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Particle Agglutination Method for Poliovirus Identification
Published on: April 20, 2011
OCCURRENCE OF POLIOMYELITIS VIRUS IN AUTOPSIES, PATIENTS, AND CONTACTS
J F Kessel1, F J Moore, F D Stimpert
1Department of Bacteriology, School of Medicine, University of Southern California, and the Department of Pathology, Los Angeles County Hospital, Los Angeles.
Abstract:
1. Poliomyelitis virus has been recovered in monkeys from 50 per cent of spinal cords, 10 per cent of olfactory bulbs, 50 per cent of tonsil-adenoid tissue, and from 26 per cent of the colon contents of autopsies; from the stools of 20 per cent of patients, and of 5 per cent of the contacts examined in this series. 2. Other materials as indicated in Table I were tested without success. 3. In autopsies with positive cords, tonsil-adenoid tissues, or colon contents were positive in 73 per cent. 4. 22 per cent of stools from patients with paralysis yielded virus and 19 per cent of the stools from patients without paralysis yielded virus. 5. 20 per cent of the stools from males and 22 per cent of the stools from females yielded virus. 6. 40 per cent of 35 stools from patients under 16 years yielded virus while 8 per cent of 38 stools from patients above the age of 15 yielded virus. 7. 71 per cent of the cords of 35 autopsies under 16 years yielded virus while 31 per cent 16 years and over yielded virus. 8. Repeat stools from 5 positive cases, 1 month after the first positive stool, were negative. The stool of one contact was positive the 2nd month after first recovery but was negative the 3rd month.
Insights
Poliomyelitis virus was detected in various autopsy tissues, including spinal cords and tonsils, and in stools from patients and contacts. Virus shedding decreased over time in positive cases.
Area of Science:
- Virology
- Infectious Diseases
- Public Health
Background:
- Poliomyelitis virus is a significant public health concern.
- Understanding virus shedding patterns is crucial for disease control.
Purpose of the Study:
- To investigate the presence and distribution of poliomyelitis virus in various tissues and biological samples.
- To determine the prevalence of virus shedding in patients and contacts.
- To analyze factors influencing virus detection, such as age and sample type.
Main Methods:
- Poliomyelitis virus detection in autopsy tissues (spinal cords, olfactory bulbs, tonsil-adenoid tissue, colon contents) and stool samples from patients and contacts.
- Analysis of virus recovery rates based on sample type, patient demographics (age, sex), and clinical status (paralysis).
Main Results:
- Poliomyelitis virus was recovered from 50% of spinal cords, 50% of tonsil-adenoid tissue, and 26% of colon contents in autopsies.
- Virus was detected in 20% of patient stools and 5% of contact stools.
- Higher virus detection rates were observed in younger individuals (<16 years) in both stool (40%) and spinal cord (71%) samples.
- Virus shedding decreased over time, with repeat stools from positive cases being negative after one month.
Conclusions:
- Poliomyelitis virus can be present in multiple tissues post-mortem.
- Age is a significant factor in virus shedding, with younger individuals showing higher rates.
- Virus shedding is transient, emphasizing the importance of timely detection and intervention.
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