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Article ; Online: Serum level of C-reactive protein is not a parameter to determine the difference between viral and atypical bacterial infections.

Durán, Anyelo / González, Andrea / Delgado, Lineth / Mosquera, Jesús / Valero, Nereida

Journal of medical virology

2016  Volume 88, Issue 2, Page(s) 351–355

Abstract: ... useful to define viral and atypical bacterial infections compared with normal values, but, it is not ... in patients with viral and atypical bacterial infections. Patients (n = 139) with different viral or atypical ... with exanthematic viral and other atypical bacterial infections were found. This study suggests that CRP values are ...

Abstract C-reactive protein (CRP) is an acute-phase reactant that increases in the circulation in response to a variety of inflammatory stimuli. Elevated levels in serum during several infectious diseases have been reported. In this study, a highly sensitive CRP enzyme immunoassay was used to evaluate serum CRP values in patients with viral and atypical bacterial infections. Patients (n = 139) with different viral or atypical bacterial infections (systemic or respiratory) and healthy controls (n = 40) were tested for circulating CRP values. High levels of IgM antibodies against several viruses: Dengue virus (n = 36), Cytomegalovirus (n = 9), Epstein Barr virus (n = 17), Parvovirus B19 (n = 26), Herpes simplex 1 and 2 virus (n = 3) and Influenza A and B (n = 8) and against atypical bacteria: Legionella pneumophila (n = 15), Mycoplasma pneumoniae (n = 21) and Coxiella burnetii (n = 4) were found. High values of CRP in infected patients compared with controls (P < 0.001) were found; however, no significant differences between viral and atypical bacterial infections were found. Low levels of CRP in respiratory and Coxiella burnetii infections compared with exanthematic viral and other atypical bacterial infections were found. This study suggests that CRP values are useful to define viral and atypical bacterial infections compared with normal values, but, it is not useful to define type of infection.
MeSH term(s) Adolescent ; Adult ; Bacterial Infections/diagnosis ; Bacterial Infections/pathology ; Biomarkers/analysis ; C-Reactive Protein/analysis ; Diagnosis, Differential ; Enzyme-Linked Immunosorbent Assay ; Female ; Humans ; Male ; Middle Aged ; Serum/chemistry ; Virus Diseases/diagnosis ; Virus Diseases/pathology ; Young Adult
Chemical Substances Biomarkers ; C-Reactive Protein (9007-41-4)
Language English
Publishing date 2016-02
Publishing country United States
Document type Evaluation Studies ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID 752392-0
ISSN 1096-9071 ; 0146-6615
ISSN (online) 1096-9071
ISSN 0146-6615
DOI 10.1002/jmv.24341
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