Skip to main content
Journal of Clinical Microbiology logoLink to Journal of Clinical Microbiology
. 1988 Dec;26(12):2541–2543. doi: 10.1128/jcm.26.12.2541-2543.1988

Diagnosis of toxoplasmic encephalitis in patients with acquired immunodeficiency syndrome by using a new serologic method.

Y Suzuki 1, D M Israelski 1, B R Dannemann 1, P Stepick-Biek 1, P Thulliez 1, J S Remington 1
PMCID: PMC266941  PMID: 3230132

Abstract

The present study was performed to develop a serological method for diagnosing toxoplasmic encephalitis in patients with acquired immunodeficiency syndrome (AIDS). The trophozoite form of Toxoplasma gondii, fixed with either Formalin or acetone, was used in a modification of an agglutination method previously shown to differentiate between the acute and the chronic (latent) stages of infection with toxoplasma in immunologically normal persons. By using these antigens in separate tests and evaluating the data for statistical significance, 70% of patients with AIDS with biopsy-proven toxoplasmic encephalitis were distinguished from control, ambulatory patients with AIDS with toxoplasma antibodies but without signs or symptoms of central nervous system involvement. In a separate study, the agglutination tests identified from controls 84% of patients with AIDS with two or more brain lesions detected by computed-tomographic or magnetic-resonance-imaging scans and suspected of having toxoplasmic encephalitis. Thus, these agglutination tests should prove valuable for the noninvasive diagnosis of toxoplasmic encephalitis in patients with AIDS.

Full text

PDF
2541

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Araujo F. G., Remington J. S. Antigenemia in recently acquired acute toxoplasmosis. J Infect Dis. 1980 Feb;141(2):144–150. doi: 10.1093/infdis/141.2.144. [DOI] [PubMed] [Google Scholar]
  2. Desmonts G., Remington J. S. Direct agglutination test for diagnosis of Toxoplasma infection: method for increasing sensitivity and specificity. J Clin Microbiol. 1980 Jun;11(6):562–568. doi: 10.1128/jcm.11.6.562-568.1980. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Levy R. M., Bredesen D. E., Rosenblum M. L. Neurological manifestations of the acquired immunodeficiency syndrome (AIDS): experience at UCSF and review of the literature. J Neurosurg. 1985 Apr;62(4):475–495. doi: 10.3171/jns.1985.62.4.0475. [DOI] [PubMed] [Google Scholar]
  4. Luft B. J., Remington J. S. AIDS commentary. Toxoplasmic encephalitis. J Infect Dis. 1988 Jan;157(1):1–6. doi: 10.1093/infdis/157.1.1. [DOI] [PubMed] [Google Scholar]
  5. Lunde M. N., Jacobs L. Toxoplasma cystozoite antigenic change in tissue culture. J Parasitol. 1985 Dec;71(6):833–833. [PubMed] [Google Scholar]
  6. McCabe R. E., Gibbons D., Brooks R. G., Luft B. J., Remington J. S. Agglutination test for diagnosis of toxoplasmosis in AIDS. Lancet. 1983 Sep 17;2(8351):680–680. doi: 10.1016/s0140-6736(83)92554-0. [DOI] [PubMed] [Google Scholar]
  7. Naot Y., Remington J. S. An enzyme-linked immunosorbent assay for detection of IgM antibodies to Toxoplasma gondii: use for diagnosis of acute acquired toxoplasmosis. J Infect Dis. 1980 Nov;142(5):757–766. doi: 10.1093/infdis/142.5.757. [DOI] [PubMed] [Google Scholar]
  8. Potasman I., Resnick L., Luft B. J., Remington J. S. Intrathecal production of antibodies against Toxoplasma gondii in patients with toxoplasmic encephalitis and the acquired immunodeficiency syndrome (AIDS). Ann Intern Med. 1988 Jan;108(1):49–51. doi: 10.7326/0003-4819-108-1-49. [DOI] [PubMed] [Google Scholar]
  9. Sabin A. B., Feldman H. A. Dyes as Microchemical Indicators of a New Immunity Phenomenon Affecting a Protozoon Parasite (Toxoplasma). Science. 1948 Dec 10;108(2815):660–663. doi: 10.1126/science.108.2815.660. [DOI] [PubMed] [Google Scholar]
  10. Suzuki Y., Thulliez P., Desmonts G., Remington J. S. Antigen(s) responsible for immunoglobulin G responses specific for the acute stage of Toxoplasma infection in humans. J Clin Microbiol. 1988 May;26(5):901–905. doi: 10.1128/jcm.26.5.901-905.1988. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Thulliez P., Remington J. S., Santoro F., Ovlaque G., Sharma S., Desmonts G. Une nouvelle réaction d'agglutination pour le diagnostic du stade évolutif de la toxoplasmose acquise. Pathol Biol (Paris) 1986 Mar;34(3):173–177. [PubMed] [Google Scholar]
  12. van Knapen F., Panggabean S. O. Detection of circulating antigen during acute infections with Toxoplasma gondii by enzyme-linked immunosorbent assay. J Clin Microbiol. 1977 Dec;6(6):545–547. doi: 10.1128/jcm.6.6.545-547.1977. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Journal of Clinical Microbiology are provided here courtesy of American Society for Microbiology (ASM)

RESOURCES