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Title: Neurocysticercosis : utilizing the cystic fluid antigen from taenia solium metacestodes for diagnosis by IgG-Elisa
Authors: Paron Dekumyoy
Malinee T. Anantaphruti
Supaporn Nuamtanong
Dorn Watthanakulpanich
Jitra Waikagul
Martin Danis
Mahidol University
Hopital Pitie Salpetriere
Keywords: Medicine
Issue Date: 1-Dec-2000
Citation: Southeast Asian Journal of Tropical Medicine and Public Health. Vol.31, No.1 SUPPL. (2000), 21-25
Abstract: Cystic fluid, which has antigenic properties of whole Taenia solium cysticerci, was used to discriminate neurocysticercosis cases and other parasitic infections, especially helminthiases. Twenty-one neurocysticercosis and several kinds of 22 different parasitic infections, including HIV cases (n=234) evaluated a 90.48% sensitivity and 86.32% specificity of indirect ELISA as follows; a low antigen concentration of 5 μg/ml, serum dilution of 1:400, conjugate dilution of 1:2.000 and a cut-off value of 0.349. Eight different helminthic infections (n = 25); echinococcosis (8/10), gnathostomiasis (6/8), strongyloidiasis (5/14), hookworm infection (1/18), angiostrongyliasis (2/25), opisthorchiasis (1/18), onchocercosis (1/3) and toxocariasis (1/6) were cross-reactive with this antigen. No serum antibody from other brain infections in the study gave a reaction with the antigen. In this study, the cystic fluid antigen gave high sensitivity of the test. However, the antigen contains various antigenic molecules able to bind with antibodies from several of the above helminthic sera, especially echinococcosis and gnathostomiasis. In Thailand, gnathostomiasis is one of the more famous tropical diseases but echinococcosis is quite rare. Cystic fluid antigen should be further investigated for its specific finding in diagnosis.
ISSN: 01251562
Appears in Collections:Scopus 1991-2000

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