Skip to main content
Journal of Clinical Microbiology logoLink to Journal of Clinical Microbiology
. 1978 Nov;8(5):516–519. doi: 10.1128/jcm.8.5.516-519.1978

Complement fixation antibody test for human nocardiosis.

J Z Shainhouse, A C Pier, D A Stevens
PMCID: PMC275290  PMID: 365880

Abstract

Complement-fixing antibody was detected in 13 of 16 patients with histological and/or culture evidence of infection with Nocardia species. The antigen used was a filtrate of soluble substances secreted into liquid growth medium by cultures of N. asteroides. Apparent false positives reactions were found in three of three patients with leprosy and two of five patients with tuberculosis--results similar to some previously reported methods. N. asteroides and mycobacteria share antigens. Only the false positives with tuberculosis are considered a diagnostic problem. No reactions were obtained with sera from 26 patients with other infections and 41 unifected individuals. Whereas previous nocardia serodiagnostic methods have a sensitivity of approximately 50%, our overall sensitivity (81%) compares favorably and included 9 of 11 positive tests in immunocompromised nocardiosis patients (a source of false negative reactions with previous methods).

Full text

PDF
516

Selected References

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

  1. BOJALIL L. F., ZAMORA A. Precipitin and skin tests in the diagnosis of mycetoma due to Nocardia brasiliensis. Proc Soc Exp Biol Med. 1963 May;113:40–43. doi: 10.3181/00379727-113-28270. [DOI] [PubMed] [Google Scholar]
  2. Beaman B. L., Burnside J., Edwards B., Causey W. Nocardial infections in the United States, 1972-1974. J Infect Dis. 1976 Sep;134(3):286–289. doi: 10.1093/infdis/134.3.286. [DOI] [PubMed] [Google Scholar]
  3. HOSTY T. S., McDURMONT C., AJELLO L., GEORG L. K., BRUMFIELD G. L., CALIX A. A. Prevalence of Nocardia asteroides in sputa examined by a tuberculosis diagnostic laboratory. J Lab Clin Med. 1961 Jul;58:107–114. [PubMed] [Google Scholar]
  4. Humphreys D. W., Crowder J. G., White A. Serological reactions to Nocardia antigens. Am J Med Sci. 1975 May-Jun;269(3):323–326. doi: 10.1097/00000441-197505000-00005. [DOI] [PubMed] [Google Scholar]
  5. KEELER R. F., PIER A. C. EXTRACELLULAR ANTIGENS OF NOCARDIA ASTEROIDES. II. FRACTIONATION AND CHEMICAL CHARACTERIZATION. Am Rev Respir Dis. 1965 Mar;91:400–408. doi: 10.1164/arrd.1965.91.3.400. [DOI] [PubMed] [Google Scholar]
  6. Karassik S. L., Subramanyam L., Green R. E., Brook J. Disseminated Nocardia brasiliensis infection. Arch Dermatol. 1976 Mar;112(3):370–372. [PubMed] [Google Scholar]
  7. Krick J. A., Stinson E. B., Remington J. S. Nocardia infection in heart transplant patients. Ann Intern Med. 1975 Jan;82(1):18–26. doi: 10.7326/0003-4819-82-1-18. [DOI] [PubMed] [Google Scholar]
  8. PIER A. C., ENRIGHT J. B. Nocardia asteroides as a mammary pathogen of cattle. III. Immunologic reactions of infected animals. Am J Vet Res. 1962 Mar;23:284–292. [PubMed] [Google Scholar]
  9. PIER A. C., KEELER R. F. EXTRACELLULAR ANTIGENS OF NOCARDIA ASTEROIDES. I. PRODUCTION AND IMMUNOLOGIC CHARACTERIZATION. Am Rev Respir Dis. 1965 Mar;91:391–399. doi: 10.1164/arrd.1965.91.3.391. [DOI] [PubMed] [Google Scholar]
  10. PUTT F. A. A modified Ziehl-Neelsen method for demonstration of leprosy bacilli and other acid-fast organisms. Am J Clin Pathol. 1951 Jan;21(1):92–95. [PubMed] [Google Scholar]
  11. Palmer D. L., Harvey R. L., Wheeler J. K. Diagnostic and therapeutic considerations in Nocardia asteroides infection. Medicine (Baltimore) 1974 Sep;53(5):391–401. doi: 10.1097/00005792-197409000-00005. [DOI] [PubMed] [Google Scholar]
  12. Rippon J. W. Nocardia: a geographic prevalence. Arch Dermatol. 1977 Feb;113(2):237–237. [PubMed] [Google Scholar]
  13. Robboy S. J., Vickery A. L., Jr Tinctorial and morphologic properties distinguishing actinomycosis and nocardiosis. N Engl J Med. 1970 Mar 12;282(11):593–596. doi: 10.1056/NEJM197003122821104. [DOI] [PubMed] [Google Scholar]
  14. STEIN L., ESTRELLADO R. E., JUDD J. M. Nocardiosis and tuberculosis. Report of a case of coexistent pulmonary tuberculosis and extrapulmonary nocardiosis. J Thorac Cardiovasc Surg. 1962 Mar;43:314–319. [PubMed] [Google Scholar]
  15. Thurston J. R., Phillips M., Pier A. C. Extracellular antigens of Nocardia asteroides. 3. Immunologic relationships demonstrated by erythrocyte-sensitizing antigens. Am Rev Respir Dis. 1968 Feb;97(2):240–247. doi: 10.1164/arrd.1968.97.2.240. [DOI] [PubMed] [Google Scholar]
  16. Wilhite J. L., Cole F. H. Invasion of pulmonary cavities by MNocardia asteroides. Report of 5 cases. Am Surg. 1966 Feb;32(2):107–111. [PubMed] [Google Scholar]
  17. ZAMORA A., BOJALIL L. F., BASTARRACHEA F. IMMUNOLOGICALLY ACTIVE POLYSACCHARIDES FROM NOCARDIA ASTEROIDES AND NOCARDIA BRASILIENSIS. J Bacteriol. 1963 Mar;85:549–555. doi: 10.1128/jb.85.3.549-555.1963. [DOI] [PMC free article] [PubMed] [Google Scholar]

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

RESOURCES