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Molecular Detection by PCR

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Requisition Forms

Reference Details

Description:

Molecular detection of Ehrlichia chaffeensis in clinical specimens.
 

Test Category:
Molecular Detection
Pathogen:
Ehrlichia chaffeensis
Laboratory:
Illnesses and Diseases:
  • Ehrlichiosis
Specimen:

Whole blood or buffy coat are recommended or cerebrospinal fluid (CSF) from patients whose clinical condition suggests meningitis. Minimum required volumes are as follows:

  • Whole blood - 5.0 mL.
  • Buffy coat – 0.5 mL
  • CSF – 0.5 mL

CSF samples are accepted for testing however, they are not ideal specimen types as they are typically low-yield.

Collection Method:

Collect blood in EDTA tubes.  AVOID HEPARIN.  Do not centrifuge. Aseptically collect buffy coat or CSF into sterile, leak-proof container made of freeze-thaw and shatter-resistant plastic, without additives.

Specimen Processing, Storage and Shipping:

Store specimens refrigerated up to 5 days and ship with freezer packs. If > 5 days, store at – 20 °C and ship on dry ice.

Transportation of Dangerous Goods:

Shipping of specimens shall be done by a TDG certified individual in accordance with TDG regulations. For additional information regarding classification of specimens for the purposes of shipping, consult either Part 2 Appendix 3 of the TDG Regulations or section 3.6.2 of the IATA Dangerous Goods Regulations as applicable.

 

Patient Criteria:

Appropriate clinical symptoms with known exposure to Amblyomma americanum (Lone Star) tick in Canada OR travel to eastern, southeastern or south-central United States. The symptoms of infection with Ehrlichia chaffeensis usually develop 1-2 weeks after being bitten by an infected tick. Symptoms may include fever, headache, chills, malaise, myalgia, nausea / vomiting / diarrhea, confusion, conjunctival injection and rash.

Accompanying Documentation:

Completed Requisition for Molecular Testing for Selected Zoonotic Agents. If possible, include the clinical history and lab results performed at local or provincial laboratories.

Comments:

Specimens may be subject to rejection if they are not the appropriate sample type, have insufficient volume, or are not accompanied by relevant patient information and travel history.

THIS TEST IS PERFORMED FOR INVESTIGATIONAL OR RESEARCH PURPOSES ONLY

 

Methods and Interpretation of Results:

Extracted DNA is screened by a real-time assay specific for E. chaffeensis. If positive by real-time PCR, samples are tested by conventional PCR and sequencing to confirm the presence of E. chaffeensis genome.

Initiation of antibiotic treatment prior to testing may result in decreased bacterial genome which will affect the outcome of PCR testing.

Turnaround Time:

21 calendar days.

Contact:
Phone #: (204) 789-7434 or (204) 789-6060
Fax: (204) 789-2082
References:
  1. Loftis, A., D., Massung, R. F., Levin, M., L. 2003. Quantitative real-time PCR assay for detection of Ehrlichia chaffeensis. J. Clin. Microbiol. 41(8):3870-3872.
  2. Standaert, S.M., Yu, T., Scott, M.A., et al. 2000. Primary Isolation of Ehrlichia chaffeensis from patients with febrile illnesses: Clinical and molecular characteristics. J. Inf. Dis. 181:1082-1088.
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