poisoning, Heilongjiang Institute of Labor Hygiene and Occupational Diseases, Harbin 150028, China.

Published: February 2024

AI Article Synopsis

  • Forest encephalitis is a serious disease caused by the tick-borne encephalitis virus, with a notably high mortality rate, making precise lab testing essential for diagnosis.
  • Laboratory methods for diagnosis include various tests: serological testing for IgM and IgG antibodies is crucial for early detection and disease differentiation, while techniques like ELISA and immunofluorescence assays are commonly used.
  • Recent advancements in molecular testing methods, like digital PCR and metabolomics, are enhancing the early diagnosis of forest encephalitis.

Article Abstract

Forest encephalitis is a natural focal disease transmitted through the bite of hard ticks, and its pathogen is the tick-borne encephalitis virus from the Flaviviridae family. The mortality rate of forest encephalitis is relatively high, making laboratory testing significant in diagnosing this disease. This article elaborates on the etiological diagnostic methods and recent research progress in forest encephalitis. Laboratory tests for forest encephalitis mainly include routine examinations, serological tests, virus isolation, and molecular biological testing. The detection of serum-specific IgM antibodies against the forest encephalitis virus is of great importance for early diagnosis, and specific IgG antibodies serve as a "gold standard" for differentiation from other diseases. Techniques such as enzyme-linked immunosorbent assay (ELISA) or indirect immunofluorescence assay for detecting specific IgM antibodies in serum and/or cerebrospinal fluid, the serum hemagglutination inhibition test or serum complement fixation test, and the double serum hemagglutination inhibition test or complement fixation test all contribute to the early diagnosis. The development of molecular testing methods is rapid, and techniques such as metabolomics, digital PCR, and matrix metalloproteinases are also applied in the early diagnosis of forest encephalitis.

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http://dx.doi.org/10.3760/cma.j.cn121094-20230703-00227DOI Listing

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