Abstract
A high-density particle agglutination test, using erythrocyte-sensitizing substance from phase II Coxiella burnetii adsorbed to high-density composite particles, was developed for rapid serodiagnosis of Q fever. The test was compared with the microimmunofluorescence test for sensitivity and specificity by using 3,036 human serum samples collected in Gifu Prefecture, Japan. An excellent agreement was found between the two tests for the acute-phase group and paired serum samples, but some discordant results were observed in the single-sample group. The sensitivity and specificity of the high-density particle agglutination test were both 100% in the former group and 81.6 and 99.9%, respectively, in the latter group. The test is a very promising tool for routine serodiagnosis of Q fever because of its simplicity, sensitivity, and specificity.
Full Text
The Full Text of this article is available as a PDF (187.3 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Anacker R. L., Philip R. N., Thomas L. A., Casper E. A. Indirect hemagglutination test for detection of antibody to Rickettsia rickettsii in sera from humans and common laboratory animals. J Clin Microbiol. 1979 Nov;10(5):677–684. doi: 10.1128/jcm.10.5.677-684.1979. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bakemeier R. F. A study of phase variation in Coxiella burneti employing hemagglutination tests. J Immunol. 1965 Nov;95(5):880–886. [PubMed] [Google Scholar]
- Behymer D. E., Ruppanner R., Brooks D., Williams J. C., Franti C. E. Enzyme immunoassay for surveillance of Q fever. Am J Vet Res. 1985 Nov;46(11):2413–2417. [PubMed] [Google Scholar]
- Bornstein N., Fleurette J. Comparison of microagglutination with the indirect immunofluorescence assay for the diagnosis of infection with Legionella pneumophila serogroup 1. Eur J Clin Microbiol. 1983 Aug;2(4):335–339. doi: 10.1007/BF02019463. [DOI] [PubMed] [Google Scholar]
- CHANG S. M. A serologically-active erythrocyte-sensitizing substance from typhus rickettsiae. I. Isolation and titration. J Immunol. 1953 Mar;70(3):212–214. [PubMed] [Google Scholar]
- De La Fuente L., Anda P., Rodriguez I., Hechemy K. E., Raoult D., Casal J. Evaluation of a latex agglutination test for Rickettsia conorii antibodies in seropositive patients. J Med Microbiol. 1989 Jan;28(1):69–72. doi: 10.1099/00222615-28-1-69. [DOI] [PubMed] [Google Scholar]
- Dupuis G., Péter O., Peacock M., Burgdorfer W., Haller E. Immunoglobulin responses in acute Q fever. J Clin Microbiol. 1985 Oct;22(4):484–487. doi: 10.1128/jcm.22.4.484-487.1985. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Field P. R., Hunt J. G., Murphy A. M. Detection and persistence of specific IgM antibody to Coxiella burnetii by enzyme-linked immunosorbent assay: a comparison with immunofluorescence and complement fixation tests. J Infect Dis. 1983 Sep;148(3):477–487. doi: 10.1093/infdis/148.3.477. [DOI] [PubMed] [Google Scholar]
- Guigno D., Coupland B., Smith E. G., Farrell I. D., Desselberger U., Caul E. O. Primary humoral antibody response to Coxiella burnetii, the causative agent of Q fever. J Clin Microbiol. 1992 Aug;30(8):1958–1967. doi: 10.1128/jcm.30.8.1958-1967.1992. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hechemy K. E., Anacker R. L., Carlo N. L., Fox J. A., Gaafar H. A. Absorption of Rickettsia rickettsii antibodies by Rickettsia rickettsii antigens in four diagnostic tests. J Clin Microbiol. 1983 Mar;17(3):445–449. doi: 10.1128/jcm.17.3.445-449.1983. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hechemy K. E., Fox J., Samsonoff W. A., Anacker R., Silverman D., Eisemann C., Green I. S. Production of antibody to and cellular localization of erythrocyte-sensitizing substance from Rickettsia rickettsii. J Clin Microbiol. 1989 Mar;27(3):377–384. doi: 10.1128/jcm.27.3.377-384.1989. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hechemy K. E., Michaelson E. E., Anacker R. L., Zdeb M., Sasowski S. J., Kleeman K. T., Joseph J. M., Patel J., Kudlac J., Elliott L. B. Evaluation of latex-Rickettsia rickettsii test for Rocky Mountain spotted fever in 11 laboratories. J Clin Microbiol. 1983 Oct;18(4):938–946. doi: 10.1128/jcm.18.4.938-946.1983. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hechemy K. E., Rubin B. B. Latex-Rickettsia rickettsii test reactivity in seropositive patients. J Clin Microbiol. 1983 Mar;17(3):489–492. doi: 10.1128/jcm.17.3.489-492.1983. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Htwe K. K., Yoshida T., Hayashi S., Miyake T., Amano K., Morita C., Yamaguchi T., Fukushi H., Hirai K. Prevalence of antibodies to Coxiella burnetii in Japan. J Clin Microbiol. 1993 Mar;31(3):722–723. doi: 10.1128/jcm.31.3.722-723.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kazár J., Brezina R., Schramek S., Palanová A., Tvrdá B. Suitability of the microagglutination test for detection of post-infection and post-vaccination Q fever antibodies in human sera. Acta Virol. 1981 Jul;25(4):235–240. [PubMed] [Google Scholar]
