Perspectives on the laboratory diagnosis of rickettsial diseases in the 21st century

Robust laboratory methods are necessary to distinguish rickettsioses from other infectious diseases and to accurately distinguish one rickettsiosis from another. The major categories of diagnostic techniques used for rickettsioses, i.e., direct visualization by histological or immunohistochemical st...

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Main Author: Christopher D Paddock
Format: Article
Language:English
Published: Colegio de Médicos y Cirujanos de Costa Rica 2013-07-01
Series:Acta Médica Costarricense
Subjects:
Online Access:http://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S0001-60022013000400005&lng=en&tlng=en
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author Christopher D Paddock
author_facet Christopher D Paddock
author_sort Christopher D Paddock
collection DOAJ
description Robust laboratory methods are necessary to distinguish rickettsioses from other infectious diseases and to accurately distinguish one rickettsiosis from another. The major categories of diagnostic techniques used for rickettsioses, i.e., direct visualization by histological or immunohistochemical stains, serology, culture, and molecular techniques, each have unique strengths and weaknesses. This review discusses some of the advantages and disadvantages inherent to each method and how these techniques might evolve collectively in the future. Many rickettsial diseases have been historically understudied, often because the pathogens were considered difficult to grow, difficult to stain, and dangerous to propagate. As we progress into the 21st century, the broader use of diagnostic assays, particularly in many tropical and developing countries, will better leverage the global recognition of rickettsioses, and the impact that these infections have on enormous segments of the world population. It will be increasingly important for contemporary rickettsiologists to refrain from replacing entirely classical methods such as culture, serology, or even direct visualization with more rapidly evolving and increasingly sophisticated molecular techniques. Extraordinary results can be achieved when multiple techniques are used in tandem.
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spelling doaj.art-277fe9b6410c47a393741f68e7171dcf2022-12-21T23:47:36ZengColegio de Médicos y Cirujanos de Costa RicaActa Médica Costarricense0001-60122013-07-0155suppl 11324S0001-60022013000400005Perspectives on the laboratory diagnosis of rickettsial diseases in the 21st centuryChristopher D PaddockRobust laboratory methods are necessary to distinguish rickettsioses from other infectious diseases and to accurately distinguish one rickettsiosis from another. The major categories of diagnostic techniques used for rickettsioses, i.e., direct visualization by histological or immunohistochemical stains, serology, culture, and molecular techniques, each have unique strengths and weaknesses. This review discusses some of the advantages and disadvantages inherent to each method and how these techniques might evolve collectively in the future. Many rickettsial diseases have been historically understudied, often because the pathogens were considered difficult to grow, difficult to stain, and dangerous to propagate. As we progress into the 21st century, the broader use of diagnostic assays, particularly in many tropical and developing countries, will better leverage the global recognition of rickettsioses, and the impact that these infections have on enormous segments of the world population. It will be increasingly important for contemporary rickettsiologists to refrain from replacing entirely classical methods such as culture, serology, or even direct visualization with more rapidly evolving and increasingly sophisticated molecular techniques. Extraordinary results can be achieved when multiple techniques are used in tandem.http://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S0001-60022013000400005&lng=en&tlng=enRickettsiaEhrlichiaOrientiaCoxielladiagnóstico
spellingShingle Christopher D Paddock
Perspectives on the laboratory diagnosis of rickettsial diseases in the 21st century
Acta Médica Costarricense
Rickettsia
Ehrlichia
Orientia
Coxiella
diagnóstico
title Perspectives on the laboratory diagnosis of rickettsial diseases in the 21st century
title_full Perspectives on the laboratory diagnosis of rickettsial diseases in the 21st century
title_fullStr Perspectives on the laboratory diagnosis of rickettsial diseases in the 21st century
title_full_unstemmed Perspectives on the laboratory diagnosis of rickettsial diseases in the 21st century
title_short Perspectives on the laboratory diagnosis of rickettsial diseases in the 21st century
title_sort perspectives on the laboratory diagnosis of rickettsial diseases in the 21st century
topic Rickettsia
Ehrlichia
Orientia
Coxiella
diagnóstico
url http://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S0001-60022013000400005&lng=en&tlng=en
work_keys_str_mv AT christopherdpaddock perspectivesonthelaboratorydiagnosisofrickettsialdiseasesinthe21stcentury