TABLE 4.
Characteristic | Patient no.
|
||||||||
---|---|---|---|---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | |
Time interval (wk) | 6 | 6 | 2 | 6 | 6 | 10 | 22 | 21 | 53 |
Anti-Toxoplasma IgG level in serum/anti-Toxoplasma IgG level in aqueous humor (IU) | |||||||||
d | 392/0 | 86/0 | 320/127 | 10/0 | 285/0 | 350/280 | 50/12 | 22/0 | 2,000/1,500 |
i | 310/0 | 86/17 | 350/280 | 15/73 | 228/0 | 350/80 | 34/6 | 26/0 | 308/1,490 |
C | |||||||||
d | 0 | 0 | 5.9 | 0 | 0 | 3.7 | 16.8 | 0 | 0.33 |
i | 0 | 20.6 | 3.7 | 428 | 0 | 5.2 | 14.5 | 0 | 18.7 |
Aqueous humor IgA (index) | |||||||||
d | 0 | 0 | 4 | 0 | 0 | 0 | 0 | 0 | 0 |
i | 0 | 0 | 0 | 0 | 0 | 0 | 0.3 | 0 | 0 |
Antibody avidity (index) | |||||||||
d | — | — | 0.4 | — | — | 0.45 | 0.8 | — | 0.7 |
i | — | 0.75 | 0.45 | 0.55 | — | 0.15 | 0.55 | — | 0.8 |
DNA amplification, | |||||||||
d | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (vitreous) | 1 |
Confirmatory test | PCR | C | C?, IgAb | C | Not confirmed | C? | C | PCR vitreous | C, PCR, Toxoplasma-specific IgG in serumc |
Confirmatory results are indicated in boldface type. Abbreviations and symbols: d, sample collection at the time of presentation; i, sample collection at the indicated time after presentation; —, If no specific antibodies were detected, it was not possible to determine antibody avidity in the aqueous humor. For two patients (patients 1 and 8) with clinically typical cases, the laboratory diagnosis relied solely on PCR results.
IgA levels in the serum and aqueous humor were the same. In this case, C was consistently indicative but not confirmatory. This patient had suffered from acute hepatopathy 6 weeks prior to presentation for the ocular disease. T. gondii DNA was repeatedly amplified from liver biopsy specimens.
The level of anti-Toxoplasma IgG was more than threefold higher than the baseline value at 6 weeks.