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Biomedical subjects

E Mannweiler

Publications and source records attributed to E Mannweiler.

At least 37 records · Page 2Linked to original sources
PubMed1981

[Immunodiagnostic findings in sera of patients with leishmaniasis, Chagas' disease, malaria and amebiasis in endemic regions of Venezuela (author's transl)].

66 serum samples from patients suffering from mucocutaneous leishmaniasis (20), Chagas' disease (12), malaria (16) or amebiasis (18) were collected and examined with five different protozoic antigens (L. donovani, T. cruzi, P. fieldi, P. falciparum, E. histolytica) by means of the indirect fluorescent antibody test, the complement fixation test, the indirect hemagglutination test and the latex agglutination. Cross-reactions were observed only between the sera from patients with leishmaniasis and Chagas' disease, both groups, however, showed stronger reactions with the homologous antigen. There were no cross-reactions among the other antigens and antibodies. The results obtained in this study together with facts already proved by literature show the usefulness of the employed antigens for epidemiological surveys.

Adolescent↗
PubMed1979

[Serum antibodies in cystic and alveolar hydatid disease (author's transl)].

Serum samples of 107 patients with cystic and 30 with alveolar hydatid disease were tested for antibodies with hydatid fluid and extract from cyst material of E. alveolaris as antigens. Complement-fixation, indirect haemagglutination and an indirect enzyme immune (ELISA) technique were employed. The results indicate an antibody picture which confirms the value of serum-antibodies in the diagnosis of hydatid disease. Diagnostically insufficient antibody formation was present in seven patients with cystic and two with alveolar hydatid disease. The indirect haemagglutination test with alveolaris antigen proved to be the most sensitive reaction for antibody demonstration of both echinococci, while the same antigen in the ELISA technique gave species-specific results in patients with E. alveolaris.

Adolescent↗
PubMed1979

Amoebic liver abscess: a retrospective clinical evaluation of twenty-seven cases.

Twenty-seven patients with Amobebic Liver Abscess were observed during the last two years and were analysed retrospectively with respect to diagnostic procedures and therapeutic strategies. Seven of the 27 patients had surgery and were subsequently referred to our hospital. Those patients with surgery had a longer duration of illness and hospitalization (3.3 months) compared to the other 20 patients with chemotherapy alone (2 months). Most important diagnostic parameters for extraintestinal amoebiasis were: typical clinical findings, time spent in tropical or subtropical countries, strongly positive Latex agglutination against Entamoeba histolytica antigen, and isotope and/or ultrasound scanning to confirm abscess formation in the liver. The vast majority of abscesses were found in the right liver lobe. Response to treatment with complete cure was seen in all patients, regardless of whether Metronidazole alone or combinations of Metronidazole with Chloroquine and Metronidazole and Dehydroemetine or Chloroquine and Dehydroemetine were used. There is a need for prospective therapeutic studies to compare the different drug regimen concerning side-effects, toxicity, costs, application, and duration of hospitalization. From the retrospective data it seems that surgery is not beneficial for the patients.

Adult↗
PubMed1978

[Serum antibody findings in trichinosis (author's transl)].

Serum samples of 66 persons who had eaten meat from a wild boar were tested two to three times within 11 months for antibodies against extracts from Trichinella larvae. Watery extract of Trichinella spiralis larvae served as antigen. Complement-fixation was of little use because of its lack of sensitivity. Indirect haemagglutination and the ELISA test (enzyme-linked immunosorbent assay) gave uncertain results only in individual cases. There was a relationship between the clinical picture and the mean antibody concentration, clearer in the ELISA test than the indirect haemagglutination one. A fall in antibody titre was observed within the period of observation in only one third of patients. Results with sera of control subjects were of only limited use in relation to the specificity of the demonstrated antibodies.

Antibodies↗
PubMed1978

[Antibody pattern in patients with different forms of leishmaniasis (author's transl)].

Using the indirect fluorescent antibody test, leishmanial antibodies could be demonstrated in patients with Leishmaniasis. In 18 of 22 cases of kala-azar the titers ranged between 1:160 and 1:1280. In the complement fixation test the titers in patients with kala-azar varied between greater than 1:4 in one case and less than or equal to 1:512 in twelve of the 22 patients. Complement fixing antibodies could not be detected in five of the nine patients with cutaneous or mucocutaneous leishmaniasis. The indirect haemagglutination test proved to be not suitable for diagnostic purposes because it did not detect antibodies in nine out of 22 cases with kala-azar. The IgG fraction of the serum immunoglobulins was increased in most patients with kala-azar. Sensitivity and specificity of the three immunological methods are discussed with reference to the results in 832 undefined sera submitted for routine diagnosis.

Antibodies↗
PubMed1978

[Immunodiagnostic results of amoebiasis. The value of counter immunoelectrophoresis in comparison to three other immunotests (author's transl)].

63 cases of extraintestinal amoebiasis, 17 cases of intestinal amoebiasis, and 25 selected control persons were examined for serum antibodies to antigen from E. histolytica using the counter-immunoelectrophoresis, the complement fixation test, the indirect haemagglutination test and the latex agglutination test. In addition counter-immunoelectrophoresis was applied to 41 sera from patients with extraintestinal amoebiasis whose other serological results were included in a previous study. Even with the employment of our immunological methods, the test results can be used for diagnostic purposes only when they are in accordance with the clinical picture and the exposure. Complete failures of the immuno-diagnostic tests did not occur in our study. On the other hand, there are persons with no symptoms of amoebiasis who have antibodies in two tests, among them sometimes the counter-immunoelectrophoresis, with levels corresponding to those of intestinal or extra-intestinal amoebiasis.

