Neisseria gonorrhoeae Meningitis in Pregnant Adolescent

(ab22285; Abcam Ltd., Cambridge, UK). Virus antigens were detected in feather epidermal cells from days 3 through 6 pi, and in a few stromal cells in the feather pulp on days 3 and 4 pi (online Appendix Figure, panel C). Our results indicate that larger amounts of viruses can be isolated for a longer time from feathers than from swabs. Therefore, feathers can be considered useful samples for surveillance or diagnostic examination of AI virus (H5N1) in domestic ducks. The epidermis, the outer layer of the feather, is a tissue that has poor host immune response against viral replication (8). As has been observed in virus isolation, viruses may be able to survive longer in differentiated epidermal tissue such as contour feathers. The sensitivity of the rapid test was not adequate for swabs, a fi nding similar to that of other studies (9,10). However, positive results for rapid tests of feather samples only may shed light on the on-site fi eld detection of AI (H5N1) in asymptomatic domestic ducks. When virus shedding from domestic ducks is maintained at a low level of viral load during the infection, selecting the sample with higher viral load and antigens in tissues, such as feathers, can increase the detection rate obtained from on-site examination. Our results show the potential of feathers as candidates for early AI virus (H5N1) detection.