- Murphy J. R., Fiset P., Snyder L. B., Wisseman C. L., Jr Antibody to Rickettsia mooseri erythrocyte-sensitizing substance. Infect Immun. 1979 Jun;24(3):962–964. doi: 10.1128/iai.24.3.962-964.1979. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Osterman J. V., Eisemann C. S. Rickettsial indirect hemagglutination test: isolation of erythrocyte-sensitizing substance. J Clin Microbiol. 1978 Aug;8(2):189–196. doi: 10.1128/jcm.8.2.189-196.1978. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Peacock M. G., Philip R. N., Williams J. C., Faulkner R. S. Serological evaluation of O fever in humans: enhanced phase I titers of immunoglobulins G and A are diagnostic for Q fever endocarditis. Infect Immun. 1983 Sep;41(3):1089–1098. doi: 10.1128/iai.41.3.1089-1098.1983. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Philip R. N., Casper E. A., Ormsbee R. A., Peacock M. G., Burgdorfer W. Microimmunofluorescence test for the serological study of rocky mountain spotted fever and typhus. J Clin Microbiol. 1976 Jan;3(1):51–61. doi: 10.1128/jcm.3.1.51-61.1976. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Péter O., Dupuis G., Burgdorfer W., Peacock M. Evaluation of the complement fixation and indirect immunofluorescence tests in the early diagnosis of primary Q fever. Eur J Clin Microbiol. 1985 Aug;4(4):394–396. doi: 10.1007/BF02148690. [DOI] [PubMed] [Google Scholar]
- Péter O., Dupuis G., Peacock M. G., Burgdorfer W. Comparison of enzyme-linked immunosorbent assay and complement fixation and indirect fluorescent-antibody tests for detection of Coxiella burnetii antibody. J Clin Microbiol. 1987 Jun;25(6):1063–1067. doi: 10.1128/jcm.25.6.1063-1067.1987. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Satoh M., Kawabata M., Kawakami T., Kawano K., Tanaka H., Mitani K., Maehara T. [Basic and clinical studies on a new method for detecting anti-Mycoplasma pneumoniae antibody, using high density particles]. Rinsho Byori. 1990 Apr;38(4):451–456. [PubMed] [Google Scholar]
- Shirai A., Dietel J. W., Osterman J. V. Indirect hemagglutination test for human antibody to typhus and spotted fever group rickettsiae. J Clin Microbiol. 1975 Nov;2(5):430–437. doi: 10.1128/jcm.2.5.430-437.1975. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Shitara M., Ito K., Yoshimoto K., Umezu S., Kobayashi S., Itagaki T., Shitara M., Kinoshita T., Nakahara T., Hayashi Y. [Comparative studies of serological test for Mycoplasma pneumoniae on 73 cases of lower respiratory infection disease]. Rinsho Byori. 1990 Jun;38(6):683–687. [PubMed] [Google Scholar]
- Tissot Dupont H., Raoult D., Brouqui P., Janbon F., Peyramond D., Weiller P. J., Chicheportiche C., Nezri M., Poirier R. Epidemiologic features and clinical presentation of acute Q fever in hospitalized patients: 323 French cases. Am J Med. 1992 Oct;93(4):427–434. doi: 10.1016/0002-9343(92)90173-9. [DOI] [PubMed] [Google Scholar]
- To H., Kako N., Zhang G. Q., Otsuka H., Ogawa M., Ochiai O., Nguyen S. V., Yamaguchi T., Fukushi H., Nagaoka N. Q fever pneumonia in children in Japan. J Clin Microbiol. 1996 Mar;34(3):647–651. doi: 10.1128/jcm.34.3.647-651.1996. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Uhaa I. J., Fishbein D. B., Olson J. G., Rives C. C., Waag D. M., Williams J. C. Evaluation of specificity of indirect enzyme-linked immunosorbent assay for diagnosis of human Q fever. J Clin Microbiol. 1994 Jun;32(6):1560–1565. doi: 10.1128/jcm.32.6.1560-1565.1994. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Waag D. M., Galloway A., Sandstrom G., Bolt C. R., England M. J., Nelson G. O., Williams J. C. Cell-mediated and humoral immune responses induced by scarification vaccination of human volunteers with a new lot of the live vaccine strain of Francisella tularensis. J Clin Microbiol. 1992 Sep;30(9):2256–2264. doi: 10.1128/jcm.30.9.2256-2264.1992. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Williams J. C., Walker D. H., Peacock M. G., Stewart S. T. Humoral immune response to Rocky Mountain spotted fever in experimentally infected guinea pigs: immunoprecipitation of lactoperoxidase 125I-labeled proteins and detection of soluble antigens of Rickettsia rickettsii. Infect Immun. 1986 Apr;52(1):120–127. doi: 10.1128/iai.52.1.120-127.1986. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Worswick D., Marmion B. P. Antibody responses in acute and chronic Q fever and in subjects vaccinated against Q fever. J Med Microbiol. 1985 Jun;19(3):281–296. doi: 10.1099/00222615-19-3-281. [DOI] [PubMed] [Google Scholar]