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A Novel Immunohistochemical Assay for the Detection of Ebola Virus in Skin: Implications for Diagnosis, Spread, and Surveillance of Ebola Hemorrhagic Fever

Zaki, Sherif R., Shieh, Wun‐Ju, Greer, Patricia W., Goldsmith, Cynthia S., Ferebee, Tara, Katshitshi, Jacques, Tshioko, F. Kweteminga, Bwaka, Mpia A., Swanepoel, Robert, Calain, Philippe, Khan, Ali S., Lloyd, Ethleen, Rollin, Pierre E., Ksiazek, Thomas G., Peters, Clarence J., the Commission de Lutte contre les Epidémies à Kikwit·1999·The Journal of Infectious Diseases

Abstract

Laboratory diagnosis of Ebola hemorrhagic fever (EHF) is currently performed by virus isolation and serology and can be done only in a few high-containment laboratories worldwide. In 1995, during the EHF outbreak in the Democratic Republic of Congo, the possibility of using immunohistochemistry (IHC) testing of formalin-fixed postmortem skin specimens was investigated as an alternative diagnostic method for EHF. Fourteen of 19 cases of suspected EHF met the surveillance definition for EHF and were positive by IHC. IHC, serologic, and virus isolation results were concordant for all EHF and non-EHF cases. IHC and electron microscopic examination showed that endothelial cells, mononuclear phagocytes, and hepatocytes are main targets of infection, and IHC showed an association of cellular damage with viral infection. The finding of abundant viral antigens and particles in the skin of EHF patients suggests an epidemiologic role for contact transmission. IHC testing of formalin-fixed skin specimens is a safe, sensitive, and specific method for laboratory diagnosis of EHF and should be useful for EHF surveillance and prevention.

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Metadata

Authors
Zaki, S. R., Shieh, W., Greer, P. W., Goldsmith, C. S., Ferebee, T., Katshitshi, J., Tshioko, F. K., Bwaka, M. A., Swanepoel, R., Calain, P., Khan, A. S., Lloyd, E., Rollin, P. E., Ksiazek, T. G., Peters, C. J., & the Commission de Lutte contre les Epidémies à Kikwit
Venue
The Journal of Infectious Diseases
Published
1999-02
Volume
179
Issue
s1
Pages
S36-S47
ISSN
  • 0022-1899 (ISSN-L)
  • 1537-6613
OpenAlex
W2021734226
Cited by
235
References
0
FWCI
3.73
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: A Novel Immunohistochemical Assay for the Detection of Ebola Virus in Skin: Implications for Diagnosis, Spread, and Surveillance of Ebola Hemorrhagic Fever. https://app.cochat.ai/papers/10.1086/514319
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Zaki, S. R., Shieh, W., Greer, P. W., Goldsmith, C. S., Ferebee, T., Katshitshi, J., Tshioko, F. K., Bwaka, M. A., Swanepoel, R., Calain, P., Khan, A. S., Lloyd, E., Rollin, P. E., Ksiazek, T. G., Peters, C. J., & the Commission de Lutte contre les Epidémies à Kikwit. (1999). A Novel Immunohistochemical Assay for the Detection of Ebola Virus in Skin: Implications for Diagnosis, Spread, and Surveillance of Ebola Hemorrhagic Fever. The Journal of Infectious Diseases. https://doi.org/10.1086/514319

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.