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Viral Encephalitis
- Herpes
- LCM
- Mumps
- Measles
- VZV
· Enterovirus
- Coxsachie B
- Coxsachie A
- ECHO
- Polio
EBV
Eastern Equine
Herpesvirus 6
Influenza A & B
Mycoplasma
Western Equine
· Herpes PCR
· Enterovirus PCR encephalitis, aseptic meningitis, encefalitis
TORCHES - Best Tests for Rapid
Diagnosis
Disease Test
Toxoplasmosis IgG -> IgM Titer
Rubella Culture
Cmv Culture
Herpes Culture/PCR
Enterovirus Culture/PCR
Syphilis FTA IgM
Selective Serologies - The
TORCH
· 603 consecutive sera studied
- 112(19%) > 6mths of age
- 381(63%) Infants < 6 months of age
· 85% single titer
· 15% follow-up titer ordered (54% aseptic meningitis full TORCH
- Not ordered in 75% who had elevated first titer
· No TORCH infection documented in aseptic meningitis any of the 603!!
Tick-borne Disease Titers
Colorado Tick Fever
Ehrlichia equi
Ehrlichia chaffeensis
Lyme Disease
Relapsing Fever