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. 1978 Jul;8(1):15–22. doi: 10.1128/jcm.8.1.15-22.1978

Usefulness of serial antibody determinations in diagnosis of candidiasis as measured by discontinuous counterimmunoelectrophoresis using HS antigen.

R Marier, V T Andriole
PMCID: PMC275107  PMID: 670385

Abstract

We have followed the candida antibody response in 115 patients with different types of candidiasis by discontinuous counterimmunoelectrophoresis using HS antigen to learn whether any early antibody response occurs in systemic candidiasis and whether there are differences in the antibody response in candidiasis involving different organ systems. We found that 23 of 32 (72%) patients with systemic candidiasis had a rise in antibody titer within the first 2 weeks of infection and that high titers were relatively insensitive indicators of infection. No differences were seen in the antibody response in different types of candidiasis. Patients with aspergillosis and torulopsosis had titer rises as well which were attributed to either inapparent candida infection or cross-reacting antibody. A rise in titer was not seen in any patient with candida colonization, bacterial or viral infection, or no infection in contrast to titers greater than or equal to 1/1 or greater than or equal to 1/8 which were seen in these conditions.

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Selected References

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  1. Bacon P. A., Davidson C., Smith B. Antibodies to candida and autoantibodies in sub-acute bacterial endocarditis. Q J Med. 1974 Oct;43(172):537–550. [PubMed] [Google Scholar]
  2. Chew W. H., Theus T. L. Candida precipitins. J Immunol. 1967 Feb;98(2):220–224. [PubMed] [Google Scholar]
  3. Coudert J., Kien Truong Thai, Ambroise-Thomas P., Douchet C., Pothier M. A. Septicémie a candida albicans. Etude sérologique par immuno-fluorescence, agglutination et immuno-électrophorèse. Bull Soc Pathol Exot Filiales. 1967 Nov-Dec;60(6):497–503. [PubMed] [Google Scholar]
  4. Dee T. H., Rytel M. W. Clinical application of counterimmunoelectrophoresis in detection of Candida serum precipitins. J Lab Clin Med. 1975 Jan;85(1):161–166. [PubMed] [Google Scholar]
  5. Dee T. H., Rytel M. W. Detection of candida serum precipitins by counterimmunoelectrophoresis: an adjunct in determining significant candidiasis. J Clin Microbiol. 1977 Apr;5(4):453–457. doi: 10.1128/jcm.5.4.453-457.1977. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Ellsworth J. H., Reiss E., Bradley R. L., Chmel H., Armstrong D. Comparative serological and cutaneous reactivity of candidal cytoplasmic proteins and mannan separated by affinity for concanavalin A. J Clin Microbiol. 1977 Jan;5(1):91–99. doi: 10.1128/jcm.5.1.91-99.1977. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Everett E. D., LaForce F. M., Eickhoff T. C. Serologic studies in suspected visceral candidiasis. Arch Intern Med. 1975 Aug;135(8):1075–1078. [PubMed] [Google Scholar]
  8. Filice G., Yu B., Armstrong D. Immunodiffusion and agglutination tests for Candida in patients with neoplastic disease: inconsistent correlation of results with invasive infections. J Infect Dis. 1977 Mar;135(3):349–357. doi: 10.1093/infdis/135.3.349. [DOI] [PubMed] [Google Scholar]
  9. Gaines J. D., Remington J. S. Diagnosis of deep infection with Candida. A study of Candida precipitins. Arch Intern Med. 1973 Nov;132(5):699–702. [PubMed] [Google Scholar]
  10. Goldstein E., Hoeprich P. D. Problems in the diagnosis and treatment of systemic candidiasis. J Infect Dis. 1972 Feb;125(2):190–193. doi: 10.1093/infdis/125.2.190. [DOI] [PubMed] [Google Scholar]
  11. Hasenclever H. F., Mitchell W. O. A study of yeast surface antigens by agglutination inhibition. Sabouraudia. 1964 Oct;3(4):288–300. doi: 10.1080/00362176485190511. [DOI] [PubMed] [Google Scholar]
  12. Hellwege H. H., Fischer K., Bläker F. Diagnostic value of Candida precipitins. Lancet. 1972 Aug 19;2(7773):386–386. doi: 10.1016/s0140-6736(72)91782-5. [DOI] [PubMed] [Google Scholar]
  13. Jones S. A., Brennan M., Kundsin R. B. Candida serology: an aid in diagnosis of deep-organ candidiasis. J Surg Res. 1973 Mar;14(3):235–237. doi: 10.1016/0022-4804(73)90139-x. [DOI] [PubMed] [Google Scholar]
