The indirect fluorescent antibody test is sensitive and provides results in a couple of hours. ... It uses fluorescent antihuman antibody to ...ForYouNews&PerspectiveDrugs&DiseasesCME&EducationAcademyVideoDecisionPointEdition:ENGLISHDEUTSCHESPAÑOLFRANÇAISPORTUGUÊSLogInSignUpIt'sFree!Edition:ENGLISHDEUTSCHESPAÑOLFRANÇAISPORTUGUÊSRegisterLogInNoResultsNoResultsForYouNews&PerspectiveDrugs&DiseasesCME&EducationAcademyVideoDecisionPointclosePleaseconfirmthatyouwouldliketologoutofMedscape.Ifyoulogout,youwillberequiredtoenteryourusernameandpasswordthenexttimeyouvisit.LogoutCancelhttps://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cDovL2VtZWRpY2luZS5tZWRzY2FwZS5jb20vYXJ0aWNsZS85NzE3OTctd29ya3Vwprocessing....Drugs&Diseases>Pediatrics:GeneralMedicineScrubTyphus WorkupUpdated:Apr19,2018Author:DavidJCennimo,MD,FAAP,FACP,FIDSA,AAHIVS;ChiefEditor:RussellWSteele,MD more...ShareEmailPrintFeedbackCloseFacebookTwitterLinkedInGoogle+SectionsScrubTyphusSectionsScrubTyphusOverviewPracticeEssentialsBackgroundPathophysiologyEtiologyEpidemiologyPrognosisShowAllPresentationHistoryPhysicalExaminationComplicationsShowAllDDxWorkupTreatmentApproachConsiderationsPharmacologicTreatmentPreventionShowAllMedicationMedicationSummaryAntibioticsShowAllQuestions&AnswersMediaGalleryReferencesWorkupApproachConsiderationsRoutinelaboratorystudiesinpatientswithscrubtyphusrevealearlylymphopeniawithlatelymphocytosis.AdecreaseintheCD4:CD8lymphocyteratiomayalsobenoted.Thrombocytopeniaisalsoseen.[34,6]Thehematologicmanifestationsmayraisethesuspicionofdengueinfection.[32,3]Elevatedtransaminaselevelsmaybepresentin75-95%ofpatients.Hypoalbuminemiaoccursinabout50%ofcases,whereashyperbilirubinemiaisrare.Thesefindingsmaybeespeciallyprevalentinchildren.[34,47]Inadults,elevatedtransaminaselevelsrelatetoseverityofdisease.[11,6]Transaminitiscombinedwithothersymptomsandexposurehistorymaysuggestpossibleleptospirosis.Coinfectionwithleptospirosishasbeenreported.[3,48]Laboratorystudie