Antibody Responses to Mycoplasma pneumoniae: Role in Pathogenesis and Diagnosis of Encephalitis?

The current diagnostic algorithm of the "Consensus Statement of the International Encephalitis Consortium" [12] recommends for the diagnosis of M. pneumoniae infection in children with encephalitis (1) serology and polymerase chain reaction (PCR) from throat samples (routine studies), an...

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Vydané v:	PLoS pathogens Ročník 10; číslo 6; s. e1003983
Hlavní autori:	Meyer Sauteur, Patrick M., Jacobs, Bart C., Spuesens, Emiel B. M., Jacobs, Enno, Nadal, David, Vink, Cornelis, van Rossum, Annemarie M. C.
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	United States Public Library of Science 01.06.2014 Public Library of Science (PLoS)
Predmet:	Antibodies Antibodies, Bacterial - cerebrospinal fluid Biomarkers - cerebrospinal fluid Control Cross Reactions Distribution DNA, Bacterial - cerebrospinal fluid Drug therapy Encephalitis Encephalitis - diagnosis Encephalitis - etiology Galactosylceramides - antagonists & inhibitors Gangliosides - antagonists & inhibitors Guillain-Barre Syndrome - diagnosis Guillain-Barre Syndrome - etiology Health aspects Humans Infections Medicine and Health Sciences Models, Immunological Molecular Mimicry Mycoplasma pneumoniae Mycoplasma pneumoniae - immunology Mycoplasma pneumoniae - isolation & purification Mycoplasma pneumoniae - pathogenicity Nervous system Opinion Pathogenesis Patients Pneumonia, Mycoplasma - cerebrospinal fluid Pneumonia, Mycoplasma - immunology Pneumonia, Mycoplasma - microbiology Pneumonia, Mycoplasma - physiopathology Proteins Studies Viral antibodies Netherlands
ISSN:	1553-7374, 1553-7366, 1553-7374
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Abstract	The current diagnostic algorithm of the "Consensus Statement of the International Encephalitis Consortium" [12] recommends for the diagnosis of M. pneumoniae infection in children with encephalitis (1) serology and polymerase chain reaction (PCR) from throat samples (routine studies), and if positive test results and/or respiratory symptoms are present, then (2) additionally PCR in cerebrospinal fluid (CSF) (conditional studies). The detection rate of M. pneumoniae by PCR in the CSF of M. pneumoniae encephalitis patients is relatively low (0%-14%) [9], [10], [25], [26]. [...]various cases with M. pneumoniae encephalitis in which bacterial DNA could not be detected in the CSF had a more prolonged duration of respiratory symptoms before the onset of encephalitis (>5-7 days) [10], [25], [27]. [...]while PCR and serology may be of limited value in the diagnosis of M. pneumoniae encephalitis, the detection of intrathecal antibodies to M. pneumoniae, including cross-reactive antibodies against GalC and gangliosides, may be regarded as a promising new diagnostic tool.
AbstractList	The current diagnostic algorithm of the "Consensus Statement of the International Encephalitis Consortium" [12] recommends for the diagnosis of M. pneumoniae infection in children with encephalitis (1) serology and polymerase chain reaction (PCR) from throat samples (routine studies), and if positive test results and/or respiratory symptoms are present, then (2) additionally PCR in cerebrospinal fluid (CSF) (conditional studies). The detection rate of M. pneumoniae by PCR in the CSF of M. pneumoniae encephalitis patients is relatively low (0%-14%) [9], [10], [25], [26]. [...]various cases with M. pneumoniae encephalitis in which bacterial DNA could not be detected in the CSF had a more prolonged duration of respiratory symptoms before the onset of encephalitis (>5-7 days) [10], [25], [27]. [...]while PCR and serology may be of limited value in the diagnosis of M. pneumoniae encephalitis, the detection of intrathecal antibodies to M. pneumoniae, including cross-reactive antibodies against GalC and gangliosides, may be regarded as a promising new diagnostic tool.
Audience	Academic
Author	Spuesens, Emiel B. M. Meyer Sauteur, Patrick M. van Rossum, Annemarie M. C. Jacobs, Bart C. Nadal, David Vink, Cornelis Jacobs, Enno
AuthorAffiliation	4 Children's Research Center (CRC), University Children's Hospital of Zurich, Zurich, Switzerland University of Notre Dame, United States of America 3 Division of Infectious Diseases and Hospital Epidemiology, University Children's Hospital of Zurich, Zurich, Switzerland 5 Department of Neurology, Erasmus MC, University Medical Center, Rotterdam, The Netherlands 2 Laboratory of Pediatrics, Erasmus MC–Sophia Children's Hospital, University Medical Center, Rotterdam, The Netherlands 7 TU Dresden, Medical Faculty Carl Gustav Carus, Institute of Medical Microbiology and Hygiene, Dresden, Germany 8 Erasmus University College, Erasmus University, Rotterdam, The Netherlands 1 Department of Pediatrics, Division of Pediatric Infectious Diseases and Immunology, Erasmus MC–Sophia Children's Hospital, University Medical Center, Rotterdam, The Netherlands 6 Department of Immunology, Erasmus MC, University Medical Center, Rotterdam, The Netherlands
AuthorAffiliation_xml	– name: 5 Department of Neurology, Erasmus MC, University Medical Center, Rotterdam, The Netherlands – name: 3 Division of Infectious Diseases and Hospital Epidemiology, University Children's Hospital of Zurich, Zurich, Switzerland – name: 6 Department of Immunology, Erasmus MC, University Medical Center, Rotterdam, The Netherlands – name: University of Notre Dame, United States of America – name: 1 Department of Pediatrics, Division of Pediatric Infectious Diseases and Immunology, Erasmus MC–Sophia Children's Hospital, University Medical Center, Rotterdam, The Netherlands – name: 8 Erasmus University College, Erasmus University, Rotterdam, The Netherlands – name: 2 Laboratory of Pediatrics, Erasmus MC–Sophia Children's Hospital, University Medical Center, Rotterdam, The Netherlands – name: 4 Children's Research Center (CRC), University Children's Hospital of Zurich, Zurich, Switzerland – name: 7 TU Dresden, Medical Faculty Carl Gustav Carus, Institute of Medical Microbiology and Hygiene, Dresden, Germany
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PLoS Med. 2013;10(5):e1001444
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Snippet	The current diagnostic algorithm of the "Consensus Statement of the International Encephalitis Consortium" [12] recommends for the diagnosis of M. pneumoniae...
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SubjectTerms	Antibodies Antibodies, Bacterial - cerebrospinal fluid Biomarkers - cerebrospinal fluid Control Cross Reactions Distribution DNA, Bacterial - cerebrospinal fluid Drug therapy Encephalitis Encephalitis - diagnosis Encephalitis - etiology Galactosylceramides - antagonists & inhibitors Gangliosides - antagonists & inhibitors Guillain-Barre Syndrome - diagnosis Guillain-Barre Syndrome - etiology Health aspects Humans Infections Medicine and Health Sciences Models, Immunological Molecular Mimicry Mycoplasma pneumoniae Mycoplasma pneumoniae - immunology Mycoplasma pneumoniae - isolation & purification Mycoplasma pneumoniae - pathogenicity Nervous system Opinion Pathogenesis Patients Pneumonia, Mycoplasma - cerebrospinal fluid Pneumonia, Mycoplasma - immunology Pneumonia, Mycoplasma - microbiology Pneumonia, Mycoplasma - physiopathology Proteins Studies Viral antibodies
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Title	Antibody Responses to Mycoplasma pneumoniae: Role in Pathogenesis and Diagnosis of Encephalitis?
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