The later 8 cases received further laboratory examinations.
Semen was collected by electroejaculation (Electrojac, Ideal® Instruments, MI, USA) for further laboratory examinations.
As the study was performed retrospectively, no additional interviews of relatives, physicians or further laboratory examinations were conducted.
Whenever possible, in addition to initial examination by local pathologists, tissue specimens were examined by CDC pathologists to help guide further laboratory testing decisions.
Further diagnostic or laboratory examinations were reported in 28.0% of incident cases of HZ among an Italian sample of immunocompetent individuals, with the mean number of procedures and examinations reported to be 2.6 per case [ 29].
Overall, 28.0% (1012/3620) of cases underwent further diagnostic or laboratory examinations, with the mean number of procedures and examinations being 2.6 for each case of HZ, increasing with age (age class range 2.3-2.9 2.3-2.9
However, if a patient is being evaluated for a fall that occurred further in the past, then little or no laboratory examination needs to be performed.
The accurate identification of a mortality event requires a thorough pathological examination carried out by a wildlife specialist following standardized procedures and complemented by further laboratory analyses [ 5].
A subsequent hysterectomy and laboratory examination of the uterus demonstrated the presence of the disease.
