Serological diagnosis of hydatid disease.
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Sixteen 6-mo-old battery-reared ring-necked pheasants (Phasianus colchicus) were inoculated orally with 10(5) (group A, ME 49 strain, five birds), 10(4) (group B, ME 49 strain, six birds) and 10(4) (group C, GT-1 strain, five birds) Toxoplasma gondii oocysts. The pheasants in groups A and B remained clinically normal. One of the pheasants in group C died 19 days after inoculation (DAI); T. gondii was found in histological sections of brain and heart and encephalitis, myocarditis and enteritis were the main lesions. Toxoplasma gondii was isolated by bioassays from pooled tissues of five of six pheasants in group B killed 36 DAI. Toxoplasma gondii was isolated from the brains, hearts and skeletal muscles of each of the four pheasants inoculated with the GT-1 strain (group C), and from the brains of four, hearts of three and skeletal muscles of four of five pheasants inoculated with the ME 49 strain (group A). All pheasants developed high (1: 1,600-1:25,600) antibody titers to T. gondii in the modified agglutination test (MAT) 36 to 68 DAI. Antibody titers detected with the MAT were higher than those detected in the indirect hemagglutination and latex agglutination tests. Antibodies were not detected in 1:4 dilution of pheasant sera with the Sabin-Feldman dye test.
In making a comparative study of different parameters in the examination of synovial fluid (rheumatoid factors, ragocytes, leucocytes, synovial complement, immunoglobulins) the authors show that rheumatoid fluid has characteristics that make differentiation from other inflammatory arthropathies possible on a statistical basis, thanks to the test for the homogeneity of the means. The presence of these characteristics seems to constitute a diagnostic argument which can be measured by mathematical methods.
A new latex-agglutination kit for rapid screening for fibrinogen/fibrin degradation products (FDP/fdp) has been compared with a standard tanned red cell hemagglutination inhibition immunoassay (TRCHII). The latex-agglutination test results agreed with the TRCHII results for 489 of 588 samples (83%). FDP/fdp values were elevated by the latex-agglutination kit when normal by the TRCHII for 79 (13%) samples, and the reverse was true for 20 (3%) samples. Serial dilution of serum sample allowed reliable semiquantitation of FDP/fdp levels compared with TRCHII results (r=less than .001). The latex-agglutination test gave FDP/fdp values of larger than or equal to 10 mug. per ml. for sera from 11 of 13 patients who had acute pulmonary embolism and for only one of 24 normal control samples. The direct latex-agglutination kit for FDP/fdp appears to have appropriate sensitivity to serve as a screening test for acute pulmonary embolism in patients not receiving heparin therapy.
Virulence factors were studied in 82 strains of Escherichia coli isolated from the urine of dogs with urinary tract infections. The most frequently expressed O antigens were 2, 4, 6, 25, and 22/83. Most strains were K nontypeable. Mannose-sensitive hemagglutination (MSH) with canine erythrocytes was observed in 71 strains and mannose-resistant hemagglutination (MRH) was observed in 32 strains. Strains that caused MSH of erythrocytes from dogs also caused MSH of erythrocytes from guinea pigs. Most strains that caused MRH of human A1P1 erythrocytes also reacted with erythrocytes of dogs. Of 22 strains (27%) that agglutinated human A1P1 erythrocytes, but not A1p erythrocytes, 17 (77%) had specificity for globo A, but did not react with the galactose alpha 1----4galactose beta disaccharide receptor. The remaining 5 strains and 2 others that simultaneously expressed an X adhesin agglutinated galactose alpha 1----4galactose beta-coated latex beads. Bacterial adherence to canine uroepithelial cells from the bladder was most often observed in strains expressing MSH, less often observed in strains expressing MRH, and least often observed in strains that failed to induce hemagglutination. Adherence of MSH strains to canine uroepithelial cells was inhibited by alpha-methyl-D-mannoside. As a group, MRH strains expressing globo-A- and galactose alpha 1----4galactose beta-specific adhesins did not have strong adherence. Strains of E coli isolated from dogs with urinary tract infections most commonly expressed type-1 fimbriae, and the main mechanism of in vitro adherence to canine uroepithelial cells involved a mannose-sensitive mechanism. Overrepresentation of globo-A-specific adhesins did not appear to be related to adherence of canine uroepithelial cells.
On the basis of a considerable material the authors make an evaluation of complex diagnostics of hydatid Echinococcosis of various localizations with the help of Casoni reactions, latex agglutination, double gel diffusion and indirect hemagglutination. The Casoni reaction is considered to be most reliable and simple among specific methods of diagnostics of Echinococcosis. It gave good results in mass prophylactic examinations of the population. The immunological methods of diagnostics of hydatid Echinococcosis are most reliable, the reaction of indirect hemagglutination having the greatest resolving power.
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The correlation of Cand-Tec (candida antigen detection) with clinical findings and results in passive hemagglutination and immunoelectrophoresis (antibody detection) has been evaluated retrospectively. Based on mycological findings, 33 patients with a Cand-Tec titer were classified into five groups. Systemic antimycotic therapy was another criterion. Using a titer of greater than or equal to 1:8 as diagnostic of systemic or local candidal infection, the positive predictive value was 33% and 55% respectively. However, a titer of greater than or equal to 1:8 correlated significantly (p less than 0.05) with infection (systemic, presumably systemic and local candidiasis, n = 3). The combined findings of an antigen titer of greater than or equal to 1:8 and antibodies to cytoplasmatic protein antigens of candida correlated even better with infection (p less than 0.02) and had a positive predictive value of 100%. Antigen and antibody determination may be useful adjunctive procedures in the diagnosis of candida infections.
We have evaluated a new agglutination test for serum immunoreactive lipase in 24 patients with abdominal pain and hyperamylasaemia. On admission all 20 patients with acute pancreatitis had a positive lipase test, 3 of the 4 patients who did not have pancreatitis had a negative lipase test. The sensitivity of the lipase test on day 1 is 100%, the specificity 96% and predictive value of a positive test is 95.2% compared to 83% for amylase. A negative test excludes pancreatitis. In addition, the test stays positive longer than hyperamylasaemia.
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We assayed rheumatoid factor by instrumental latex particle counting. The calibration curve ranged from 12.5 to 500 int. units/mL. Maximal within- and between-assay CVs were 5 and 11%, respectively. Analytical recoveries ranged from 92.4 to 108%, and the relation between results and dilutions was linear in the range of 15 to 400 int. units/mL. Correlation with an enzyme-linked immunoassay (ELISA, Cordia kit) was r = 0.934 (n = 58), with turbidimetry r = 0.825 (n = 100), and with the Waaler-Rose test r = 0.834 (n = 73). Of 260 blood donors, 95% gave a value less than 10 kilo-int. units/L, which was taken as the upper normal limit. In a population of patients with rheumatoid arthritis (n = 47), 87.2% had rheumatoid factor greater than 10 kilo-int. units/L.
The purpose of this work was to determine the kinetics of antibodies in mediterranean spotted fever as determined by three serologic methods: indirect fluorescent antibody test, latex agglutination test and indirect hemagglutination test. No difference was noticed in the early kinetics but after 6 months, the latex agglutination test and the indirect hemagglutination test did not detect antibodies but the indirect fluorescent antibody test was still positive. This reaction is convenient for seroepidemiologic studies.
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