Medical Microbiology

Table 1 2. 6 DigestiveGlandsandPeritoneum

Infection Mostimportant

pathogens

Laboratorydiagnosis

Mumps

(parotitisepidemica)

Mumpsvirus

(paramyxovirus)

Serology

Infectioushepatitis HepatitisAvirus Serology(IgM)

HepatitisBandDvirus Antigenandantibody

detectioninblood,PCR

HepatitisCandGvirus Serology,PCR

HepatitisEvirus Serology(IgE,IgM),PCR

Yellowfever(liver) Yellowfevervirus

(flavivirus)

Serology;

isolationifrequired

(usereferencelaboratory)

Cytomegalovirus

infection(liver)

Cytomegalovirus(CMV) Cellculturefromsaliva,

urineandifrequiredfrom

biopsymaterial.Antigen

assayorDNAtest(PCR).

Serology

Leptospirosis(liver) Leptospirainterrogans

(serogroupictero-

haemorrhagiae)

Serology.Culturefromurine

andblood

Cholecystitis/Cholangitis E.coli

OtherEnterobacteriaceae

Gram-negativeanaerobes

Culturefrombile

Fasciolahepatica

Opisthorchis

Clonorchis

Dicrocoelium

Wormeggsinstool;

serology

Pancreatitis

Pancreaticabscess

Enterobacteriaceae

Staphylococcusaureus

Streptococcusspp.

Pseudomonasspp.

Anaerobes

Microscopyandculture

frompus(punctateor

biopsy,ifspecimen

samplingfeasible)

DigestiveGlandsandPeritoneum 641

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Kayser, Medical Microbiology © 2005 Thieme