Abstract
AIMS--To assess the performance and efficacy of three immunological techniques for the detection of Toxoplasma specific IgA antibodies in acute toxoplasmosis. METHODS--The following techniques were used to examine 128 serum samples (51 cases of acute toxoplasmosis, 50 cases of heterologous infections, and 27 healthy controls): direct enzyme linked immunosorbent assay (ELISA), antibody capture ELISA, and antibody capture agglutination. RESULTS--Direct ELISA had a sensitivity of 98% and a specificity of 97%, antibody capture ELISA of 100% and 99%, respectively, and antibody capture agglutination had sensitivity and specificity of 100%. CONCLUSIONS--All three immunological techniques performed well with similar efficacy. Detection of Toxoplasma specific IgA antibodies is a useful diagnostic marker for acute toxoplasmosis.
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- Bessières M. H., Roques C., Berrebi A., Barre V., Cazaux M., Séguéla J. P. IgA antibody response during acquired and congenital toxoplasmosis. J Clin Pathol. 1992 Jul;45(7):605–608. doi: 10.1136/jcp.45.7.605. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Decoster A., Darcy F., Caron A., Capron A. IgA antibodies against P30 as markers of congenital and acute toxoplasmosis. Lancet. 1988 Nov 12;2(8620):1104–1107. doi: 10.1016/s0140-6736(88)90523-5. [DOI] [PubMed] [Google Scholar]
- Desmonts G., Couvreur J. Congenital toxoplasmosis. A prospective study of 378 pregnancies. N Engl J Med. 1974 May 16;290(20):1110–1116. doi: 10.1056/NEJM197405162902003. [DOI] [PubMed] [Google Scholar]
- 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]
- Horowitz S. L., Bentson J. R., Benson F., Davos I., Pressman B., Gottlieb M. S. CNS toxoplasmosis in acquired immunodeficiency syndrome. Arch Neurol. 1983 Oct;40(10):649–652. doi: 10.1001/archneur.1983.04050090085015. [DOI] [PubMed] [Google Scholar]
- Kean B. H. Clinical Toxoplasmosis--50 years. Trans R Soc Trop Med Hyg. 1972;66(4):549–571. doi: 10.1016/0035-9203(72)90300-8. [DOI] [PubMed] [Google Scholar]
- Krick J. A., Remington J. S. Toxoplasmosis in the adult--an overview. N Engl J Med. 1978 Mar 9;298(10):550–553. doi: 10.1056/NEJM197803092981006. [DOI] [PubMed] [Google Scholar]
- Le Fichoux Y., Marty P., Chan H. Les IgA sériques spécifiques dans le diagnostic de la toxoplasmose. Ann Pediatr (Paris) 1987 May;34(5):375–379. [PubMed] [Google Scholar]
- Luft B. J., Brooks R. G., Conley F. K., McCabe R. E., Remington J. S. Toxoplasmic encephalitis in patients with acquired immune deficiency syndrome. JAMA. 1984 Aug 17;252(7):913–917. [PubMed] [Google Scholar]
- 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]
- Pujol M., Morel C., Malbruny B. Intérêt de la recherche des IgA dans le diagnostic de la toxoplasmose. Pathol Biol (Paris) 1989 Oct;37(8):893–896. [PubMed] [Google Scholar]
- Stepick-Biek P., Thulliez P., Araujo F. G., Remington J. S. IgA antibodies for diagnosis of acute congenital and acquired toxoplasmosis. J Infect Dis. 1990 Jul;162(1):270–273. doi: 10.1093/infdis/162.1.270. [DOI] [PubMed] [Google Scholar]
- YOUDEN W. J. Index for rating diagnostic tests. Cancer. 1950 Jan;3(1):32–35. doi: 10.1002/1097-0142(1950)3:1<32::aid-cncr2820030106>3.0.co;2-3. [DOI] [PubMed] [Google Scholar]