title: Ten years' experience of isolation of Rickettsia spp. from blood samples using the shell-vial cell culture assay.
abstract: Two strategies to improve the efficacy of the shell-vial method for Rickettsia were analyzed. Blood samples from 59 patients with Mediterranean spotted fever (MSF) were examined using the shell-vial technique. (i) DNA from positive lenses was obtained when they were contaminated. (ii) Blood sample from one patient was cultured in 17 shell-vials. R. conorii was identified in four cases by polymerase chain reaction (PCR)-RFLP. Three of these were obtained from cells adherent to lenses and the fourth one by using total patient blood sample. Rickettsia isolation using all blood samples as well as DNA from shell-vial lenses could be useful in the study of rickettsial infections.
authors.affiliation: Microbiology Laboratory, UDIAT Centre Diagnòstic, Corporació Parc Taulí, Parc Taulí s/n, E-08208 Sabadell, Barcelona, Spain. isanfeliu@cspt.es
authors.forename: Mariela
authors.initials: M
authors.lastname: Quesada
authors.forename: Isabel
authors.initials: I
authors.lastname: Sanfeliu
authors.forename: Neus
authors.initials: N
authors.lastname: Cardeñosa
authors.forename: Ferran
authors.initials: F
authors.lastname: Segura
mesh_terms: D015373:Bacterial Typing Techniques; D001769:Blood / Q000382:microbiology*; D001907:Boutonneuse Fever / Q000175:diagnosis; D004269:DNA, Bacterial / Q000235:genetics / Q000302:isolation & purification; D006801:Humans; D016133:Polymerase Chain Reaction; D012150:Polymorphism, Restriction Fragment Length; D012281:Rickettsia / Q000145:classification / Q000302:isolation & purification*; D012282:Rickettsia Infections / Q000175:diagnosis*; D020114:Rickettsia conorii / Q000145:classification / Q000302:isolation & purification
chemical_list: D004269:DNA, Bacterial