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Diagnostic capabilities for detecting West Nile fever

https://doi.org/10.51793/OS.2025.28.11.008

Abstract


Background. West Nile fever is a viral disease transmitted to humans through the bites of infected mosquitoes. This virus belongs to the flavivirus family and is widespread in warm climates. West Nile fever may be asymptomatic, but some patients develop serious complications such as meningitis, encephalitis, and polio.Early and accurate diagnosis of West Nile fever is crucial for timely initiation of treatment and prevention of the spread of infection. Without timely intervention, the disease can lead to serious consequences, especially in people with weakened immune systems. In this regard, the study of the diagnostic capabilities of West Nile fever is an urgent task for medical specialists.

Results. As part of this work, a comprehensive study of diagnostic methods for determining West Nile fever was conducted. Special attention was paid to laboratory diagnostic methods, their effectiveness and specificity. The research methods included the analysis of scientific publications and studies on the topic of West Nile fever, the study of modern laboratory diagnostic methods such as serological tests, polymerase chain reaction (PCR), as well as the assessment of the sensitivity and specificity of various diagnostic approaches. Based on the analysis, the key features of the diagnosis of West Nile fever were identified. Serological tests, such as enzyme immunoassay (ELISA) and complement binding reaction (CSC), can determine the presence of antibodies to the virus in the patient's blood serum. However, these methods can produce false positive or false negative results, especially in the early stages of the disease. Polymerase chain reaction (PCR) is a more accurate method of diagnosing West Nile fever. PCR makes it possible to directly detect the presence of viral RNA in biological samples such as blood, cerebrospinal fluid, or nasopharyngeal swabs. This method has high sensitivity and specificity, which makes it preferable for early diagnosis of the disease.The combination of various diagnostic methods, such as serological tests and PCR, can significantly improve the accuracy and speed of West Nile fever detection. For example, the use of serological tests for initial assessment and PCR to confirm the diagnosis can reduce the risk of false positive and false negative results.It is also important to take into account that the diagnosis of West Nile fever should be comprehensive and include not only laboratory methods, but also clinical data. Symptoms of the disease, such as fever, headache, weakness, muscle pain, and rash, may serve as additional signs for diagnosis.

Conclusion. The diagnosis of West Nile fever requires the use of modern and accurate laboratory diagnostic methods, as well as an integrated approach that includes clinical and laboratory data. The combination of various methods, such as serological tests and PCR, improves the accuracy and speed of disease detection, which contributes to the timely initiation of treatment and prevention of the spread of infection

About the Authors

A. A. Istin
Voronezh State Medical University named after N. N. Burdenko
Россия

Aleksandr A. Istin, resident of the Department of Infectious Diseases and Clinical Immunology

10 Studencheskaya str., Voronezh, 394036



O. N. Krasnorutckaуa
Voronezh State Medical University named after N. N. Burdenko
Россия

Olga N. Krasnorutckaуa, Dr. of Sci. (Med.), Associate Professor, Head of the Department of Infectious Diseases and Clinical Immunology

10 Studencheskaya str., Voronezh, 394036



V. I. Shevcova
Voronezh State Medical University named after N. N. Burdenko
Россия

Veronica I. Shevcova, Cand. of Sci. (Med.), Associate Professor of the Department of Infectious Diseases and Clinical Immunology

10 Studencheskaya str., Voronezh, 394036



A. S. Bezlepkin
Voronezh State Medical University named after N. N. Burdenko
Россия

Anton S. Bezlepkin, resident of the Department of Infectious Diseases and Clinical Immunology

10 Studencheskaya str., Voronezh, 394036



P. V. Dronov
Voronezh State Medical University named after N. N. Burdenko
Россия

Pavel V. Dronov, sixth-year student of the Faculty of Medicine

10 Studencheskaya str., Voronezh, 394036



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Review

For citations:


Istin A.A., Krasnorutckaуa O.N., Shevcova V.I., Bezlepkin A.S., Dronov P.V. Diagnostic capabilities for detecting West Nile fever. Lechaschi Vrach. 2025;1(11):63-68. (In Russ.) https://doi.org/10.51793/OS.2025.28.11.008

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