Table I.
Percentage of reactive sera
|
|||||||
---|---|---|---|---|---|---|---|
Origin | Serum panel | n | Conventional serology (IHA, IFI, ELISA) reactivity (%) |
EpEx CL-ELISAareactivity (%) | Hemoculture | Anti–TSSA-Ib | Anti–TSSA-II |
Argentina | Chagasic | 66 | 100 | ND | ND | 3.0 | 95.4 |
Non-Chagasic | 10 | 0 | ND | ND | 0 | 0 | |
Brazil | Chagasicc | 112 | 100 | 98.2 | ND | 5.4 | 82.1 |
Chagasicd | 48 | 100 | 100 | + | 0 | 100 | |
Chagasice | 75 | 100 | 100 | + | 2.7 | 100 | |
Non-Chagasic | 126 | 0 | 0 | ND | 0 | 0 | |
Chile | Chagasicc | 23 | NDf | 100 | ND | 8.7 | 87.0 |
Sera were grouped according to the country of origin and diagnosis criteria and tested at 1:200 dilution for TSSA-I and TSSA-II reactivity by ELISA (Argentinean samples) and/or CL-ELISA (Brazilian and Chilean samples).
EpEx CL-ELISA, chemiluminescent ELISA test using an epimastigote (Tulahuén strain) preparation as antigen (reference 25).
Positive sera showed very low reactivity against TSSA-I, with reading (absorbance or relative luminescent unit) values close to the cutoff value for the specific test. Sera reactive for TSSA-I were also positive for TSSA-II, with reading values for the latter higher than those observed for the former (see also Fig. 6 C).
Potentially Chagasic patients.
Confirmed Chagasic patients.
Confirmed Chagasic patients coinfected with HIV.
ND, not determined.