“…Historically, several serologic techniques have been used to identify orthopoxvirus infections, including hemagglutination-inhibition (13), gel precipitation (17,22,23), complement fi xation (22), cross-neutralization (14), immunofl uorescence (24,25), Western blot (26,27), radioimmunoassay (13,15), and ELISA (28,29). In previous studies, we used a peptide-based ELISA with peptide sequences from the monkeypox B21R gene to differentially diagnose monkeypox infection (6).…”