Amebiasis↗
PubMed1977

[Identification of plasmodial antibodies in the immunodiagnosis of malaria (author's transl)].

Out of 880 sera which were examined for antibodies to plasmodia 69 (7.8%) reacted only with P. falciparum antigen, 371(42.2%) reacted only with P. fieldi antigen, and 440 (50%) responded to both antigens. These groups were differentiated further with antigens from P. vivax, P. ovale, and P. malariae. The results showed that the P. ovale antigen was distinguished by a marked activity with those sera that had reacted only with P. fieldi in the screening test. With sera that had responded to both antigens or only to P. falciparum antigen in the screening test there was no such clear differentiation of the antibodies. P. falciparum was a less sensitive antigen for the demonstration of plasmodial antibodies (590, i.e. 57.8%, of the sera were positive) than P. fieldi (811, i.e. 91.2% of the sera were positive). The explanations given in the literature for the group and species specific reactions are discussed.

Antibodies↗
PubMed1977

[Immunological diagnosis of filariosis in persons returning from tropical countries and in European and indigenous inhabitants of endemic areas (author's transl)].

Serum samples from persons who lived in areas where onchocerciasis occurred or who had filariasis were examined with the complement fixation test and the indirect hemagglutination test for the presence of antibodies against crude extracts from Dirofilaria immitis, Onchocerca volvulus, Dipetalonema viteae, and Ascaris suum. The results could be interpreted as follows: 1. The indirect hemagglutination test was more sensitive than the complement fixation test for the demonstration of antibodies in sera from European and indigenous inhabitants of endemic areas. 2. There were no differences between the responses to the four crude worm extracts among the groups of 21 patients with Loa loa, 12 patients with Onchocerca volvulus, 11 patients with Dipetalonema perstans, and 22 patients with clinical filariasis in whom no microfilaria had been found. It was concluded that the examination with crude extracts cannot give any information about the antigens that had caused the stimulation of antibodies.

Adolescent↗
PubMed1977

[Contributions to the immunodiagnosis of echinococcosis (author's transl)].

Serum samples of 49 patients with echinococcosis, 32 of whom were diagnosed parasitologically (demonstration of protoscolices) and 17 of whom were diagnosed clinically (scintigram, histology), were examined for the presence of antibodies. The control group included sera from 74 patients with liver disease and tumors, 10 sera from blood donors, and 1330 sera for which serological tests for echinococcosis had been requested. The antigens used were two types of hydatid fluid, and aqueous extract from E. multilocularis cyst material, and protoscolices from E. granulosus and E. multilocularis. The results showed that the indirect immunofluorescence test with vital protoscolices was the most specific reaction whereas the indirect hemagglutination test with hydatid fluid and the extract from E. multilocularis was the most sensitive reaction. The latex turned out to be the least specific of the methods used. The sensitivity and specificity of our own results are compared with those of other investigators to emphasize the limitations of the immunodiagnosis of echinococcosis.

Adolescent↗
PubMed1977

[Strain related differences in the immunodiagnosis of malaria (author's transl)].

In infections with P. falciparum and P. vivax antibody titers were found to differ in relation to strains. Various strains of both Plasmodium species used as antigens showed differences in their sensitivity in reactions with one patient serum. In P. vivax infections it is supposed that some antibody titer differences are caused by antigen variations.

Animals↗
PubMed1976

[Serum-antibodies in patients with extra-intestinal amoebiasis (amoebic liver abscess) and healthy persons (author's transl)].

Tests for serum antibodies against two amoeba antigens were performed on serum samples from 70 patients with amoebic liver abscesses, 204 travellers returning from tropical countries and 136 inhabitants of an endemic region without evidence of amoebiasis. Suspicious or borderline results in the complement-fixation, indirect haemagglutination, latex-agglutination, and double-gel diffusion tests occurred in 73.3%-90.4% of patients with amoebic liver abscess, in the same reactions (except double-gel diffusion test) in 12.1-18.9% of travellers in the trophics, and 16.2%-46.3% of inhabitants of endemic regions. There was evidence for the need of performing several tests: patients with amoebic liver abscesses gave diagnostically useful results the more frequently the more tests were performed on a given serum sample. Negative results in the three tests occurred in only one case of multiple liver abscesses, but the sample had been obtained very early.

Antibodies↗
PubMed1976

[Serodiagnosis of malaria (author's transl)].

Homologous and heterologous malaria pathogens were used as antigens for the determination of malaria antibodies by indirect immunofluorescence. Homologous antibodies fell in the second half year, after successful treatment, down to the limit of demonstrability. In inhabitants of endemic malarial areas, who lived in the German Federal Republic, signs of a fall in antibodies could be observed after about 30 months. The predominance of particular malaria pathogens of the country of origin was recognizable in the antibody spectrum of these persons. Malaria antibody findings of three comparable groups of exposed persons under chemoprophylaxis ought to provide pointers to the parasitemias which had occurred and which were held responsible for the antibody production. Persons without chemoprophylaxis from malarial areas served as controls. The markedly deviating results of the antibody findings in the serum donors can only be explained by more seldom parasitemias in persons with adequate chemoprophylaxis.

Adult↗