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. 2000 Mar;38(3):996–1001. doi: 10.1128/jcm.38.3.996-1001.2000

TABLE 4.

Comparison of laboratory test results with paired samples of aqueous humor and serum collected at time of presentation and 2 to 53 weeks thereaftera

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
a

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. 

b

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. 

c

The level of anti-Toxoplasma IgG was more than threefold higher than the baseline value at 6 weeks.