Click here to view next page of this article

Encephalitis

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