Serodiagnosis of western equine encephalitis virus infections: relationships of antibody titer and test to observed onset of clinical illness.

Sera from horses and human beings with clinically diagnosed western equine encephalitis (WEE) virus infections were tested for hemagglutination-inhibition (HI), complement-fixation (CF), and neutralizing (N) antibody to WEE virus. These tests confirmed infection in 43.8% (HI), 56.3% (CF), and 80.4% (N) of horses and 54.5% (HI), 59.1% (CF), and 77.3% (N) of human beings. Use of the N test as an adjunct to the HI and CF tests increased the likelihood of serologic confirmation to 91.7%. In both horses and human beings, N antibody increased steeply at the end of the 1st week after onset. The results suggested that the presence of a high HI, CF, and/or N antibody titer in a single serum obtained from horses during the acute phase of illness caused by WEE virus can be used as presumptive evidence for infection with this virus.