  14. Kozinn P. J., Hasenclever H. F., Taschdjian C. L., Mackenzie D. W., Protzman W., Seelig M. S. Problems in the diagnosis and treatment of systemic candidiasis. J Infect Dis. 1972 Nov;126(5):548–550. doi: 10.1093/infdis/126.5.548. [DOI] [PubMed] [Google Scholar]
  15. LOWRY O. H., ROSEBROUGH N. J., FARR A. L., RANDALL R. J. Protein measurement with the Folin phenol reagent. J Biol Chem. 1951 Nov;193(1):265–275. [PubMed] [Google Scholar]
  16. Lehner T. Immunofluorescence study of Candida albicans in candidiasis, carriers and controls. J Pathol Bacteriol. 1966 Jan;91(1):97–104. doi: 10.1002/path.1700910114. [DOI] [PubMed] [Google Scholar]
  17. Louria D. B., Shannon D., Johnson G., Caroline L., Okas A., Taschdjian C. The susceptibility to moniliasis in children with endocrine hypofunction. Trans Assoc Am Physicians. 1967;80:236–249. [PubMed] [Google Scholar]
  18. Marier R., Andriole V. T. Comparison of continuous and discontinuous counterimmunoelectrophoresis with immunodiffusion in identification of candida antibody using HS antigen. J Clin Microbiol. 1978 Jul;8(1):12–14. doi: 10.1128/jcm.8.1.12-14.1978. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Murray I. G., Buckley H. R., Turner G. C. Serological evidence of Candida infection after open-heart surgery. J Med Microbiol. 1969 Nov 4;2(4):463–469. doi: 10.1099/00222615-2-4-463. [DOI] [PubMed] [Google Scholar]
  20. Preisler H. D., Hasenclever H. F., Henderson E. S. Anti-Candida antibodies in patients with acute leukemia. A prospective study. Am J Med. 1971 Sep;51(3):352–361. doi: 10.1016/0002-9343(71)90271-3. [DOI] [PubMed] [Google Scholar]
  21. Preisler H. D., Hasenclever H. F., Levitan A. A., Henderson E. S. Serologic diagnosis of disseminated candidiasis in patients with acute leukemia. Ann Intern Med. 1969 Jan;70(1):19–30. doi: 10.7326/0003-4819-70-1-19. [DOI] [PubMed] [Google Scholar]
  22. Remington J. S., Gaines J. D., Gilmer M. A. Demonstration of Candida precipitins in human sera by counterimmunoelectrophoresis. Lancet. 1972 Feb 19;1(7747):413–413. doi: 10.1016/s0140-6736(72)90860-4. [DOI] [PubMed] [Google Scholar]
  23. Rosener F., Gabriel F. D., Taschdjian C., Cuesta M. B., Kozinn P. J. Serologic diagnosis of systemic candidiasis in patients with acute leukemia. Am J Med. 1971 Jul;51(1):54–62. doi: 10.1016/0002-9343(71)90323-8. [DOI] [PubMed] [Google Scholar]
  24. STALLYBRASS F. C. CANDIDA PRECIPITINS. J Pathol Bacteriol. 1964 Jan;87:89–97. doi: 10.1002/path.1700870113. [DOI] [PubMed] [Google Scholar]
  25. Stanley V. C., Hurley R., Carroll C. J. Distribution and significance of candida precipitins in sera from pregnant women. J Med Microbiol. 1972 Aug;5(3):313–320. doi: 10.1099/00222615-5-3-313. [DOI] [PubMed] [Google Scholar]
  26. Stickle D., Kaufman L., Blumer S. O., McLaughlin D. W. Comparison of a newly developed latex agglutination test and an immunodiffusion test in the diagnosis of systemic candidiasis. Appl Microbiol. 1972 Mar;23(3):490–499. doi: 10.1128/am.23.3.490-499.1972. [DOI] [PMC free article] [PubMed] [Google Scholar]
  27. Taschdjian C. L., Cuesta M. B., Kozinn P. J., Caroline L. A modified antigen for serodiagnosis of systemic candidiasis. Am J Clin Pathol. 1969 Oct;52(4):468–472. doi: 10.1093/ajcp/52.4.468. [DOI] [PubMed] [Google Scholar]
  28. Taschdjian C. L., Kozinn P. J., Cuesta M. B., Toni E. F. Serodiagnosis of Candidal infections. Am J Clin Pathol. 1972 Feb;57(2):195–205. doi: 10.1093/ajcp/57.2.195. [DOI] [PubMed] [Google Scholar]
  29. Taschdjian C. L., Seelig M. S., Kozinn P. J. Serological diagnosis of candidal infections. CRC Crit Rev Clin Lab Sci. 1973 Jul;4(1):19–59. doi: 10.3109/10408367309151683. [DOI] [PubMed] [Google Scholar]
  30. Venezia R. A., Robertson R. G. Efficacy of the Candida precipitin test. Verification with a protoplast antigen preparation. Am J Clin Pathol. 1974 Jun;61(6):849–855. doi: 10.1093/ajcp/61.6.849. [DOI] [PubMed] [Google Scholar]
  31. Weiner M. H., Yount W. J. Mannan antigenemia in the diagnosis of invasive Candida infections. J Clin Invest. 1976 Nov;58(5):1045–1053. doi: 10.1172/JCI108555. [DOI] [PMC free article] [PubMed] [Google Scholar]
  32. Williams D. M., Krick J. A., Remington J. S. Pulmonary infection in the compromised host: part I. Am Rev Respir Dis. 1976 Aug;114(2):359–394. doi: 10.1164/arrd.1976.114.2.359. [DOI] [PubMed] [Google Scholar]

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