Volume 18, Number 9—September 2012
Dispatch
Acanthamoeba polyphaga mimivirus Virophage Seroconversion in Travelers Returning from Laos
Table
Parameter |
29-year-old woman
|
36-year-old man
|
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Past samples
|
Outpatient visit
|
Day 1 hospitalization
|
Follow-up visits
|
Day 1 hospitalization
|
Follow-up visits
|
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2009 Aug | 2010 Jan 22 | 2010 Jan 29 | 2010 Feb 6 | 2010 Feb 23 | 2010 Mar 31 | 2010 May 3 | 2010 Jan 29 | 2010 Feb 4 | 2010 Feb 23 | 2010 Mar 31 | 2010 May 3 | ||
Leukocytes, × 109/L | NT | 14.32 | 37.9 | 16.7 | 7.2 | NA | 6.18 | 23.8 | 13.7 | 8.2 | NA | 7.6 | |
Neutrophils, × 109/L |
NT | 5.73 | 2.65 | 2.67 | 3.02 | NA | 2.76 | 3.09 | 2.6 | 3.4 | NA | 3.9 | |
Eosinophils, × 109/L |
NT | 5.44 | 29.94 | 9.18* | 0.36 | NA | 0.23 | 17.85 | 7.4* | 1.4 | NA | 0.5 | |
Hemoglobin, g/dL | 8.6 | 7.4 | 7.3 | 7.2 | 6.9 | NA | 7.7 | 12.4 | 12.6 | 12.4 | NA | 13.1 | |
Aspartate aminotransferase (ref <50 UI/L) | NT | 37 | 27 | NA | NA | NA | 26 | 43 | NA | NA | NA | NA | |
Alanine aminotransferase (ref <60 UI/L) | NT | 111 | 77 | NA | NA | NA | 27 | 68 | NA | NA | NA | NA | |
Alkaline phosphatase (ref <130 UI/L) | NT | NA | 150 | NA | NA | NA | 47 | 263 | NA | NA | NA | NA | |
Gamma glutamyl transferase (ref <60 UI/L) | NT | 183 | 229 | NA | NA | NA | 16 | 355 | NA | NA | NA | NA | |
Antibody titers against Acanthamoeba polyphaga mimivirus virophage (microimmunofluorescence) | |||||||||||||
IgG |
Neg | 100 | 200 | NT | NT | 100 | 50 | 400 | 100 | 50 | |||
IgM |
Neg | 100 | 100 | NT | NT | 0 | 0 | 100 | 0 | 0 | |||
IgA |
Neg | 0 | 25 | NT | NT | 0 | 0 | 0 | 0 | 0 | |||
Total antibody titers against mimivirus (microimmunofluorescence); significant threshold for total antibody titers ≥100 | Neg | Neg | 50 | NT | NT | 50 | Neg | 50 | Neg | Neg | |||
Molecular test results for Acanthamoeba polyphaga mimivirus virophage† | |||||||||||||
Blood |
NT | NT | Neg | NT | NT | Neg | Neg | Neg | Neg | Neg | |||
Saliva |
NT | NT | NT | NT | NT | Neg | Neg | NT | Neg | Neg | |||
Feces |
NT | NT | NT | Neg | NT | Neg | NT | NT | Neg | Neg | |||
Sputum |
NT | NT | NT | NT | NT | NT | Neg | NT | Neg | ||||
Molecular test results for mimivirus‡ | |||||||||||||
Blood |
NT | NT | Neg | NT | NT | Neg | Neg | Neg | Neg | Neg | |||
Saliva |
NT | NT | NT | NT | NT | Neg | Neg | NT | Neg | Neg | |||
Feces |
NT | NT | NT | Neg | NT | Neg | NT | NT | Neg | Neg | |||
Sputum |
NT | NT | NT | NT | NT | NT | Neg | NT | Neg | ||||
Serologic test results | |||||||||||||
Fascioliasis |
NT | NT | NT | NT | NT | NT | NT | NT | |||||
Hemagglutination |
NA | 1,280 (>160) | 640 | NT | Neg | NT | NT | 320 | 160 | 160 | |||
Western blot |
NA | Pos | Neg | NT | NA | NT | NT | Neg | NA | ||||
Toxocariasis, ELISA |
NA | NA | 1.06 (>0.41) | NT | 1.01 | NT | NT | 0.54 (>0.48) | 0.36 | ||||
Trichinellosis |
NT | NT | NT | NT | NT | NT | NT | NT | |||||
ELISA |
NA | Pos | Pos | NT | Pos | NT | NT | Pos | Pos | Pos | |||
Western Blot |
NA | NA | NT | NT | Neg | NT | NT | Pos | Neg | ||||
Schistosomiasis |
NA | Neg | Neg | NT | Neg | NT | NT | Neg | Neg |
*Patients returned from Laos on January 17, 2010. Treatment with praziquantel and albendazole started on February 2, 2010. Numbers in parentheses are cutoff values (i.e., values higher than cutoff values are positive). Ref, reference; APM, Acanthamoeba polyphaga mimivirus; NT, not tested; NA, not available; neg, negative; pos, positive.
†APM virophage conventional PCR primers targeting the capsid-encoding gene included Spk_capsid_1F (5′-GTATATTGGACAGATCAAACTGGTG-3′) and Spk_capsid_30R (5′-CTCTCACCATAACCTACATT-3′). APM virophage real-time PCR primers and probe targeting the open reading frame–3 encoding gene included Sp3P (5′-TTTTTCCCTTTGAATTTCCCTCCAGCT-3′), Sp3F (5′-TGGAACAAACTTTCCTTCTGG-3′), and Sp3R (5′-AAAGATAGTAAACCGTTTGCAAAAAT-3′).
‡Giant virus real-time PCR primers and probe targeting heat shock protein 70–like protein encoding gene included MimiMama01 P (5′-CGGAATATTGCAAGTAACTGCACACGA-3′), MimiMama01 F (5′-ATCGGGATTTGAAAAAGGTC-3′), and MimiMama01 R (5′-CTTCCTTTTGCTCCCCATGT-3′).
1These authors contributed equally to this article.